NASHVILLE, Tenn. — February marks National Children’s Dental Health Month, a nationwide campaign emphasizing preventive care and good hygiene habits for children. In Tennessee, Delta Dental of Tennessee is using the observance to highlight the benefits of fluoride in protecting children’s teeth and preventing decay.
Jeff Ballard, president and CEO of Delta Dental of Tennessee, said establishing dental habits early in life can have lasting benefits. “Strong oral health in childhood supports overall well-being, builds confidence, and contributes to academic success,” he said.
“Fluoride is a safe, effective, and evidence-based way to prevent tooth decay and reduce long-term dental issues for children across Tennessee,” Ballard added. “We want families to have the information and resources they need to keep kids healthy and smiling.”
Tooth decay remains one of the most common chronic conditions affecting children. According to the Centers for Disease Control and Prevention’s 2024 Oral Health Surveillance Report, nearly half of children aged 6 to 9 have experienced cavities in either their primary or permanent teeth. Untreated cavities can cause pain and infection, leading to missed school days and difficulty eating, speaking, and concentrating.
Public health experts stress that preventive measures, including fluoride treatments and dental sealants, can significantly reduce cavity risk. Community water fluoridation has been in use in the United States for more than 75 years and is widely credited with lowering cavity rates nationwide. Health authorities continue to recommend fluoride at proper levels, citing decades of research confirming its safety and effectiveness.
Recent studies also address fluoride exposure during pregnancy. A new investigation found no link between community water fluoridation and low birth weight, reinforcing its safety record.
Despite these benefits, Delta Dental’s internal analysis shows that children in Tennessee aged 1 to 20 are less likely than their peers nationwide to receive two or more preventive fluoride treatments. The state also lags behind national averages in applying dental sealants to permanent molars, another recommended preventive measure.
Dentists in Tennessee observe the difference firsthand. Rhett Raum, D.M.D., who practices in both a fluoridated community and one without water fluoridation, reports a noticeable contrast in cavity rates. “With fluoride in the water supply, children are set up for a healthier life,” he said. Raum noted that the CDC recognizes community water fluoridation as one of the top public health achievements in U.S. history.
Christina Rosenthal, D.D.S., M.P.H., added that untreated tooth decay can affect more than oral health. Infections may lead to broader health issues and place financial and logistical burdens on families, especially where dental providers are scarce.
Preventing decay early reduces long-term costs and minimizes missed work and school days.
State health officials highlight the economic impact of prevention. The Tennessee Department of Health estimates that every dollar invested in community water fluoridation saves about $38 in future dental treatment costs. By reducing cavities, children stay in classrooms rather than emergency dental offices.
Delta Dental supports preventive care through statewide partnerships and outreach programs. School-based initiatives expand access to screenings, education, and early treatment. Programs like Kids Dental Day offer free dental exams and preventive services for children who might otherwise face barriers. Another effort, Water’s Cool @ School, encourages students to drink water instead of sugary drinks, reinforcing healthy habits.
Through its Smile180 Foundation, Delta Dental has partnered with community organizations, including PBS KIDS, for over 25 years. These initiatives aim to improve dental education and expand access to care statewide.
As National Children’s Dental Health Month continues, Tennessee health leaders urge parents to prioritize regular dental visits, fluoride use, and daily hygiene habits. They emphasize that consistent preventive care remains the most reliable way to protect children’s oral health and reduce long-term complications.