Abstract
Exposure to fluoride in drinking water was studied for evidence of detrimental effects on skeletal calcification and bone development in children. Three groups of children aged 7 through 14 years, living in Lubbock and Amarillo, Tex., and Cumberland, Md., were selected on the basis of continuous exposure to their communal drinking waters, which contained fluoride in the amounts of 3.5 to 4.5 p.p.m. F, 3.3 to 6.2 p.p.m. F, and 0.1 p.p.m. F, respectively. Radiographs were taken of the right hand and wrist of 2,050 children. From these X-rays, the skeletal age was assessed and a quantitative index of ossification was determined.
No evidence, available by radiographs was obtained which would indicate that there was any adverse effect on the carpal bones or on their growth and development as a consequence of the continuous use of drinking water containing approximately 3.5 to 6.2 p.p.m. F. These results confirm the safety of maintaining the fluoride level of public water supplies at about 1.00 p.p.m. F, by controlled fluoridation, for the reduction of tooth decay.
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Effect of fluoride on reactive oxygen species and bone metabolism in postmenopausal women.
A study was made of the effects of fluoride (F) on the antioxidant defense systems of postmenopausal women residing in a fluorotic and a nonfluorotic village in Chitoor district, Andhra Pradesh, India. Twenty-five postmenopausal women (approximately 10 years postmenopause, mean age 57 years) residing in endemic fluorotic Adharam and nonfluorotic
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The effects of short-term fluoride ingestion on bone formation and resorption in the rat femur
The femurs from rats given 120 ppm fluoride in their drinking water for 4 weeks were examined with histological, histochemical, and radiographic methods. Blood removed from the rats prior to sacrifice was analyzed for calcium, phosphorus, and alkaline phosphatase. Results of this study indicated that the ingestion of fluoride produced
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Bone mineral structure after six years fluoride treatment investigated by backscattered electron imaging (BSEI) and small angle x-ray scattering (SAXS): a case report
NaF, a bone formation stimulating agent, is used for the treatment of osteoporosis. Controversy exists concerning the quality of the newly formed bone and the antifracture effectiveness. We report about a 70 years old woman, who had received 50 mg NaF/d for about 6 years. Calcium or Vit D supplements
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Medical aspects of excessive fluoride in a water supply
A 10-year study of 116 persons in Bartlett and 121 in Cameron, Tex., was conducted to determine if prolonged exposure to fluoride in the water supply of Bartlett had produced detectable physiological effects. Bartlett's water contained about 8 p.p.m. F until 1952, when an experimental defluoridation unit was installed, reducing the
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The microscopic morphology of fluoride-induced bone
To characterize further the bone changes in osteoporotic patients treated by a combined calcium, vitamin D, and sodium fluoride therapy regimen, full-thickness transilial undecalcified bone biopsy specimens from ten postmenopausal white women treated for idiopathic osteoporosis for 18-24 months were compared with those from ten age-, sex-, and race-matched untreated
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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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