The CDC recommends breastfeeding infants, as breastmilk contains significantly less fluoride than fluoridated drinking water. If breastfeeding is not possible, the CDC also endorses using fluoridated water in infant formula, though it suggests mixing the formula with low-fluoride bottled water to lessen the risk of dental fluorosis.
Infants who are fed formula made with fluoridated tap water can have three to four times higher fluoride exposure than adults, warned Lanphear. He added that before an infant's teeth erupt, there's no benefit to fluoride exposure. "There are vulnerable groups we have to be worried about," he said, "and that's not being brought out adequately by these agencies."