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The U.S. Food and Drug Administration (FDA) announced on Tuesday (May 13) that it will begin the process of removing prescription fluoride drops and tablets for children from the market. These supplements are typically prescribed to children at high risk of cavities, particularly in areas where water does not contain added fluoride. The FDA's decision follows concerns about fluoride's impact on children's health, including potential alterations to the gut microbiome, thyroid disorders, weight gain, and decreased intelligence.
FDA Commissioner Dr. Marty Makary emphasized the importance of evaluating the risks associated with systemic fluoride exposure. He stated, "When it comes to children, we should err on the side of safety." The FDA plans to complete a safety review and public comment period by October 31. The agency's move aligns with growing scrutiny of fluoride's health impacts.
Health Secretary Robert F. Kennedy Jr. has been a vocal critic of fluoride, referring to it as "industrial waste" and advocating for its removal from public water systems. Both Utah and Florida have recently banned fluoride in municipal water supplies, following Kennedy's lead. The American Dental Association and the American Academy of Pediatrics continue to support the use of fluoride for preventing cavities, recommending fluoridated toothpaste and varnish treatments.
The FDA's decision to pull ingestible fluoride products will leave topical options like toothpaste and mouthwash as the primary means for strengthening teeth.