Fluoridation only helps certain communities, such as those who consume lots of refined sugar and don't brush their teeth regularly (even with non-fluoridated toothpaste), or have an unfavorable balance in their oral flora.
Sodium fluoride is a neurotoxin, endocrine and immune system disruptor. ~27 human studies, and >100 animal studies link water fluoridation practices to ~7 IQ points less (according to Harvard's public health website), and brain damage (such as ADHD).
7 IQ points can drastically change a person's life.