Abstract
Quarter Horses drinking water artificially fluoridated at 0.9 to 1.1 ppm over long periods of time developed dental fluorosis. Even when the horses had not been exposed to artificially fluoridated water (AFW) during formation of enamel, brown discoloration occurred and progressed. Pronounced loss of tooth-supporting alveolar bone with recession of bone and gingiva was also present as more severe signs of chronic fluorosis than enamel changes alone. The scene of these events was
a lowland part of Texas just above sea level. AFW at these low concentrations can obviously induce chronic fluorosis in its own right without the support of high altitude.
With a change to low fluoride (0.1 ppm) well water, a remarkable improvement was observed in the general health of the horses in a very short time. Most notably, bothersome episodes of colic promptly ceased.
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Endemic Fluorosis in the Nellore District of South India.
About the month of April 1936 the district health officer, Nellore, Dr. Lakshminarayana, had his attention drawn by the health inspectors of Podili and Darsi ranges of the Nellore district to a disease characterized by a definite train of symptoms and which was very prevalent in the district. The most
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The relationship between water-borne fluoride, dental fluorosis and skeletal development in 11-15 year old Tanzanian girls
Dental fluorosis was evaluated by a classification system, previously shown to be sensitive, and skeletal changes evaluated by bone maturity and structure. Dental fluorosis was more severe in posterior than in anterior teeth in both jaws irrespective of fluoride concentration of the drinking water. There appeared to be no dependence between fluoride content
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Association of Dietary Calcium Intake with Dental, Skeletal and Non-Skeletal Fluorosis among Women in the Ethiopian Rift Valley.
Fluorosis is a major public health problem in the Rift Valley of Ethiopia. Low calcium (Ca) intake may worsen fluorosis symptoms. We assessed the occurrence of fluorosis symptoms among women living in high-fluoride (F) communities in South Ethiopia and their associations with dietary Ca intake. Women (n = 270) from
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Health risk in children to fluoride exposure in a typical endemic fluorosis area on Loess Plateau, north China, in the last decade
Highlights Fluoride concentrations were 0.55 mg L-1 in 3427 water consumption points in Shanxi Province. Health risks were assessed for children consumers regarding fluoride exposure. Approximately 10%, 1.3% and 0.06% children are at risk for dental decay, dental and skeletal fluorosis, respectively. The fluoride concentrations were being decreased significantly from
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Dental and early-stage skeletal fluorosis in children induced by fluoride in brick-tea
Fluorosis from brick-tea was discovered during the last decade in western and northern parts of China. Dental fluorosis has a high prevalence among children in these brick-tea endemic areas, but skeletal fluorosis does not normally become apparent until adulthood. In July 2002 we examined 132 primary school children, age 8
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Skeletal Fluorosis: The Misdiagnosis Problem
It is a virtual certainty that there are individuals in the general population unknowingly suffering from some form of skeletal fluorosis as a result of a doctor's failure to consider fluoride as a cause of their symptoms. Proof that this is the case can be found in the following case reports of skeletal fluorosis written by doctors in the U.S. and other western countries. As can be seen, a consistent feature of these reports is that fluorosis patients--even those with crippling skeletal fluorosis--are misdiagnosed for years by multiple teams of doctors who routinely fail to consider fluoride as a possible cause of their disease.
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Fluoride & Osteoarthritis
While the osteoarthritic effects that occurred from fluoride exposure were once considered to be limited to those with skeletal fluorosis, recent research shows that fluoride can cause osteoarthritis in the absence of traditionally defined fluorosis. Conventional methods used for detecting skeletal fluorosis, therefore, will fail to detect the full range of people suffering from fluoride-induced osteoarthritis.
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"Pre-Skeletal" Fluorosis
As demonstrated by the studies below, skeletal fluorosis may produce adverse symptoms, including arthritic pains, clinical osteoarthritis, gastrointestinal disturbances, and bone fragility, before the classic bone change of fluorosis (i.e., osteosclerosis in the spine and pelvis) is detectable by x-ray. Relying on x-rays, therefore, to diagnosis skeletal fluorosis will invariably fail to protect those individuals who are suffering from the pre-skeletal phase of the disease. Moreover, some individuals with clinical skeletal fluorosis will not develop an increase in bone density, let alone osteosclerosis, of the spine. Thus, relying on unusual increases in spinal bone density will under-detect the rate of skeletal fluoride poisoning in a population.
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Fluoride & DISH (Diffuse Idiopathic Skeletal Hyperostosis)
Among individuals with skeletal fluorosis, the fluoride-induced changes to the spine, and the accompanying symptoms, can bear a close resemblance to DISH (Forestier's Disease). Some authors report that skeletal fluorosis can so closely resemble that DISH that the only way to distinguish the two would be to conduct an invasive bone biopsy. No studies have ever been conducted to determine what role, if any, fluoride plays in the development of DISH.
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Diagnostic Criteria for Dental Fluorosis: The TSIF ("Total Surface Index of Fluorosis")
The traditional criteria (the "Dean Index") for diagnosing dental fluorosis was developed in the first half of the 20th century by H. Trendley Dean. While the Dean Index is still widely used in surveys of fluorosis -- including the CDC's national surveys of fluorosis in the United States -- dental
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