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Fluoride and human health: Systematic appraisal of sources, exposures, metabolism, and toxicity

Kabir, Humayun, Gupta, Ashok Kumar, Tripathy, Subhasish·2020·Critical Reviews in Environmental Science and Technology
DOI 10.1080/10643389.2019.1647028
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Abstract

Fluoride (F−) originating from many natural geologic sources and anthropogenic activities has imposed a substantial environmental health risk. More than 200 million people from more than 35 nations are at risk of fluorosis, thus increasing the global attention paid to F− research. The present study reviews the mechanisms of F− ingestion from possible sources and exposures, correlating possible health effects by extensively surveying the literature. The relationship between F− levels in drinking water and dental and skeletal fluorosis has been studied for decades. However, several alternative routes of exposure, such as food and other supplements, influence fluorosis incidence and hinder benchmarking of fluorosis levels with F− concentrations in drinking water. Deposition of F− in developing teeth, accompanied by the loss of matrix protein, leads to deformities in tooth enamel and dentin. Skeletal fluorosis results from the strong and irreversible inclusion of F− in the deeper parts of bone and causes increased bone mass and density along with enlarged joints. This review article also describes extensive in vivo or in vitro studies of F− ingestion in laboratory animals and the correlation of F− exposure with several health effects.

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Metadata

Authors
Kabir, H., Gupta, A. K., & Tripathy, S.
Affiliations
  • Environmental Engineering Division, Department of Civil Engineering, Indian Institute of Technology Kharagpur, Kharagpur, India;
  • Department of Geology and Geophysics, Indian Institute of Technology Kharagpur, Kharagpur, India
Venue
Critical Reviews in Environmental Science and Technology
Publisher
Informa UK Limited
Published
2019-08-18
Volume
50
Issue
11
Pages
1116-1193
ISSN
  • 1064-3389
  • 1547-6537
DOI
10.1080/10643389.2019.1647028
Cited by
228
References
2
Language
en

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