The Utah Dental Association (UDA) has issued guidance in response to the recent decision made by the U.S. Food and Drug Administration (FDA) to limit the use of fluoride supplements for children. This move, announced on October 27, 2023, has sparked significant concern among dental professionals, especially considering Utah’s existing ban on fluoridation in community drinking water.
FDA’s New Stance on Fluoride Supplements
In a statement, Health Secretary Robert F. Kennedy Jr. commented that the FDA’s actions represent a rejection of “outdated science.” The new guidelines indicate that fluoride supplements are no longer recommended for children under the age of three, nor for older children who do not face significant risks of tooth decay. The UDA has voiced concerns that this decision could exacerbate tooth decay issues in Utah, where this condition remains the most prevalent chronic disease.
Dr. Rodney Thornell, President of the UDA, emphasized the importance of parents consulting with their child’s dentist regarding fluoride supplements. “As tooth decay remains a critical health issue, it is essential for families to explore all options for their children’s dental health,” he stated.
The American Dental Association (ADA) has publicly opposed the FDA’s decision, arguing that fluoride supplements have proven effective in reducing tooth decay. The ADA insists that when used daily and in proper doses, these supplements are a viable method for maintaining oral health.
Understanding Fluoride and Its Benefits
According to the Centers for Disease Control and Prevention (CDC), fluoride works by strengthening teeth and minimizing cavities. Supplements, such as tablets and lozenges, are often recommended for children and teenagers at increased risk of dental problems, particularly in areas with low fluoride levels in drinking water. The CDC maintains that these products are safe and effective when utilized appropriately.
The FDA’s latest analysis suggests that the benefits of fluoride supplements for children’s dental health may be limited and raises potential safety concerns. These include links to gastrointestinal issues, weight gain, and cognitive effects. The FDA highlighted a recent meta-analysis indicating that increased fluoride exposure could correlate with decreases in IQ.
In announcing the new guidelines, the FDA noted that their conclusions were based on extensive scientific evaluation, including input from parents, clinicians, and public health advocates. They also pointed out that ingestible fluoride products have not been formally reviewed or approved for safety and effectiveness by the FDA, despite their long history of use.
The process for removing these fluoride prescription products from the market began earlier this year. Dr. James Bekker, a pediatric dentist based in Utah, provided testimony during one of the hearing sessions held in July. The UDA aligns with the ADA’s recommendations regarding fluoride use, asserting that, when necessary, fluoride tablets or drops can safely bolster dental health in children at high risk for tooth decay.
Dr. Richard J. Rosato, President of the ADA, reiterated the importance of these supplements: “Research indicates that fluoride products, when used properly at home, effectively strengthen teeth and prevent cavities among children at risk.” The UDA remains committed to guiding parents in making informed choices about fluoride use to ensure that children continue to benefit from its protective qualities.
The ongoing discourse surrounding fluoride supplements highlights the complexities of balancing dental health with emerging safety data. As the situation evolves, dental professionals in Utah and beyond will continue to advocate for evidence-based practices that support the health of children.
