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1 It prevented as much tooth decay as a dental sealant program. 2  In contrast to the $23 per year cost of maintaining a child in a sealant program, the annual per capita cost (in 1981 dollars) of water fluoridation in five United States communities ranged from $0.06 in Denver, Colorado to $0.80 in rural West Virginia. 3  2. 5. 2  A study found that the annual savings associated with fluoridation in Colorado was $148.9 million (credible range, $115.1 million to $187.2 million) in 2003, or an average of $60.78 per person (credible range, $46.97 to $76.41). 6.