Texas Fluoridation Program

A young girl holds up a glass of water and her thumb up.

The Texas Fluoridation Program (TFP) works to improve the health of Texans by preventing tooth decay through community water fluoridation. TFP assists public water systems in the engineering design, installation, and maintenance of water fluoridation systems; monitors the adjusted fluoride level in the drinking water; and maintains the US Centers for Disease Control and Prevention (CDC) fluoridation database for the State of Texas. 

Community water fluoridation is safe and the most cost-effective way to deliver fluoride to everyone. On average, it costs only $0.64 per person to fluoridate water for a year. For most cities, every $1 invested in water fluoridation yields $38 savings in dental treatment costs (Fluoridation Facts American Dental Association [ADA]). Community water fluoridation is recommended by nearly all public health, medical, and dental organizations.

To know your water system's fluoridation status go to the CDC My Water's Fluoride webpage.


Community water fluoridation is one of the most practical, cost-effective, equitable, and safe measures communities can take to prevent tooth decay and improve oral health.–Dr. Vivek H. Murthy, Former U.S. Surgeon General (2014 – 2017)


Last updated April 23, 2020