The United States Food and Drug Administration (FDA) has initiated the process to prohibit the use of prescription fluoride tablets and lozenges for children.

These products are typically recommended for children who are at an increased risk of dental caries or cavities due to insufficient fluoride levels in their local drinking water, particularly in states such as Utah, where fluoride is restricted from drinking water supplies.

In contrast to fluoride-containing toothpaste or topical rinses, these tablets are designed to be swallowed and ingested by children.

According to the Daily Mail, Fluoride is recognized for its role in strengthening teeth and diminishing cavities by replenishing minerals that are lost due to routine wear and tear on dental enamel, as indicated by the Centers for Disease Control and Prevention (CDC).

In 1950, federal authorities endorsed the fluoridation of water as a preventative measure against tooth decay, and in 1962, they established guidelines for the appropriate levels of fluoride to be added to municipal water supplies.

Presently, it is challenging to ascertain the exact number of children in the United States who receive fluoride tablets, as numerous states continue to provide fluoride-enhanced water.

However, experts estimate that a considerable proportion of children may receive some form of fluoride supplementation during their early developmental years.

The Department of Health and Human Services, under the leadership of Robert F. Kennedy Jr., asserts that ingested fluoride has been shown to disrupt the gut microbiome, with a government report concluding that elevated fluoride levels may adversely affect brain development.

The federal agency also posits that there are scientific associations between fluoride exposure and thyroid disorders, weight gain, and diminished cognitive function, emphasizing that these tablets have never received FDA approval.

Past evaluations conducted by public health experts and dental professionals have not identified any serious health risks associated with these products for either adults or children.

A 2010 study by the American Dental Association recommended supplemental fluoride for children up to 16 years of age who are at high risk for cavities, particularly when their primary source of drinking water is deficient in fluoride.

This recommendation was derived from a comprehensive review of studies across various age groups convened by the ADA Council on Scientific Affairs (CSA).

The review addressed critical questions regarding the appropriate candidates for fluoride supplementation and the recommended dosage schedule.

The review also identified that the most prevalent side effect of these products is dental fluorosis, characterized by spotting or discoloration of the teeth, resulting from excessive fluoride intake.

Common brands of fluoride tablets include Luride, Fluoritab, and Pediaflor. The CDC advises a dosage of one milligram for children aged four to eight years, two milligrams for those aged nine to thirteen, and three milligrams for adolescents aged fourteen to eighteen.

In a recent statement, FDA Commissioner Dr. Marty Makary remarked, “The optimal approach to preventing cavities in children is by minimizing excessive sugar consumption and promoting good dental hygiene practices, rather than modifying a child’s microbiome.”

Dr. Makary further noted that while fluoride may be effective in eradicating bacteria on dental surfaces, it may equally have detrimental effects on intestinal bacteria that are vital to a child’s overall health.