Rotorua children will continue to have poorer oral health than children in other parts of the country if water fluoridation doesn't go ahead, according to the Lakes District Health Board.
Chief executive Ron Dunham said the health board believed there should be fluoride in Rotorua's water supplies and was working with Toi Te Ora Public Health to push for a fluoridated water supply for Rotorua people.
However, he said the decision would ultimately come down to the Rotorua District Council, which was set to consider the controversial issue later this year.
Mr Dunham said dental decay in New Zealand was a considerable health and economic burden.
"Poor oral health has lifelong effects for these children and can be linked to poor general health, both in childhood and adulthood."