text: Fluoride-containing compounds, such as sodium fluoride or sodium monofluorophosphate are used in topical and systemic fluoride therapy for preventing tooth decay, but the exact biochemical reason is unknown. They are used for water fluoridation and in many products associated with oral hygiene. Originally, sodium fluoride was used to fluoridate water; hexafluorosilicic acid (HSiF) and its salt sodium hexafluorosilicate (NaSiF) are more commonly used additives, especially in the United States. The fluoridation of water is known to prevent tooth decay and is considered by the U.S. Centers for Disease Control and Prevention to be "one of 10 great public health achievements of the 20th century". In some countries where large, centralized water systems are uncommon, fluoride is delivered to the populace by fluoridating table salt. For the method of action for cavity prevention, see Fluoride therapy. Fluoridation of water has its critics (see water fluoridation controversy). Fluoridated toothpaste is in common use. Meta-analysis show the efficacy of 500 ppm fluoride in toothpastes. However, no beneficial effect can be detected when more than one fluoride source is used for daily oral care.