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Fluoride Fallout: FDA Cracks Down on Fluoride for Kids

The FDA is pulling kids’ fluoride pills over links to IQ loss and thyroid issues, sparking a debate on dental health and safety.

What Happened

The FDA has announced it will begin phasing out concentrated fluoride prescription products for children. This includes drops, tablets, and lozenges. These products are typically prescribed to kids living in areas where drinking water isn’t fluoridated.

The agency cited safety concerns, referencing new studies that suggest ingesting fluoride could have unintended health effects. Reported risks are changes to the gut microbiome, potential impacts on thyroid function, and even cognitive effects like lowered IQ in children.

Fluoride has long been praised for its ability to fight cavities. However, the FDA noted that these ingestible products were never formally approved. They’ve existed in a legal gray area. Now, the agency is asking manufacturers to voluntarily withdraw them from the market.

A full safety review is underway. A public comment period is open through October 2025. But the direction is clear, as fluoride pills and drops for kids are on the way out.

Why it Matters

This is a major shift in how the federal government views fluoride. The chemical has long been a staple of American public health for over 70 years.

The decision reflects growing skepticism over whether the benefits of systemic fluoride –the kind you swallow – outweigh its potential risks. Health and Human Services Secretary Robert F. Kennedy Jr., a longtime water fluoridation critic, publicly supported the move. He pointed to a recent JAMA Pediatrics review that found a link between fluoride exposure and lower IQ in children.

Fluoride, once considered universally safe, is now being questioned with fresh scientific scrutiny. But not everyone agrees with the FDA’s decision. The American Dental Association (ADA) strongly opposed the FDA’s action. It warned that fluoride supplements are vital for kids in communities without fluoridated water.

In some rural or low-income areas, these supplements may be the only fluoride exposure children get. For them, the products serve as a critical defense against tooth decay.

The FDA’s move also comes as some states, including Utah and Florida, are backing away from adding fluoride to public water systems. Together, these developments suggest a growing national shift in how fluoride is regulated and perceived.

How it Affects Readers

For parents, particularly in non-fluoridated areas, this change could directly affect your child’s dental care. Pediatricians may stop prescribing fluoride supplements. Dentists will need to lean more heavily on topical treatments like toothpaste and varnishes. You may also need to be more proactive about your child’s oral hygiene and access to dental care.

For families already skeptical about fluoride, this move may feel like validation. But for families and individuals without access to quality dental care, it raises new concerns. The ADA warns that pulling these products could leave a health gap in communities that already face barriers to preventive care.

What was once seen as a harmless part of childhood healthcare is now under the microscope. Whether this leads to better alternatives or wider policy changes remains to be seen.