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Fluoride

inorganic chemical

Water additive for dental health; erosion of natural deposits; discharge from fertilizer and aluminum factories.

EPA regulatory status

Legal limit (MCL)

4 mg/L

Goal (MCLG)

4 mg/L

Primary MCL 4.0 mg/L (enforceable). MCLG = 4.0 mg/L. There is also a non-enforceable Secondary standard (SMCL) of 2.0 mg/L set to prevent dental fluorosis (tooth mottling) in children.

Health effects

At levels above the MCL, long-term exposure can cause skeletal fluorosis (bone pain and tenderness). Levels above the 2.0 mg/L secondary standard can cause dental fluorosis (mottled teeth) in children. Fluoride is intentionally added by many systems at ~0.7 mg/L for dental-health benefits.

This is general public-health information, not medical advice — consult your physician with any health concerns.

National violations

47,811

EPA's enforcement data (SDWIS/ECHO) records 47,811 violations of Fluoride's rule nationally.

How to remove Fluoride

reverse osmosis

NSF/ANSI 58

How this works →

distillation

NSF/ANSI 62

Frequently asked questions

What is Fluoride?

Fluoride is a inorganic chemical regulated in US drinking water. Water additive for dental health; erosion of natural deposits; discharge from fertilizer and aluminum factories.

What is the legal limit for Fluoride in drinking water?

Primary MCL 4.0 mg/L (enforceable). MCLG = 4.0 mg/L. There is also a non-enforceable Secondary standard (SMCL) of 2.0 mg/L set to prevent dental fluorosis (tooth mottling) in children.

What health effects does Fluoride have?

At levels above the MCL, long-term exposure can cause skeletal fluorosis (bone pain and tenderness). Levels above the 2.0 mg/L secondary standard can cause dental fluorosis (mottled teeth) in children. Fluoride is intentionally added by many systems at ~0.7 mg/L for dental-health benefits.

How many violations of Fluoride limits are on record nationally?

EPA's enforcement data (SDWIS/ECHO) records 47,811 violations of Fluoride's rule nationally.

How do I remove Fluoride from my water?

Filter technologies certified to reduce Fluoride include: reverse osmosis (NSF/ANSI 58), distillation (NSF/ANSI 62). Look for a filter independently certified against the specific NSF/ANSI standard for this contaminant — general "reduces contaminants" marketing claims are not the same as a contaminant-specific certification.

Source: EPA National Primary Drinking Water Regulations · Data as of 2026-07-16