Flouridation became widely used in the US in the 1960s. It's hard to discern facts with all the hyperbole from activists against it but I thought flouridation was unnecessary now because of toothpaste and how people brush their teeth more. From Wikipedia, most countries in Europe substantially reduced cavities without flouridation and tooth decay rates remained stabled or declined in Germany and Finland when it was stopped. Though it does say that in-school dental care and more going to the dentist in Europe than in the US may be the reason.
But so many people in the US have home filtration systems, filtered water jugs or drink bottled water that it seems it's more due to flouride toothpaste and better hygiene. While there is some flouride in some bottled water, it's generally less.