{"id":185596,"date":"2025-08-29T21:32:14","date_gmt":"2025-08-29T21:32:14","guid":{"rendered":"https:\/\/www.europesays.com\/us\/185596\/"},"modified":"2025-08-29T21:32:14","modified_gmt":"2025-08-29T21:32:14","slug":"america-has-an-oral-health-crisis","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/185596\/","title":{"rendered":"America has an oral health crisis"},"content":{"rendered":"<p>Major shifts in public health policy can bring unforeseen consequences. But in the case of fluoride bans, we already know what the consequences will be: higher costs of dental care, and higher rates of tooth decay \u2014 especially among children.<\/p>\n<p>This is particularly alarming because dental care is already increasingly unaffordable and out of reach for millions of Americans. The latest data shows that <a href=\"https:\/\/www.carequest.org\/resource-library\/out-pocket\" target=\"_blank\" rel=\"noopener nofollow\">72 million Americans<\/a> lack dental insurance. Medicare does not cover dental services, and Medicaid only guarantees dental coverage for children \u2014 adult dental coverage varies by state. Millions of the lucky people who do get dental insurance through Medicaid are expected to lose coverage after Congress and the president approved a budget that will strip <a href=\"https:\/\/www.kff.org\/uninsured\/how-will-the-2025-reconciliation-law-affect-the-uninsured-rate-in-each-state\/\" target=\"_blank\" rel=\"noopener nofollow\">nearly $1 trillion and 10 million enrollees<\/a> from Medicaid.\u00a0<\/p>\n<p>Without preventive measures and care, problems go untreated until they become emergencies. In 2022 alone, Americans made about 1.6 million dental-related visits to hospital emergency departments, <a href=\"https:\/\/www.carequest.org\/resource-library\/dental-care-crisis\" target=\"_blank\" rel=\"noopener nofollow\">costing the health care system $3.9 billion<\/a>. That\u2019s up more than $500 million from 2019. And visits have increased the most \u2014 nearly 60% \u2014 for children under 14.<\/p>\n<p>Fluoride is an especially critical prevention tool for families who cannot access or afford dental care. Yet the Department of Health and Human Services and its agencies have made it clear that they intend to dismantle the protection that fluoride provides, too. After announcing plans to reverse the Centers for Disease Control and Prevention\u2019s guidance on water fluoridation earlier this year, HHS and the Food and Drug Administration are now moving to end the use of <a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-begins-action-remove-ingestible-fluoride-prescription-drug-products-children-market\" target=\"_blank\" rel=\"noopener nofollow\">fluoride supplements<\/a> \u2014 an <a href=\"https:\/\/www.statnews.com\/2025\/08\/01\/fluoride-supplements-prescription-fda-review-rfk-jr\/\" rel=\"nofollow noopener\" target=\"_blank\">important tool<\/a> for preventing tooth decay among children and high-risk adults, especially in communities without water fluoridation. On top of that, HHS has eliminated the CDC\u2019s Division of Oral Health, the Health Resources and Services Administration\u2019s chief dental officer, and oral health research funding and staff at the National Institutes of Health.<\/p>\n<p>The anti-fluoride movement is out of step with the overwhelming consensus of more than 7,000 studies that shows fluoride is safe and effective at recommended levels \u2014 and with the American people. A recent national poll from CareQuest Institute for Oral Health, where I work, showed that the vast majority of Americans (81%) either <a href=\"https:\/\/www.carequest.org\/resource-library\/community-water-fluoridation-national-opinion-poll-results\" target=\"_blank\" rel=\"noopener nofollow\">support community water fluoridation (52%) or have no opinion on it (29%)<\/a>. In fact, only 6% of respondents said that they support banning fluoride in all communities.<\/p>\n<p>\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/08\/AP25087536890521-768x432.jpg\" class=\"attachment-article-main-medium-large size-article-main-medium-large wp-post-image\" alt=\"\" loading=\"lazy\"  \/>\t\t<\/p>\n<p>\t\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/2025\/05\/24\/fluoride-ban-florida-dentist-public-health-cavities\/\" rel=\"nofollow noopener\" target=\"_blank\">I\u2019m a dentist from India. The fluoride debate in the U.S. horrifies me<\/a><\/p>\n<p>Despite the American people\u2019s support for fluoridation, misinformation about fluoride continues to cause fear and confusion among the public and threatens to turn back the clock on oral health. The consequences can be graver than an extra filling or two.<\/p>\n<p>Back in 1966, Hawaii\u2019s government vetoed a measure to include fluoride in the water. A <a href=\"https:\/\/health.hawaii.gov\/about\/files\/2013\/06\/Hawaii-Smiles-Report.pdf\" target=\"_blank\" rel=\"noopener nofollow\">2015 report<\/a> found that the state had the highest rate of tooth decay among children in the nation. It continues to have some of the worst oral health outcomes in the country. In Juneau, Alaska, dental treatment costs for children spiked after fluoridation ended \u2014 and for kids 6 and under, they <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10935-021-00656-x\" target=\"_blank\" rel=\"noopener nofollow\">more than doubled<\/a>, rising from about $273 to $645 per child each year. In Calgary, Canada, which ended fluoridation in 2011, antibiotic use for serious dental infections in young children spiked 700% \u2014 <a href=\"https:\/\/docs.google.com\/document\/d\/1nAQkUFyBbcyqh44lxUK-KlHp8mSxHMGdG5kBX-X8pgk\/edit?usp=sharing\" target=\"_blank\" rel=\"noopener nofollow\">from 16 to 128 per year<\/a>, according to data presented at a city council meeting \u2014 before the city restored fluoride in 2024, taking steps to reverse years of preventable harm.<\/p>\n<p>The problem is not only medical, it\u2019s financial. Nationwide, the <a href=\"https:\/\/www.cdc.gov\/oral-health\/php\/infographics\/roi-fluoridated-water.html\" target=\"_blank\" rel=\"noopener nofollow\">CDC estimates<\/a> that community water fluoridation prevents 25% of cavities and saves $6.5 billion in dental costs each year \u2014 and likely prevents millions of school and work hours lost to dental problems.<\/p>\n<p>Without a concerted effort to increase access to preventive dental care, we can expect similar outcomes to what we saw in Hawaii, Juneau, and Calgary. And dental problems in childhood don\u2019t end with baby teeth \u2014 they set the stage for adult cavities and a lifetime of chronic health problems linked to poor oral health.<\/p>\n<p>The removal of access to fluoride, coupled with Congress\u2019 <a href=\"https:\/\/www.axios.com\/2025\/03\/05\/medicaid-cuts-dental-care-coverage-risk\" target=\"_blank\" rel=\"noopener nofollow\">cuts to Medicaid<\/a>, will strip away vital protections for those most at risk.<\/p>\n<p>We need the administration to step up on policy solutions that can reverse this oral health crisis.<\/p>\n<p>First, the administration should review the weight of the evidence and studies of U.S. communities on water fluoridation and fluoride supplements, and delay any action that would restrict access to fluoride until it can prove that U.S. practices cause any harm.<\/p>\n<p>\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/08\/AdobeStock_528364269-768x432.jpeg\" class=\"attachment-article-main-medium-large size-article-main-medium-large wp-post-image\" alt=\"\" loading=\"lazy\"  \/>\t\t<\/p>\n<p>\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/home\/statplus.svg\" width=\"19\" height=\"16\" alt=\"\"\/><br \/>\n\t\t\t\t<a href=\"https:\/\/www.statnews.com\/2025\/07\/24\/fluoride-supplement-policy-clash-health-freedom-vs-regulation\/\" rel=\"nofollow noopener\" target=\"_blank\">Safety of fluoride supplements, and freedom of choice, debated at FDA meeting<\/a><\/p>\n<p>Second, HHS and the new Administration for a Healthy America must integrate oral health care investments into its broader public health initiatives. As part of that, it should continue the oral health prevention work and data collection from the CDC\u2019s former Division of Oral Health, as well as critical oral health research at the NIH.<\/p>\n<p>Third, the Centers for Medicare and Medicaid Services should make every effort to ensure that new provisions from the One Big Beautiful Bill Act, such as Medicaid work reporting requirements, are implemented slowly and carefully in ways that minimize unnecessary coverage losses. \u00a0<\/p>\n<p>America\u2019s oral health crisis is the result of decades of underinvestment and a system that treats oral health as separate from overall health. Now, we have an urgent choice to make: Will we slide backward? Or we will we finally stand up for prevention and access to quality dental care to combat this country\u2019s growing oral health crisis?<\/p>\n<p>For those who are truly committed to America\u2019s oral and overall health, the answer is clear.<\/p>\n<p>Melissa Burroughs is senior director of public policy at the CareQuest Institute for Oral Health.<\/p>\n","protected":false},"excerpt":{"rendered":"Major shifts in public health policy can bring unforeseen consequences. But in the case of fluoride bans, we&hellip;\n","protected":false},"author":3,"featured_media":185597,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[17667,210,1141,1142,3170,3235,153,67,132,68],"class_list":{"0":"post-185596","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-childrens-health","9":"tag-health","10":"tag-health-care","11":"tag-healthcare","12":"tag-medicaid","13":"tag-medicare","14":"tag-policy","15":"tag-united-states","16":"tag-unitedstates","17":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115114196651011241","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/185596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=185596"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/185596\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/185597"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=185596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=185596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=185596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}