- Acidosis due to chronic high altitude residence could enhance dental fluorosis.
- High fluoride retention occurs due to impaired kidney function at higher altitude.
- Need to maintain good nutrition status and intake of alkaline producing diets.
- Optimum iodine and vitamin D intake helps to control dental fluorosis.
- Need to keep the drinking water fluoride level 0.1 mg/L at 1500 m altitude.
Many scientific reports emphasized that the extent of prevalence and severity of dental fluorosis is higher among the people residing at high altitude regions than lower altitudes, even though they are exposed to drinking water with similar or less fluoride levels. This review reports various factors which enhance the risk of prevalence and severity of dental fluorosis at high altitude regions through different pathways. Especially, this review focused on ecological, physiological, biochemical and dietary factors as well as to identify potential key areas to implement further research on control of dental fluorosis risk at high altitude regions. In addition, by considering the pathways of risks, suitable remedial measures are also recommended in this review to manage the dental fluorosis risk at higher altitude regions.
*Original abstract online at https://www.sciencedirect.com/science/article/abs/pii/S2352186420314152
Association of dental and skeletal fluorosis with calcium intake and vitamin D concentrations in adolescents from a region endemic for fluorosis
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Groundwater quality and its health impact: An assessment of dental fluorosis in rural inhabitants of the Main Ethiopian Rift.
Highlights We mapped groundwater fluoride distribution and identified fluoride health risk areas. Dental fluorosis (DF) was evaluated based on TFI scale (Thylstrup and Fejerskov index). Relationship between groundwater fluoride and its dental health impact was established. Effect of milk consumption on DF was evaluated and contributed to reducing DF severity.
Environmental and physiological factors affecting dental fluorosis
In addition to differences in fluoride intake and possibly to calcium deficiency or malnutrition, there are several factors which may account for individual differences in the occurrence of dental fluorosis. Disorders in acid-base balance affect the renal handling of fluoride such that, in acidosis, the excretion rate is diminished and,
Nutritional status and dental fluorosis among schoolchildren in communities with different drinking water fluoride concentrations in a central region in Mexico
Poor water quality and under nutrition are important factors affecting the health of many communities in developing countries. The aims of this study were: i) to describe the fluoride water concentration and the hydrogeological conditions in a region of a state located in the central in Mexico ii) to measure
[Effect caused by uptake of different levels of calcium to enamel fluorosis in rats].
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