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How the Quality of Water Affects Your Teeth

Learn about which water is the best for your oral health
Read Time: 4 minutes
Jul 3, 2023

Did you know that the water you drink plays a crucial role in your dental health? While brushing, flossing, and regular dental visits are essential, the quality of your drinking water can impact your enamel strength, cavity prevention, and overall oral hygiene.

Fun Fact:

Fluoridated water can reduce tooth decay by up to 25%—but not all drinking water contains fluoride!

Why Water Quality Matters for Your Teeth

Water does more than just hydrate you—it helps maintain a healthy pH balance in your mouth, washes away food particles, and delivers essential minerals that strengthen enamel. However, not all water is created equal.

Key Benefits of High-Quality Drinking Water:

  • Prevents dry mouth and bad breath
  • Reduces plaque buildup
  • Strengthens enamel with fluoride and minerals
  • Helps neutralize acids that cause cavities

Mayo Clinic recommends 15.5 cups of water per day for men and 11.5 for women

What Makes Water High Quality?

High-quality water is clean, safe, and beneficial for overall health, including oral health. It meets specific standards regarding purity, mineral content, and pH balance. Here’s what defines high-quality drinking water:

Key Characteristics of High-Quality Water

  • Free from Contaminants
    • No harmful bacteria, viruses, or parasites
    • No toxic chemicals (e.g., lead, arsenic, pesticides)
    • Low chlorine levels (excessive chlorine can dry out the mouth)
  • Proper pH Balance
    • Ideally between 6.5 – 8.5 (neutral to slightly alkaline)
    • Avoids excessive acidity, which can erode tooth enamel
  • Contains Essential Minerals
    • Fluoride: Helps prevent cavities and strengthen enamel
    • Calcium & Magnesium: Support strong teeth and bones
    • Potassium & Sodium: Maintain hydration and saliva production
  • Good Taste & Odor
    • No unpleasant metallic, sulfuric, or chlorine-like taste
    • Fresh, crisp, and odor-free
  • Regulated & Tested Regularly
    • Public tap water should meet EPA (Environmental Protection Agency) or WHO (World Health Organization) standards
    • Bottled or filtered water should undergo third-party testing

The Risks of Drinking Low-Quality Water

Drinking low-quality water can negatively impact both your oral health and overall well-being. Contaminants, improper pH levels, and a lack of essential minerals can lead to serious health concerns. Here’s what can happen if your water isn’t up to standard:

General Health Risks:

  • Gastrointestinal Issues – Bacteria, parasites, and chemicals can cause stomach pain, nausea, and diarrhea.
  • Heavy Metal Toxicity – Lead, mercury, and arsenic exposure can harm brain function, kidney health, and immune response.
  • Bone Weakness – Lack of calcium and fluoride in water can contribute to weaker bones and teeth.
  • Skin and Hair Damage – Hard water can lead to dry skin, irritation, and hair buildup.

Oral Health Risks:

  • Increased Risk of Cavities – If water lacks fluoride, teeth may not get enough protection against decay.
  • Enamel Erosion – Acidic water (low pH) weakens tooth enamel over time.
  • Dry Mouth & Bad Breath – High chlorine levels or contaminants can reduce saliva production, leading to bacterial buildup.
  • Staining & Discoloration – High mineral content (from hard water) can cause yellow or brown stains on teeth.

Erosion is what happens when your tooth enamel wears away, exposing the dentin underneath.

The Role of Fluoride in Water Quality

Fluoride is a naturally occurring mineral added to many public water supplies to prevent cavities. But is it always beneficial?

Benefits of Fluoride:

  • Strengthens tooth enamel
  • Prevents decay and cavities
  • Helps remineralize teeth weakened by acids

Risks of Too Much Fluoride:

  • Can cause fluorosis, leading to discoloration
  • Overexposure may lead to weakened enamel in some cases

Pro Tip:

Check your local water report to see how much fluoride is in your drinking water!

Hard vs. Soft Water: Does It Affect Your Teeth?

Hard and soft water have different mineral compositions, which may impact your oral health. This means that where you live changes the quality of water you have access to from the tap. Florida, for example, has hard to very hard water.

Feature Hard Water Soft Water
Minerals High in calcium & magnesium Lower mineral content
Effect on Teeth Can cause stains & buildup Less residue but lacks beneficial minerals
Taste Often chalky Smoother

Impact on Teeth: Hard water can sometimes leave a chalky residue on teeth, while soft water may not provide enough calcium and magnesium for dental health.

Solution:

Consider using a remineralizing toothpaste if you have soft water.

Is Bottled or Tap Water Better for Your Oral Health?

Many people choose bottled water over tap water, but is it the best choice for your teeth?

In some parts of the world, tap water may not be safe to drink due to contamination with bacteria, heavy metals, or other harmful substances, making bottled water the healthier option for both overall and dental health. However, in the U.S., tap water is typically regulated and fluoridated, making it a better choice for dental health than bottled water. This is especially true in Florida, where most municipal water supplies contain fluoride at optimal levels recommended by health authorities.

Tap Water

  • Often contains fluoride to protect teeth
  • Regulated for safety and pH balance

Bottled Water

  • Often lacks fluoride
  • Some brands have high acidity, leading to enamel erosion
  • Can be expensive and environmentally harmful

Best Choice:

If drinking bottled water, choose brands that include fluoride or use a fluoride mouth rinse.

Does the Temperature of Your Water Matter?

The temperature of the water you drink can also impact your teeth, but generally only in the extremes unless you have particularly sensitive teeth. Too hot or too cold water can cause discomfort, which can be a sign of enamel erosion or other problem that you should talk to your dentist about.

Cold Water

  • Refreshing and helps reduce inflammation in the gums.

Hot Water

  • Can make teeth more sensitive, especially for those with weakened enamel or fillings.

Best Practice:

Drink room temperature or slightly cool water to avoid extreme temperature changes affecting your enamel.

Sources of High-Quality Water

High-quality water sources provide essential minerals and maintain a neutral pH, both crucial for strong teeth and overall oral health.

1. Fluoridated Tap Water

Many municipal water supplies add fluoride, a mineral known to strengthen tooth enamel and prevent cavities. Drinking fluoridated tap water has been shown to reduce tooth decay by approximately 25% in both children and adults.

2. Filtered Tap Water

Using a home filtration system can remove impurities while retaining beneficial minerals like fluoride. This ensures the water is clean and continues to support dental health.

3. Spring Water

Naturally sourced spring water often contains minerals such as calcium and magnesium, which are beneficial for teeth. However, it's important to check if the spring water contains fluoride; if not, additional fluoride treatments or supplements may be necessary.

4. Well Water (Regularly Tested)

Private well water can be a good source of minerals, but it's essential to have it tested regularly for contaminants and to determine its fluoride content. If fluoride is lacking, consult with a dentist about possible supplements.

5. Reverse Osmosis Water With Added Minerals

Reverse osmosis systems effectively remove contaminants but also strip away beneficial minerals. If using this system, consider remineralizing the water to include fluoride and other essential minerals to support dental health.

Tip:

To maximize oral health benefits, choose water that contains natural or added fluoride. If your primary water source lacks fluoride, discuss supplementation options with your dentist.

Water That Isn't Good for Your Teeth

Not all water is good for your teeth, however. Some water, due to its composition, can actually be bad for your teeth.

  • Distilled or Deionized Water: Lacks minerals, including fluoride, which are essential for tooth strength and cavity prevention.
  • Flavored or Infused Water: Often contains added sugars and acids that can erode enamel and increase the risk of cavities.
  • Carbonated Water (Sparkling Water): The carbonation process creates carbonic acid, which can lower the pH of the mouth and potentially lead to enamel erosion over time.
  • Well Water (Untested): May contain harmful bacteria or lack sufficient fluoride; regular testing is crucial to ensure safety and adequacy for dental health.
  • Salt Water: Can be drying and harsh on enamel.
  • Lemon or Citrus Water: Highly acidic and can weaken enamel over time.
  • Coconut Water: Often contains natural sugars that contribute to cavities.
  • Pool Water: Chlorine exposure can lead to enamel erosion over time.

Talk to Your Dentist About Your Drinking Habits

Drinking high-quality water isn’t just good for your body—it’s essential for your teeth. By choosing the right water source and making small adjustments, you can protect your enamel, prevent cavities, and maintain a bright, healthy smile.

Concerned about how your water affects your teeth?

Schedule a consultation with our dental team today!

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For informational purposes only.