Abstract
An association between the incidence of osteo-dental fluorosis with age and sex was studied in 18621 residents of 73 villages of two tribal districts, Dungarpur and Udaipur of Rajasthan (India). The mean fluoride (F) concentration in drinking water sources of these villages varied from 1.0 to 6.1 mg/L. Out of 11205 individuals of Dungarpur and 7416 of Udaipur districts, 8090 (72.1%) and 2914 (39.2%) exhibited evidence of dental fluorosis respectively. The maximum incidence of dental fluorosis was encountered in the age group of 13-20 years and minimum in the age group of 5 to 12 years in both the districts. Regarding the incidence of skeletal fluorosis, 21 years of age revealed 27.6% in Dungarpur and 12.0% in Udaipur. Whereas 44 years showed maximum incidence of skeletal fluorosis, its minimum incidence was found in the age group of 21-28 years. Severity of fluorosis could be associated with the advancing of age and F concentration. Moreover, males showed relatively a higher incidence of dental and skeletal fluorosis compared to their counterparts. Chi square test revealed the association between the incidence of fluorosis with that of age and sex was non-significant except for dental fluorosis in Dungarpur district (p < 0.05). Those villages having almost same F level, showed a variable incidence of fluorosis because of frequency of F intake and duration of F exposure besides other determinants.
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[The safe threshold vallues of fluorine content in supply water by regressive analysis].
This paper deal in the regressive analysis on the basis of fluorine content of supply water and morbidity of enamel fluorosis. The morbidity sharp increased with increase of the fluorine content in the range of 0.4-1.0 mg/l. Furthermore, the relationship between the prevalence rate of skeletal fluorosis and the [fluorine]
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Occurrence of fluorosis in endemic forms in Hyderabad state.
FIRST PAGE OF PAPER All animal tissues and plants contain fluorine in very small amounts. It is found in soils, rocks and water. No convincing evidence has been as yet produced to show that it performs any useful function in animal nutrition, or that it is essential for animal metabolism. During the
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Effects of water improvement and defluoridation on fluorosis-endemic areas in China: A meta-analysis.
Highlights The first analysis of the effect of improving water quality and reducing fluoride in China over 40 years. Analysis of the effect of water improvement and fluoride reduction in different provinces of China. We analyzed the effect of water improvement on dental fluorosis, skeletal fluorosis, and fluoride content
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Distribution of fluoride contamination in drinking water resources and health risk assessment using geographic information system, northwest Iran.
Highlights Fluorosis is a considerable health problem worldwide. High concentrations fluoride above 3 mg l?1 may cause dental and skeletal fluorosis. HQ indicated health risk assessment in relation to F- concentration for children and adults were significant. The fluoride contamination must be reduced in this study area to decrease endemic
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Fluoride in Drinking Water: A Scientific Review of EPA’s Standards.
Excerpts: Summary Under the Safe Drinking Water Act, the U.S. Environmental Protection Agency (EPA) is required to establish exposure standards for contaminants in public drinking-water systems that might cause any adverse effects on human health. These standards include the maximum contaminant level goal (MCLG), the maximum contaminant level (MCL), and the secondary
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X-Ray Diagnosis of Skeletal Fluorosis
In 1937, Kaj Roholm published his seminal study Fluorine Intoxication in which he described three phases of bone changes that occur in skeletal fluorosis. (See below). These three phases, which are detectable by x-ray, have been widely used as a diagnostic guide for detecting the disease. They describe an osteosclerotic bone disease that develops first in the axial skeleton (the spine, pelvis, and ribs), and ultimately results in extensive calcification of ligaments and cartilage, as well as bony outgrowths such as osteophytes and exostoses. Subsequent research has found, however, that x-rays provide a very crude measure for diagnosing fluorosis since the disease can cause symptoms and effects (e.g., osteoarthritis) before, and in the absence of, radiologicaly detectable osteosclerosis in the spine.
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Tea Intake Is a Risk Factor for Skeletal Fluorosis
A number of recent studies have found that heavy tea drinkers can develop skeletal fluorosis - a bone disease caused by excessive intake of fluoride.
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Fluoride Content of Tea
Tea, particularly tea drinks made with lower quality older leaves, contain high levels of fluoride. Because of these high levels, research has found that individuals who drink large amounts of tea can develop skeletal fluorosis -- a painful bone disease caused by excessive fluoride intake. Since skeletal fluorosis is often misdiagnosed by
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Variability in Radiographic Appearance of Skeletal Fluorosis
Osteosclerosis (dense bone) is the bone change typically associated with skeletal fluorosis, particularly in the axial skeleton (spine, pelvis, and ribs). Research shows, however, that skeletal fluorosis produces a spectrum of bone changes, including osteomalacia, osteoporosis, exostoses, changes resulting from secondary hyperparathyroidism, and combinations thereof. Although the reason for this radiographic variability is not yet fully understood, it is believed to relate to the dose of fluoride consumed, the individual's nutritional status, exposure to aluminum, genetic susceptibility, presence of kidney disease, and area of the skeleton examined.
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Fluoride Reduces Bone Strength Prior to Onset of Skeletal Fluorosis
The majority of animal studies investigating fluoride's impact on bone strength have found that fluoride has either no effect, or a detrimental effect, on bone strength. Importantly, several of the animal studies that have found fluoride reductes bone strength have reported that this reduction in strength occurs before signs of skeletal fluorosis
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