The Vermont Department of Health recommends exclusive breastfeeding of infants up to 6 month of age and then continue breastfeeding until at least 12 months.
When liquid concentrate or powdered formula is the primary source of nutrition, it can be mixed with fluoridated water. If parents or caregivers are concerned about the development of mild fluorosis, we suggest a ready -to-feed formula or mixing with fluoride free water.
What is Fluorosis?
Enamel fluorosis is a change in the appearance of the tooth. Fluorosis is not a disease. The majority of dental fluorosis is mild and appears as white spots that are barely noticeable and difficult for anyone except a dental health care professional to see. Enamel fluorosis occurs only when permanent teeth are forming under the gums. Once teeth break through the gums, they cannot develop enamel fluorosis.
From left to right: Very mild, mild, and moderate fluorosis of teeth.
How do I know if my town water is fluoridated?
Your local water utility is the best source of information about the level of fluoride in your drinking water.
All water utilities must provide their consumers with a Consumer Confidence Report that provides information on a system’s water quality, including its fluoridation level. Your Town Clerk or Public Works office can give you the water utility's contact information.
You can also learn more from:
- My Water's Fluoride - a CDC website that allows consumers to learn the fluoridation status of their water system
- Your family dentist or doctor
- The Department of Health, Office of Oral Health
802-863-7330 or toll free at 1-866-331-5622
What if I have well or spring water?
The Vermont Department of Health recommends testing your private well (or spring) water source for fluoride. If you are feeding your infant formula mixed with well water or spring water, you should know the fluoride content.
All water has some level of natural fluoride. In most cases, the fluoride level in the water will be very low. However, there are a few areas in Vermont where the natural fluoride content of water is quite high.
Fluoride water tests from the Department of Health Laboratory are available at no charge to families with children under age four. Your dentist, pediatrician or family physician has a water test order form that you will need to fill out to receive the test kit.
The Vermont Department of Health also offers a screening test (Kit C) for wells that includes fluoride, arsenic, chloride, copper, hardness, iron, lead, manganese, nitrate, sodium and uranium.
Will WIC provide ready-to-feed formula or bottled water?
No. WIC cannot distribute ready-to-feed infant formula or bottled water.
The Health Department also urges women to consider breastfeeding their babies. Breast milk is a natural and a complete form of infant nutrition and provides antibodies that protect infants and helps fight off infection and disease.
Visit our Breastfeeding website for information about the benefits of breastfeeding, and local supports and resources for nursing mothers,.
American Dental Association
- Center for Evidence-Based Dentistry Clinical recommendations
- Fluoride and Infant Formula: Frequently Asked Questions (FAQ)
Centers for Disease Control and Prevention (CDC)
Journal of American Medical Association
- Evidence-Based Clinical Recommendations Regarding Fluoride Intake from Reconstituted Infant Formula and Enamel Fluorosis
Contact the Office of Oral Health
Office of Oral Health
Vermont Department of Health
P.O. Box 70
108 Cherry Street
Burlington, VT 05402