Kurland et al.(1) reported a fascinating case of skeletal fluorosis in a man who probably ingested significant quantities of fluoride from toothpaste. They report that after withdrawal of fluoride, there was a short initial period of rapid bone loss, followed by a prolonged period of slow BMD loss from the lumbar spine—such that the Z-score was still +9 some 8 yr later.
A patient with skeletal fluorosis has attended my clinic for a similar period. At the age of 53 yr, after having sustained
Excerpts
A collaborative project involving:
Republic of Ireland
The Department of Health and Children
Health Services Executive, formerly the health boards:
East Coast Area
Midland Area
Mid Western Area
North Eastern Area
Northern Area
North Western Area
South Eastern Area
Southern Area
South Western Area
Western Area
Northern Ireland
The Department of Health Social Services and Public Safety
Eastern Board
Northern Board
Southern Board
Western Board
WHO Collaborating Centre