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While conventional dentistry tends to regard the use of fluoride to prevent cavities as a remarkable triumph of preventive medicine, proponents of alternative medicine have long taken the opposite view. To them, water fluoridation, in particular, is a form of medically sanctioned environmental pollution. These strongly emotional and diametrically opposed views have created a murky world of charges and countercharges. In this article, we will limit ourselves to the current scientific evidence regarding fluoride and cavities and avoid delving into the numerous myths, rumors, exaggerations, and conspiracy theories associated with the topic.