. >> reporter: abby smith is extra careful about brushing her son's teeth. now that her local tap water no longer contains fluoride. after community members in union county north carolina came forward to express concerns, the county commission voted 3-2, to remove it. >> i didn't even know that there was a fight against fluoride. >> reporter: she's now scrambling to figure out what to do next for her two small children. >> we're going to have to talk about possibly supplementing. >> reporter: the dentist is alarmed. she says fluoride, a naturally-occurring mineral, should be added to public water to help develop strong teeth, especially for small children and those without access to a dentist. toothpaste with fluoride, she says, is not enough, because the fluoride needs to be ingested. >> we know that fluoride works. all the journal articles have shown that. there's a 25% reduction in children and adults' decay. >> reporter: despite being the norm for decades and local debates, the nationwide fight over fluoride in water is reaching new heights in the wake o