Context:

The FDA plans to ban prescription fluoride supplements, sparking debate among health professionals who stress the importance of these supplements in areas without fluoridated water. Despite the ban, the FDA has yet to conduct a safety review or gather public input, raising concerns among experts who cite fluoride's role in preventing tooth decay. Some states, like Utah and Florida, have already banned water fluoridation, leading to a rise in fluoride prescriptions. Proponents argue that fluoride supplements are crucial, especially in non-fluoridated areas, while critics highlight potential risks, such as lowered IQ in children from high fluoride exposure. The issue underscores a broader discussion on maintaining patient choice and ensuring public health benefits are accessible and safe.

Dive Deeper:

• The FDA's plan to remove prescription fluoride supplements has caused concern among dental and pediatric associations that emphasize the need for these supplements in areas lacking fluoridated water. Despite an increase in demand for fluoride prescriptions in states like Utah, the FDA has not conducted the required safety review or public consultation before announcing the ban.

• Fluoride, a mineral that strengthens tooth enamel and prevents decay, has been added to US public water supplies since 1945, contributing significantly to public health. However, recent legislative actions in states like Utah and Florida have banned water fluoridation, resulting in a notable increase in fluoride supplement prescriptions.

• A meeting hosted by the Regan-Udall Foundation discussed the risks and benefits of fluoride supplements, with many experts advocating for their continued use due to their dental health benefits. Nonetheless, concerns were raised about potential risks, such as studies linking high fluoride exposure to reduced IQ in children, though these studies often involve higher exposure levels than those used in the US.

• The current political climate reflects a shift, with some states pushing back against government interventions in health, a sentiment that grew during the COVID-19 pandemic. This shift has led to increased public discourse on fluoride, with many individuals questioning its benefits versus potential risks.

• Experts argue that maintaining access to prescription fluoride is vital, particularly in areas where water fluoridation is not practiced. Legislation in Utah, while banning water fluoridation, simultaneously sought to increase access to fluoride supplements, highlighting the importance of patient choice in public health decisions.