Comment by stefan_

Where "main concern" means not a practical concern at all. You are adopting the talking points of cranks when what is of actual concern is things like drinking sugar, negligent parents or basic access to dental healthcare or even just dental education.

The CDC tracks some key indicators like mean decayed, missing or filled teeth (DMFT) and in critical age groups like 12-15 there has been no progress made in the past 20 years and the US continue lagging behind European countries: https://www.cdc.gov/oral-health/media/pdfs/Oral-Health-Surve...

And none of that has anything to do with fluoride in the water or not.