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Dental fluorosis occurs because of the excessive intake of fluoride either through naturally occurring fluoride in the water, water fluoridation, toothpaste, or other sources.
Fluorosis can not occur once the tooth has erupted into the oral cavity.
Dental fluorosis can be prevented by lowering the amount of fluoride intake, particularly through ingestion which has been shown controversial to even help prevent cavities.
Production of skeletal fluorosis is influenced not only by the fluoride content of the water supplies, but also by that of food and beverages, by industrial gaseous or particulate emissions of fluoride, by the calcium and magnesium intake, and by the efficiency of the kidney function.
That the incidence of endemic fluorosis is dependent to a great extent upon the hardness of water is illustrated by comparing the analyses of water constituents from the village of Bhikhi and Rajthal.
Because of the lack of knowledge among physicians regarding fluorosis and its slow, insidious onset, it is impossible to estimate how many fatal cases of chronic pyelitis and paraplegia due to fluoride in water have remained unrelated to their cause.
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