On September 9, 2025, HHS released its Make Our Children Healthy Again Strategy, outlining over 120 initiatives aimed at addressing the root causes of childhood chronic diseases. The report highlights findings from the Make America Healthy Again (MAHA) Commission, which identified poor diet, exposure to environmental chemicals, lack of physical activity, chronic stress, and overmedicalization as the key drivers behind the rise in childhood chronic disease. The strategy identifies areas for further research to be undertaken by the Centers for Disease Control and Prevention (CDC) and NIH, including the connection between pediatric oral health and chronic disease, the effects of early childhood cavities on nutrition and cognitive development, and the relationship between the oral microbiome and children's gut health and immune function. The report also states that CDC will update its recommendations regarding water fluoridation based on a data and scientific review from the Environmental Protection Agency (EPA) and NIH. Additionally, CDC and the U.S. Department of Agriculture (USDA) will implement public education efforts on appropriate fluoride levels, clarify EPA’s role under the Safe Drinking Water Act, and increase awareness of topical sources of fluoride such as toothpaste. The report states “EPA will review new scientific information on the potential health risks of fluoride in drinking water to inform CDC recommendations.” 

The strategy report can be found here. 

Impact on General Dentistry: AGD supports expanded research into pediatric oral health and its impact on chronic disease, nutrition, cognitive development, and immune function. AGD also continues to monitor federal regulatory developments and remains committed to supporting the well-established scientific evidence confirming the safety and effectiveness of water fluoridation. Access to fluoride remains a critical factor in preventing tooth decay, and limiting its availability may lead to increased oral health disparities.