Tea and Fluoride: How Much the Leaves Carry and What Studies Found

Most talk about fluoride is about tap water. Tea gets far less attention, yet the tea plant (Camellia sinensis, the source of black, green, white, oolong and brick tea) naturally accumulates fluoride from the soil and stores it in its leaves. This page sets out what the measurements show: why the plant collects fluoride, how much ends up in a cup of different teas, what happened to people who drank very large amounts for many years, and what a 2026 Canadian pregnancy study found about tea, fluoride and children’s IQ. It reports studies only. The wider questions are covered on the Fluoride in Water page, the Fluoride, Brain Development and IQ page and the Skeletal Fluorosis page; this page goes deeper into tea as a source.

Table of Contents

  1. The Short Version
  2. Why the Tea Plant Collects Fluoride
  3. Older Leaves Carry the Most
  4. Measured Amounts in a Cup of Tea
  5. Brewing Time, Leaf Size and the Water Used
  6. Brick Tea and Whole Communities With Fluorosis
  7. Skeletal Fluorosis Case Reports in Heavy Tea Drinkers
  8. What the Case Reports Have in Common
  9. Tea as a Fluoride Source in Pregnancy
  10. The 2026 Canadian Tea and IQ Finding and Its Limits
  11. What Is Not Known
  12. Key Research Papers
  13. Connections
  14. Featured Videos

The Short Version

Why the Tea Plant Collects Fluoride

The 2025 scoping review describes tea as naturally accumulating fluoride from the soil. A 2003 review from Hong Kong put it plainly: the tea plant “takes up a large quantity of aluminium” and fluoride “from acidic soils.” The 2025 scoping review found that fluoride in tea fell as soil pH rose (a correlation of −0.76), meaning the more acidic the soil, the more fluoride the leaves tended to hold.

A study of tea gardens in Anhui province, China, found that the fluoride in tea leaves was significantly linked to the amount of water-soluble fluoride in the soil. It also found large differences between tea varieties grown in the same region, and differences by season: of eight varieties harvested over three seasons, leaves held the most fluoride in summer and the least in spring.

One finding matters for anyone wondering whether processing adds fluoride. The same Anhui study reported that the tea manufacturing process did not introduce fluoride contamination. The fluoride is in the leaf when it is picked. What processing changes is how much of it comes out into the cup: the study found leaching was 6.8% higher from black tea and 14.1% higher from white tea than from fresh leaves, and pointed to withering (the step of letting picked leaves wilt) rather than rolling or fermentation as the step with the greatest effect.

Tea plants also store aluminium alongside fluoride. A 2023 study of 35 teas sold in Slovenia found that the two rose together in brewed tea so closely that one could be estimated from the other. Aluminium in tea is a separate topic, but it shows that the plant’s habit of collecting elements from acidic soil is not limited to fluoride.

Older Leaves Carry the Most

Fluoride builds up in a tea leaf over its life, so the age of the leaf at harvest is one of the biggest factors in how much fluoride a tea contains. The 2025 scoping review put the order as mature leaves > stems > buds > roots. The Anhui study reported that leaf fluoride was “directly related to the maturity of the tea leaves at harvest.”

This is why brick tea stands out. The 2003 Hong Kong review described brick tea, a pressed tea drunk daily by herding peoples in Tibet, Inner Mongolia and north-west China, as a low-quality tea made mainly of old tea leaves. A study in Sichuan province examined the raw materials of brick tea and found that old leaves were “the major contributors” to its high fluoride and aluminium. The same study found that the soils of the tea plantations were within the normal range, so the soil was not what made brick tea high in fluoride; the choice of old leaves and of certain plant varieties was. One variety held two to three times more fluoride and aluminium than three others. Four brands of brick tea tested held significantly more fluoride than eleven brands of green tea.

Tea sold in Europe and North America shows related patterns. Several surveys found black tea in bags among the higher-fluoride products, and finer leaf particles released more fluoride (see the next two sections). Matcha, a powdered green tea in which the whole leaf is drunk rather than steeped and removed, also measured high in two studies.

Measured Amounts in a Cup of Tea

Studies report fluoride in brewed tea in milligrams per litre (mg/L). For a sense of scale, a 200 mL cup is one fifth of a litre, so a tea measured at 3 mg/L gives about 0.6 mg of fluoride per cup. That conversion is simple arithmetic, not a measured figure, and real cups vary in size and strength. Water fluoridated at the U.S. target of 0.7 mg/L gives about 0.14 mg in the same cup.

What the studies measured:

Measurements of the dry leaf, rather than the brew, come mainly from China. A survey of 558 Chinese tea products found mean fluoride of 63.04 mg/kg in green tea, 99.74 in black, 52.19 in white, 101.67 in pu’er, 159.78 in oolong and 110.54 in reprocessed tea; its authors concluded that drinking these teas does not generally lead to excess fluoride for the general population. The Anhui study tested 115 market teas and found a range of 5.0 to 306.0 mg/kg, average 81.7 mg/kg, and its risk model found no fluorosis risk from drinking them. These two Chinese surveys and the Irish and Danish studies reached different conclusions about risk; their abstracts do not allow a direct comparison of the assumptions behind them.

For children, the 2025 scoping review estimated that black tea gave children aged 4 to 8 a daily fluoride intake of 0.078 mg per kilogram of body weight, and that brick tea drinking exceeded World Health Organization guideline values in all age groups.

Brewing Time, Leaf Size and the Water Used

How tea is made changes how much fluoride ends up in the cup, and the studies agree on three factors.

Fermentation also raised fluoride release in the scoping review, which is consistent with black tea measuring higher than green in most surveys. The Anhui study, however, placed the main effect on withering rather than fermentation itself.

Brick Tea and Whole Communities With Fluorosis

The clearest evidence that tea alone can cause fluorosis comes from herding communities in western and northern China who drink brick tea, often as butter tea or milk tea, many times a day. In these places the drinking water is usually low in fluoride, which separates tea from water as a source.

Skeletal Fluorosis Case Reports in Heavy Tea Drinkers

Outside regions with brick tea, skeletal fluorosis from tea appears mainly as case reports. A case report describes one or a few patients; it shows that something can happen, not how often. A 2011 case report stated that exposure to 20 mg of fluoride a day for 20 years of adult life is expected to cause symptomatic skeletal fluorosis.

What the Case Reports Have in Common

Read together, the reports share a pattern:

The way the body handles fluoride in bone, and the stages of skeletal fluorosis, are covered on the Skeletal Fluorosis page. The kidney side is covered on the Fluoride, the Kidneys and the Liver page.

Tea as a Fluoride Source in Pregnancy

Interest in tea during pregnancy grew out of the pregnancy cohort studies of fluoride and children’s IQ described on the Fluoride, Brain Development and IQ page. If fluoride before birth matters, then every source a pregnant woman takes in matters, and in low-fluoride regions tea can be the largest one.

A 2022 study in Denmark, where drinking water held only 0.10 to 0.18 mg/L, measured fluoride in spot urine samples from 118 women in the first three months of pregnancy. Seventeen percent drank tea daily, and their urine fluoride was higher than that of women who drank none (p=0.002). The Danish authors called for fluoride content to be printed on tea packages so that buyers could make informed choices. One of the authors disclosed serving as an expert witness in a U.S. court case on the fluoride limit for drinking water.

The 2026 Canadian Tea and IQ Finding and Its Limits

In 2026, researchers working with the Canadian Maternal-Infant Research on Environmental Chemicals (MIREC) cohort, the same pregnancy cohort behind the 2019 IQ study discussed on the IQ page, looked at tea specifically.

What they did. The study included 485 mother-child pairs. Mothers reported during pregnancy how much tea, coffee and water they drank. The researchers estimated each mother’s fluoride intake from tea by combining the known fluoride content of tea with each 200 mL cup of tap water. The children’s full-scale IQ was tested at 3 to 4 years of age, and the analysis was adjusted for other factors that affect IQ.

What they found.

The authors concluded that fluoride from tea in pregnancy was associated with lower child IQ independent of other drinks. Their abstract suggests that pregnant women may limit tea intake and calls for clearer labelling of fluoride content on tea.

The limits, as the design sets them.

What Is Not Known

The site’s wider coverage of how fluoride sources add up, and of consent to water fluoridation, is on the Water Fluoridation and Informed Consent page.

Key Research Papers

  1. Jayasingha H, Amarasooriya G, Rajapaksha N, Senavirathna L, Weragoda S, Kawakami T, Kuroda K. Fluoride in tea: accumulation, dietary exposure, and future strategies for risk mitigation in food safety; a scoping review. Crit Rev Food Sci Nutr. 2025;65(34):8990-9003. PubMed PMID: 40504749
  2. Khan D, Hall M, Ayoub K, Hornung R, Flora D, Lanphear B, Till C. Prenatal fluoride exposure and child IQ: Is tea a key source of fluoride? Environ Pollut. 2026;408:128829. PubMed PMID: 42508594
  3. Krishnankutty N, Storgaard Jensen T, Kjær J, Jørgensen JS, Nielsen F, Grandjean P. Public-health risks from tea drinking: Fluoride exposure. Scand J Public Health. 2022;50(3):355-361. PubMed PMID: 33557697
  4. Wong MH, Fung KF, Carr HP. Aluminium and fluoride contents of tea, with emphasis on brick tea and their health implications. Toxicol Lett. 2003;137(1-2):111-20. PubMed PMID: 12505437
  5. Shu WS, Zhang ZQ, Lan CY, Wong MH. Fluoride and aluminium concentrations of tea plants and tea products from Sichuan Province, PR China. Chemosphere. 2003;52(9):1475-82. PubMed PMID: 12867178
  6. Cai H, Zhu X, Peng C, Xu W, Li D, Wang Y, Fang S, Li Y, Hu S, Wan X. Critical factors determining fluoride concentration in tea leaves produced from Anhui province, China. Ecotoxicol Environ Saf. 2016;131:14-21. PubMed PMID: 27162130
  7. Peng CY, Cai HM, Zhu XH, Li DX, Yang YQ, Hou RY, Wan XC. Analysis of Naturally Occurring Fluoride in Commercial Teas and Estimation of Its Daily Intake through Tea Consumption. J Food Sci. 2016;81(1):H235-9. PubMed PMID: 26647101
  8. Waugh DT, Potter W, Limeback H, Godfrey M. Risk Assessment of Fluoride Intake from Tea in the Republic of Ireland and its Implications for Public Health and Water Fluoridation. Int J Environ Res Public Health. 2016;13(3):259. PubMed PMID: 26927146
  9. Regelson S, Dehghan M, Tantbirojn D, Almoazen H. Evaluation of fluoride levels in commercially available tea in the United States. Gen Dent. 2021;69(1):17-20. PubMed PMID: 33350950
  10. Pavlovič A, Tavčar G, Ponikvar-Svet M. Fluoride and Aluminium in Tea (Camellia sinensis L.)-Tea Quality Indicators and Risk Factors for Consumers. Molecules. 2023;28(17):6396. PubMed PMID: 37687225
  11. Jakubczyk K, Ligenza A, Gutowska I, Janda-Milczarek K. Fluoride Content of Matcha Tea Depending on Leaf Harvest Time and Brewing Conditions. Nutrients. 2022;14(12):2550. PubMed PMID: 35745280
  12. Pattaravisitsate N, Phetrak A, Denpetkul T, Kittipongvises S, Kuroda K. Effects of brewing conditions on infusible fluoride levels in tea and herbal products and probabilistic health risk assessment. Sci Rep. 2021;11(1):14115. PubMed PMID: 34239000
  13. Cao J, Bai X, Zhao Y, Liu J, Zhou D, Fang S, Jia M, Wu J. The relationship of fluorosis and brick tea drinking in Chinese Tibetans. Environ Health Perspect. 1996;104(12):1340-3. PubMed PMID: 9118877
  14. Cao J, Zhao Y, Liu J. Brick tea consumption as the cause of dental fluorosis among children from Mongol, Kazak and Yugu populations in China. Food Chem Toxicol. 1997;35(8):827-33. PubMed PMID: 9350228
  15. Cao J, Zhao Y, Liu J, Xirao R, Danzeng S, Daji D, Yan Y. Brick tea fluoride as a main source of adult fluorosis. Food Chem Toxicol. 2003;41(4):535-42. PubMed PMID: 12615125
  16. Li HR, Liu QB, Wang WY, Yang LS, Li YH, Feng FJ, Zhao XY, Hou K, Wang G. Fluoride in drinking water, brick tea infusion and human urine in two counties in Inner Mongolia, China. J Hazard Mater. 2009;167(1-3):892-5. PubMed PMID: 19269093
  17. Meng X, Li H, Liu X, Li B, Liu Y, Li M, Sun D, Yang Y, Gao Y, Pei J. Drinking brick tea containing high fluoride increases the prevalence of osteoarthritis in Tibetan, China. Int J Environ Health Res. 2024;34(11):3760-3770. PubMed PMID: 38445824
  18. Whyte MP, Essmyer K, Gannon FH, Reinus WR. Skeletal fluorosis and instant tea. Am J Med. 2005;118(1):78-82. PubMed PMID: 15639213
  19. Whyte MP, Totty WG, Lim VT, Whitford GM. Skeletal fluorosis from instant tea. J Bone Miner Res. 2008;23(5):759-69. PubMed PMID: 18179362
  20. Hallanger Johnson JE, Kearns AE, Doran PM, Khoo TK, Wermers RA. Fluoride-related bone disease associated with habitual tea consumption. Mayo Clin Proc. 2007;82(6):719-24. PubMed PMID: 17550752
  21. Joshi S, Hlaing T, Whitford GM, Compston JE. Skeletal fluorosis due to excessive tea and toothpaste consumption. Osteoporos Int. 2011;22(9):2557-60. PubMed PMID: 20936399
  22. Izuora K, Twombly JG, Whitford GM, Demertzis J, Pacifici R, Whyte MP. Skeletal fluorosis from brewed tea. J Clin Endocrinol Metab. 2011;96(8):2318-24. PubMed PMID: 21593111
  23. Kakumanu N, Rao SD. Images in clinical medicine. Skeletal fluorosis due to excessive tea drinking. N Engl J Med. 2013;368(12):1140. PubMed PMID: 23514291
  24. Devoe J, Cundy T, Shand J. Skeletal fluorosis from excessive tea drinking. Intern Med J. 2026;56(3):497-498. PubMed PMID: 41621086

PubMed Topic Searches

  1. PubMed: Fluoride and tea
  2. PubMed: Skeletal fluorosis and tea
  3. PubMed: Brick tea fluorosis
  4. PubMed: Tea, fluoride and pregnancy

Connections

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