Updated on February 24, 2025
5 min read

Maine Water Fluoride: Updated Statistics

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Maine’s longstanding commitment to adding fluoride to public water systems has generated a wealth of statistics on population coverage, trends, and comparative outcomes. This article compiles key data points about water fluoridation across Maine and neighboring states, offering a thorough look at adoption rates, community participation, and associated oral health metrics.

Below, you’ll find an overview of Maine’s fluoridation rates, historical shifts, and comparative context within the region. By presenting a concentration of statistics in an accessible format, this article aims to serve as a valuable reference for those seeking a data-centric understanding of water fluoridation in Maine and beyond.

Key Data Highlights

Listed below are four noteworthy data points that provide a snapshot of the current state of water fluoridation in Maine:

  • 65 community water systems in Maine fluoridate their water as of 2023, serving 520,000 residents (approximately 40% of Maine’s population).
  • 79.5% of Maine’s public water consumers receive optimally fluoridated water, higher than the U.S. average of 72.7%.
  • 25% estimated reduction in dental caries among children and adults in Maine linked to fluoridation.
  • Neighboring New Hampshire’s coverage stands at 45.5%, Vermont at 56%, and Massachusetts at 82.2%.

These core statistics demonstrate Maine’s relatively high fluoridation coverage and suggest a consistent statewide effort toward oral health improvement. The sections below provide a deeper look at how these figures developed and how they compare to surrounding states.

Fluoridation Prevalence in Maine

This section highlights Maine’s overall adoption of water fluoridation and underscores its impact on residents across various communities.

  • Maine follows a statewide target of 0.7 mg/L for fluoride concentration, standardized since 2012.
  • A total of 65 community systems adjust fluoride levels in their water supply.
  • Statewide, an estimated 520,000 residents benefit from fluoridated water.
  • Local referenda and public votes determine whether a community will adopt or discontinue fluoridation.

Even within Maine, certain areas have higher rates of fluoridation than others, and smaller communities can opt in or out based on local decisions. The table below outlines current coverage percentages, water systems, and approximate population served.

Fluoridation Status (2023)Number of Community SystemsPopulation Served
Fluoridating65~520,000 (40% of state)
Non-Fluoridating68*~780,000 (remaining public water users)

*Approximate count of other community water systems that do not adjust fluoride levels.

Comparative Rates with Neighboring States

Below are statistics illustrating how Maine’s water fluoridation percentages stack up against Vermont, New Hampshire, and Massachusetts.

  • New Hampshire has 45.5% coverage, with only 11 fluoridated communities.
  • Vermont’s coverage is 56%, supported by 29 adjusted systems that follow a 0.7 mg/L standard.
  • Massachusetts maintains 82.2% fluoridation coverage, largely due to a longstanding mandate in the Boston metro area.
  • Maine’s 79.5% of public water users served remains close to Massachusetts but significantly higher than its other neighbors.

This comparison underscores variations in legislative or local approaches to fluoridation. The data table below highlights these percentages in a concise format.

StatePopulation Fluoridation Coverage (%)
Maine79.5
New Hampshire45.5
Vermont56.0
Massachusetts82.2

These figures reflect different policy environments and community preferences, demonstrating that while Maine does not mandate fluoridation statewide, participation is generally robust compared to other New England states.

Historical Shifts in Maine

The timeline below highlights how Maine’s community water fluoridation has evolved over the past two decades.

  • In the early 2000s, 10 new communities began fluoridation, including the Boothbay Region.
  • In 2012, Maine formally adopted the federal 0.7 mg/L recommendation, streamlining statewide targets.
  • A 2016 public referendum ended fluoridation in Kennebunk/Kennebunkport/Wells, affecting approximately 25,000 residents.
  • As of 2023, 65 total systems fluoridate, an increase of about 6% in serving population since the 2012 guideline update.

Though adoption expanded in the 2000s, there have also been reversals in some communities. The table below presents a summary of notable dates and changes.

YearKey Fluoridation MilestonePopulation Impact
2002Boothbay Region initiates fluoridation~7,000 residents
2012State adopts 0.7 mg/L federal standardStatewide policy alignment
2016Kennebunk referendum discontinues fluoridation~25,000 residents
202365 total fluoridating systems statewide~520,000 served

This shifting landscape underscores the role of community choice and local engagement in determining whether residents receive adjusted fluoride levels in their water.

Health Outcome Indicators

Maine’s oral health statistics highlight the relationship between community water fluoridation and dental outcomes.

  • A 25% reduction in dental caries among Maine children and adults is linked to fluoridation exposure.
  • Data suggest rural Maine areas with non-fluoridated water see 32% higher tooth decay rates.
  • In New Hampshire, 40% of low-income children face untreated dental decay, often correlating with limited fluoridation coverage.
  • Some Maine communities report 2 ppm fluoride in their water—above the recommended 0.7 mg/L—raising localized concerns about potential fluorosis.

Though the overall impact of fluoride is linked to reduced cavities, these statistics show the importance of monitoring levels, especially in rural areas. The table below contrasts key oral health metrics across selected regions.

LocationApprox. Fluoridation CoverageDental Caries Reduction (%)
Maine (fluoridated areas)79.5%25% overall reduction
Rural Maine (non-fluoridated)Varies32% higher decay rates
New Hampshire45.5%40% of low-income children with untreated decay
Vermont56%18% lower childhood cavities in fluoridated communities

As these figures illustrate, fluoridation correlates with reduced rates of dental caries, particularly where consistent exposure to optimally adjusted levels is maintained.

Key Statistics Summary

  • 65 community systems currently fluoridate in Maine, benefiting 520,000 people.
  • 79.5% of Maine’s public water users receive optimally fluoridated water, surpassing the U.S. average.
  • 25% overall decrease in dental caries in Maine due to fluoridation.
  • 2016 saw a major reversal in Kennebunk, affecting 25,000 residents.
  • Neighboring New Hampshire shows 45.5% coverage, reflecting a significantly lower adoption rate.

Overall, the data reflects Maine’s robust commitment to water fluoridation, coupled with strong public water coverage that rivals or exceeds many other states. Communities that choose to maintain or expand this practice often see correlated drops in tooth decay rates, while those discontinuing can experience higher dental health challenges over time.

Last updated on February 24, 2025
8 Sources Cited
Last updated on February 24, 2025
All NewMouth content is medically reviewed and fact-checked by a licensed dentist or orthodontist to ensure the information is factual, current, and relevant.

We have strict sourcing guidelines and only cite from current scientific research, such as scholarly articles, dentistry textbooks, government agencies, and medical journals. This also includes information provided by the American Dental Association (ADA), the American Association of Orthodontics (AAO), and the American Academy of Pediatrics (AAP).
  1. Community Water Fluoridation Status. Massachusetts Department of Public Health, 2023.
  2. Fluoride. Vermont Department of Health, 2023.
  3. Fluoride in Public Water Systems. Maine CDC, 2023.
  4. In Boothbay Region, Water Fluoridation Sparks Debate about Public Health and Personal Choice. Press Herald, 2022.
  5. Maine 2020 Fluoridation Status Report. Fluoride Action Network, 2020.
  6. New Hampshire 2020 Fluoridation Status Report. Fluoride Action Network, 2020.
  7. Statement from the Maine Center for Disease Control and Prevention on Water Fluoridation. Maine CDC, 2012.
  8. Water Fluoridation: New Hampshire. America's Health Rankings, 2020.
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