By Julian Bajkowski

Australia’s official body for dentists has taken a bite out of Australia’s main political parties over what it claims is a “deafening silence” over local governments controversially removing fluoride from town water supplies against the interests of public health.

The Australian Dental Association (ADA) is warning that taxpayers and the federally funded Child Dental Benefits Scheme will soon have to pick-up the big tab for an increase in tooth decay that will stem from councils stopping fluoridation unless action is taken.

The dentists say no matter who wins the election, the anti-fluoridation rot needs to stop quickly as more children succumb to serious decay.

“The Child Dental Benefits Scheme, which has bipartisan support, will be called on to fund more fillings or extractions if there is no longer support for fluoride,” said Dr Karin Alexander, federal president of the ADA.

“Does the future Federal Government really want to create further dental problems that will cost more to fix later?”

The dentist’s hard word on Canberra comes after Lismore Shire Council and Byron Shire Councils in New South Wales passed votes that would allow an end to fluoridation of water.

The issue is also burning in Queensland where an increasing number of councils – now more than 10 – have voted to stop fluoridation after the Campbell Newman government allowed local governments to opt out of what had previously been a requirement.

Dentists now want whoever gains power in Canberra to show firm leadership on the issue by pressing state governments in New South Wales and Queensland to stand up to anti-fluoride campaigners which most public health advocates believe are pushing arguments that are not well grounded in science.

“The Federal Government should not allow local councils to be swayed by fringe groups who peddle fear, innuendo and conspiracy theories to remove fluoride or discontinue its use from water supplies,” Dr Alexander said.

“We understand that the Federal Government does not have direct power over water supplies. However, that does not mean the future Federal Government has the right to stand idly by while Queensland and NSW divest their responsibility to public health.”

A number of public health advocates are also turning up the heat on councils and state governments to check the influence of anti-treatment campaigners, citing increasing dental problems among young people.

Fairfax Media this month cited figures from the NSW Department of Health that showed “hospital admissions for the removal or restoration of teeth among children aged up to four in the Northern NSW Local Health District was 563.5 per 100,000 children a year – about 93 children” compared to an “average across NSW [of] 331.1 per 100,000.”

The campaign by anti-fluoridation groups has also highlighted tensions within the NSW Cabinet after Health Minister Jillian Skinner reportedly said that a discussion paper, with public input, on whether the state should take over control of water fluoridation.

However NSW Premier Barry O’Farrell later batted away any notion of Macquarie Street wresting control of fluoridation by saying it was a matter for councils to decide.

But even though the Premier is eschewing any formal intervention, Mr O’Farrell went on to blast Lismore Council’s vote against fluoridation as a “stupid decision” and suggested it could soon be reversed.

According to the Oral Health Committee of the ADA, the only NSW councils that are now fluoridating their water supplies are:

Ballina, Boorowa, Brewarrina, Byron, Cabonne, Carrathool, Lismore, Liverpool Plains (Gunnedah), Murrumbidgee, Narrabri, Narrandera, Narromine, Oberon, Rous County Council, Lismore, Richmond Valley, Upper Hunter, Wakool, Warren and Wentworth..

The ADA noted that “Kempsey is only partly fluoridated, but will soon increase its fluoridation program” while “Gwydir and Walgett are not currently fluoridated, but should commence very soon.”

Councils in Queensland that that ADA says were fluoridating but have now stopped since the Campbell Newman LNP government passed legislation to allow them to opt out are Cairns, Cherbourg, Doomadgee, North Burnett (Gayndah, Monto, Mundubbera), Rockhampton, South Burnett (Nanango, Murgon) and Wide Bay (Maryborough, Hervey Bay).

The ADA lists councils that were scheduled to fluoridate under the 2008 mandatory legislation, but have since decided to not to proceed as: Atherton Tablelands, Bundaberg, Cassowary Coast (Innisfail), Cloncurry, numerous water sources in the Toowoomba area, Whitsunday (Bowen, Proserpine), Balonne (St George), Barcaldine, Blackall, Murweh (Charleville), Paroo (Cunnamulla), Mount Isa.

But it’s not a one size fits all approach.

“There are often legitimate reasons why councils don't fluoridate their water supplies,” the ADA said.

“They may already have naturally occurring fluoride in the water at about the right level, fluoridation may be impractical and costly because the town water comes from a bore and isn't treated,” thye ADA said.

“Sometimes the town is too small, they have difficulty in attracting or retaining trained water treatment plant operators [or] the water tastes terrible and everyone drinks tank water.

“Unfortunately we are not able to identify the specific reasons why each of these towns isn't fluoridated, but in northern NSW the views of the alternative life-stylers are probably an influence.”

It is understood that issue of fluoridation will be among the topics put up for discussion and debated at the annual Local Government NSW Conference in Sydney on 1st October to 3rd October 2013.