Prevention & daily care

Fluoride in Dubai Water: What Testing Found and How to Protect Your Family's Teeth

Many families moving to Dubai ask whether the water contains fluoride. A published UAE study found low levels in tap and bottled water, which puts fluoride toothpaste, and sometimes varnish, at the centre of prevention.

Written by Creative Arts Clinical TeamClinically reviewed: 8 min read

Quick answer

Is there fluoride in Dubai water?

Only a little, according to the published testing we could find. A 2017 study in the Saudi Dental Journal sampled tap water from four emirates, including Dubai, plus 22 bottled waters: tap water averaged 0.14 mg of fluoride per litre and bottled water 0.07, and none reached the level considered optimal for preventing decay. In practice, fluoride toothpaste is the main protection. Dentists at Creative Arts in Dubai can assess whether extra fluoride is worthwhile.

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Fluoride in Dubai water: what has actually been measured?

The clearest published data is a study in the Saudi Dental Journal (2017). The researchers collected five tap water samples from each of four emirates (Abu Dhabi, Dubai, Sharjah and Ajman), together with 22 brands of bottled water and 15 popular cold drinks and juices, and measured fluoride with an ion-selective electrode.

  • Tap water averaged 0.14 mg of fluoride per litre, ranging from 0.04 to 0.3 mg/L across the samples.
  • Bottled water averaged 0.07 mg/L, ranging from 0.02 to 0.50 mg/L between brands.
  • Cold drinks averaged 0.07 mg/L.

The authors concluded that none of the samples showed the level needed to help prevent tooth decay, and advised dental professionals in the UAE to take these levels into account before prescribing fluoride supplements to children. For comparison, the American Dental Association recommends 0.7 mg/L where community water is fluoridated.

Two honest limits: this was one study with a small number of tap samples at one point in time, and levels in individual buildings or brands can differ. But it is the clearest published answer to the question, and it is consistent: in Dubai you should not count on drinking water for fluoride.

Where does fluoride come from if not the water?

The main sources of fluoride for a family living in Dubai, and what each one does.

SourceWho it is forWhat to know
Fluoride toothpasteEveryone with teeth, from the first baby toothThe main daily source; amount and strength depend on age
Spitting, not rinsing, after brushingEveryoneLeaves fluoride on the teeth instead of washing it away
Fluoride varnish at the dentistChildren and adults at higher risk of decayPainted on in a few minutes; frequency set by risk
Higher-strength toothpasteAdults and older teens at high risk, on a dentist's advicePrescribed or recommended after an examination
Fluoride mouthwashSome higher-risk older children and adultsUsed at a different time from brushing, on advice
Tap or bottled waterEveryoneLow fluoride in published UAE testing; not a reliable source

Fluoride tablets or drops should only be used if a dentist or doctor has assessed all the fluoride your child already gets.

Should children use fluoride toothpaste in the UAE?

Yes. Because drinking water adds very little fluoride here, toothpaste does most of the work. NHS guidance, widely followed by dentists, is to start brushing as soon as the first baby tooth appears, using a smear of fluoride toothpaste for children under 3 and a pea-sized amount from 3 to 6, with parents brushing young children and supervising until they can do it well. Children should spit out and not rinse afterwards.

Parents sometimes buy fluoride-free children's toothpaste out of worry about swallowing. The usual concern is dental fluorosis: white flecks or lines on the enamel. According to the US CDC, only young children can develop it, because permanent tooth enamel is fully formed by about age 8, and mild fluorosis does not affect how teeth work. Using the right amount of toothpaste and supervising brushing manages that risk without giving up fluoride's protection.

Our guide to kids' toothpaste and brushing by age covers strengths and technique in detail.

Do kids need fluoride varnish if the water has none?

Not every child needs it, but low-fluoride water is one reason dentists here look closely at decay risk. Fluoride varnish is a sticky coating painted onto the teeth in a minute or two. A Cochrane review found fluoride varnish was linked to about 43% fewer decayed surfaces in permanent teeth and 37% fewer in baby teeth.

Children most likely to benefit are those with early white-spot decay, previous fillings, frequent sugary snacks or drinks, braces, or difficulty brushing. A child with healthy teeth, a low-sugar diet and good brushing may need nothing beyond toothpaste. At Creative Arts the dentist sets how often varnish is worthwhile after examining your child; see fluoride treatment for children for what an application involves.

Early decay can sometimes be stopped at the white-spot stage with fluoride, which is another reason regular check-ups matter more where water offers little help. Our page on white spots on teeth explains the difference between early decay and fluorosis.

Do not add fluoride supplements on your own

Fluoride tablets and drops are sometimes discussed by families who move from areas with fluoridated water. They are not a do-it-yourself measure: the dose depends on the child's age and every other source of fluoride. Ask your dentist or paediatrician first.

Is filtered or bottled water a cavity risk?

Not in itself. Water of any kind is the ideal drink for teeth, because it has no sugar or acid. The question is only whether you lose the small extra protection fluoridated water gives in some countries. Since published UAE testing found tap water already low in fluoride, filtering it, or choosing bottled water, is unlikely to change your family's fluoride intake much. Toothpaste remains the source that matters.

What does raise decay risk is what replaces water: juices, sweetened milk drinks, sports drinks and fizzy drinks, especially sipped slowly through the day. Our guide to foods and drinks that harm teeth covers the main culprits, and our guide to brushing after eating explains how timing affects acidic drinks.

If you want to know the fluoride content of a particular bottled water, the brand or its label is the place to check; levels vary between brands.

What about adults in Dubai?

Adults need fluoride too, especially when decay risk rises: dry mouth from medicines, gum recession exposing root surfaces, braces or aligners, many existing fillings or crowns, or frequent snacking. For most adults, brushing twice a day with a family-strength fluoride toothpaste and spitting rather than rinsing is enough. The ADA advises professionally applied fluoride varnish or gel for patients aged 6 or older who are at elevated risk, and higher-strength toothpaste for those at higher risk.

Our guide to sealants and fluoride varnish for adults explains who benefits and how often. For a broader look at toothpaste choices, see how to choose a toothpaste. And if you clean with a miswak, our miswak guide explains why it works best alongside fluoride toothpaste.

Not sure whether your family needs more than toothpaste? Our dentists in Jumeirah assess decay risk at check-ups and recommend varnish only where it helps.

Book a family check-up

Sources

Clinical statements on this page are consistent with these independent sources. They describe averages from studies, not a promise for any one patient.

  1. Walia T, Abu Fanas S, Akbar M, Eddin J, Adnan M. Estimation of fluoride concentration in drinking water and common beverages in United Arab Emirates (UAE). Saudi Dental Journal, 2017.
  2. American Dental Association. Fluoride: Topical and Systemic Supplements (Oral Health Topics). ADA, 2023.
  3. Marinho VCC et al.. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews, 2013.
  4. Centers for Disease Control and Prevention. About Dental Fluorosis. CDC, n.d..
Patient questions

Frequently asked questions

Is Dubai tap water fluoridated?

Published testing found low fluoride in UAE tap water. A 2017 study that sampled tap water in four emirates, including Dubai, measured an average of 0.14 mg per litre, below the level considered optimal for preventing decay. For comparison, the ADA recommends 0.7 mg per litre where water is fluoridated. In practice, families in Dubai rely on fluoride toothpaste.

Does bottled water in Dubai contain fluoride?

Usually very little. In the same 2017 UAE study, 22 bottled water brands averaged 0.07 mg of fluoride per litre, ranging from 0.02 to 0.50 mg per litre between brands. None reached the level considered optimal for decay prevention. Bottled water is still a good drink for teeth; it just should not be counted on for fluoride.

Should my child use fluoride toothpaste if there is little fluoride in Dubai water?

Yes. With little fluoride in drinking water, toothpaste is the main protection. Start when the first tooth appears: a smear for under-3s and a pea-sized amount from 3 to 6, with an adult brushing or supervising, and spit out without rinsing. Using the right amount keeps the small risk of fluorosis low.

Do kids in Dubai need fluoride varnish?

Children at higher risk of decay usually benefit: those with early white spots, previous fillings, frequent sugary snacks or drinks, braces or difficulty brushing. A Cochrane review linked varnish to about 43% fewer decayed surfaces in permanent teeth. Children at low risk may need only fluoride toothpaste. The dentist decides after examining your child.

Is filtered water bad for teeth in Dubai?

No. Water is the ideal drink for teeth whether it is filtered, bottled or from the tap. Because published testing found UAE tap water already low in fluoride, filtering it is unlikely to change your fluoride intake much. The bigger risk is replacing water with juice, sweetened or fizzy drinks.

Should I give my child fluoride tablets because of Dubai water?

Only if a dentist or paediatrician recommends them after looking at every source of fluoride your child gets, including toothpaste. The researchers behind the UAE water study advised professionals to consider local water levels before prescribing supplements. Do not start tablets or drops on your own, because too much fluoride in early childhood can mark the enamel.

I moved to Dubai from a city with fluoridated water. Should I change anything?

Keep brushing twice a day with fluoride toothpaste and spit rather than rinse. Pay a little more attention to sugary snacks and drinks, and keep regular check-ups, especially for children. If you or your children have had decay recently, ask the dentist whether varnish or a higher-strength toothpaste for adults makes sense.

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