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FDA limits fluoride supplements for children

The FDA on Oct. 31 restricted pediatric fluoride supplements nationwide, saying they are no longer recommended for children under 3 and for older children unless they face serious tooth‑decay risk, and warned four companies not to market outside these limits. The agency released a new analysis finding limited dental benefits and potential risks such as gut microbiome effects, weight gain, and cognition, and sent a provider advisory; toothpaste, mouthwash, and in‑office treatments are unaffected. The policy applies to Twin Cities families and clinicians, especially in areas without fluoridated water.

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📌 Key Facts

  • FDA date: Oct. 31, 2025; nationwide policy change
  • Supplements no longer recommended for children under age 3
  • Older children: use only if at serious risk of tooth decay
  • Warning letters sent to four companies to curb marketing outside new limits
  • FDA analysis cites emerging risks (gut microbiome changes, weight gain, cognition) and limited benefits
  • Toothpastes, mouthwashes and in‑office fluoride treatments are not affected

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October 31, 2025