Skeletal fluorosis

Skeletal fluorosis is an excessive accumulation of fluoride in bone associated with increased bone density and outgrowths (exostoses). Hypothyroidism may be present. Water fluoridation and other fluoride exposure sources uses may be counter-indicated in severe cases.

Skeletal fluorosis phases

Osteosclerotic phase Ash concentration (mgF/kg) Symptoms and signs
Normal Bone 500 to 1,000 Normal
Preclinical Phase 3,500 to 5,500 Asymptomatic; slight radiographically-detectable increases in bone mass
Clinical Phase I 6,000 to 7,000 Sporadic pain; stiffness of joints; osteosclerosis of pelvis and vertebral spine
Clinical Phase II 7,500 to 9,000 Chronic joint pain; arthritic symptoms; slight calcification of ligaments' increased osteosclerosis and cancellous bones; with/without osteoporosis of long bones
Phase III: Crippling Fluorosis 8,400 Limitation of joint movement; calcification of ligaments of neck vertebral column; crippling deformities of the spine and major joints; muscle wasting; neurological defects/compression of spinal cord

Source

U.S.P.H.S. "Review of Fluoride, Benefits and Risks", 1991 - adapted from: Smith & Hodge, 1979; Franke et al., 1975; Schlegal, 1974

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