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Periodontal and dental conditions of a school population in a volcanic region of Tanzania with highly fluoridated community drinking water.

Introduction Dental fluorosis is endemic to the Rift Valley in Africa, especially in volcanic areas, and it has been attributed to the high fluoride content in daily drinking water. In some parts of Tanzania, and particularly in the Arusha region (close to a dormant strato volcano named Mount Meru), dental fluorosis is considered a health problem1–4. Although the World Health Organization (WHO) guidelines for drinking water quality recommend that fluoride concentration in the water supply sho