An epidemiological study on fluorosis in an urban slum area of Nalgonda, Andhra Pradesh, India

Nirgude, Abhay Subhashrao; Saiprasad, GS; Naik, Poonam Ramesh; Mohanty, Shruti

doi:10.4103/0019-557x.77259

Cited by 10 publications

(7 citation statements)

References 4 publications

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“…Abhay Nirgude reported that prevalence of skeletal fluorosis increased with increasing age. [ 13 ] Shruthi et al . reported that as age increases, the prevalence rate of skeletal fluorosis also increases.…”

Section: Discussionmentioning

confidence: 99%

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Comparative evaluation of dental and skeletal fluorosis in an endemic fluorosed district, Salem, Tamil Nadu

et al. 2017

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Background:High levels of fluoride in the drinking water, especially ground water, results in skeletal fluorosis which involves the bone and major joints. This study was conducted to assess the prevalence of skeletal fluorosis to compare with dental fluorosis in an endemically fluorosed population in the District of Salem, Tamil Nadu.Materials and Methods:Institutional ethical clearance was obtained. A total of 206 patients who reported to the Department of Hematology for blood investigations were the participants in this study. Age, sex, place, weight, height, dental fluorosis, and skeletal complaints were noted down. Body mass index was calculated, and statistical analysis was performed.Results:Dental fluorosis was present in 63.1% and absent in 36.9% of the samples reported. Skeletal fluorosis was present in 24.8% and was absent in 75.2%. A large number of the patients had knee pain and difficulty in bending. Chi-square test was used for statistical analysis. Skeletal fluorosis and age were compared and P value was 0.00 and was significant. Dental fluorosis and skeletal fluorosis were compared and P value was found to be 0.000 and significant.Discussion and Conclusion:There is a need to take measures to prevent dental and skeletal fluorosis among the residents of Salem district. Calcium balance should be maintained, and fluoride intake should be minimized to reduce the symptoms. The government should provide water with low fluoride level for drinking and cooking. Once the symptoms develop, treatment largely remains symptomatic, using analgesics and physiotherapy.

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Section: Discussionmentioning

confidence: 99%

“…Abhay Nirgude reported that skeletal fluorosis was more in males. [ 13 ] John et al . reported that men were more affected by mild, moderate, and severe skeletal fluorosis than women.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of dental and skeletal fluorosis in an endemic fluorosed district, Salem, Tamil Nadu

et al. 2017

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“…In the literature, there is very little reference on the relationship of alcohol consumption and skeletal fluorisis in fluorosis-endemic areas. One such reference is that of Nuguide et al who found skeletal fluorosis to be more common among drinkers (37.5%) than non-drinkers (19.4%) in the urban slum of Nalgonda, Andra Pradesh, India [23].…”

Section: Discussionmentioning

confidence: 99%

Chronic Alcohol Consumption and the Development of Skeletal Fluorosis in a Fluoride Endemic Area of the Ethiopian Rift Valley

Tekle-Haimanot¹,

Haile²

2014

JWARP

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This study compared the occurrence of skeletal fluorosis in chronic consumers of locally brewed alcoholic beverages and their matched controls in the Ethiopian Rift Valley. The study revealed that chronic alcohol consumers developed severe forms of crippling skeletal fluorosis quite early in life. The controls were either symptom-free or exhibited mild forms of the fluorosis. The study showed that crippling skeletal fluorosis was directly associated with the large volumes of the locally brewed beer and honey-mead consumption on a daily basis. Chemical analysis of the alcoholic beverages showed that high concentration of fluoride which was much higher than the fluoride in the water was used for the brewing process. From this study one would conclude that in communities residing in high fluoride areas, there should be awareness creation campaigns to point out the relationship of excessive consumption of locally brewed alcoholic drinks and skeletal fluorosis. Regulations should also be put in place to require producers of local alcoholic beverages to use low fluoride water for brewing.

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“…This risk also includes the municipalities of Canápolis, Serra Dourada, and Sítio do Mato. The chronic ingestion of natural waters containing fluoride levels greater than 3 mg.L −1 correlates with the prevalence of dental fluorosis or skeletal fluorosis [14].…”

Section: Fluoride Levels Epidemiology and Medical Geologymentioning

confidence: 99%

“…Chronic ingestion of natural waters containing fluoride levels greater than 3.0 mg.L −1 correlates with the prevalence of dental fluorosis or skeletal fluorosis and represents a risk of deformities in the hips and incapacitating fluorosis [13,14]. In this way, the importance of the epidemiological and environmental health surveillance of the contents of fluoride in the waters of human consumption as a preventive measure of endemic fluorosis is evidenced.…”

Section: Introductionmentioning

confidence: 99%

Fluoride Levels in the Groundwater and Prevalence of Dental Fluorosis in the Municipality of Santana, in Region Karstic of West Bahia, Brazil

Gonçalves¹,

Santos²,

Coutinho³

et al. 2020

Groundwater Hydrology

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This chapter was aimed to investigate the relationship between the consumption of water of Bambuí Aquifer with natural fluoride levels and the prevalence of dental fluorosis in the municipality of Santana, Bahia, Brazil. Hydrochemistry and cluster analysis indicated that there were two groups differentiable in relation to TDS, pH, F-, rNa + /rCa 2+ , and saturation indexes of minerals. The fluoride concentration varied from 0.05 to 9.16 mg.L −1 in the samples and the prevalence of dental fluorosis was 53%, 17% moderate, or severe, which was associated of the consumption of groundwater. The toxic levels of fluoride reached 47% of the samples, where the risk of skeletal fluorosis (20%) and incapacitating fluorosis (20%) was estimated. The water supply service should include the monitoring of fluoride in groundwater, the implementation of sanitary and environmental health surveillance of endemic fluorosis, and the continuing training of professionals for health in this municipality.

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An epidemiological study on fluorosis in an urban slum area of Nalgonda, Andhra Pradesh, India

Cited by 10 publications

References 4 publications

Comparative evaluation of dental and skeletal fluorosis in an endemic fluorosed district, Salem, Tamil Nadu

Comparative evaluation of dental and skeletal fluorosis in an endemic fluorosed district, Salem, Tamil Nadu

Chronic Alcohol Consumption and the Development of Skeletal Fluorosis in a Fluoride Endemic Area of the Ethiopian Rift Valley

Fluoride Levels in the Groundwater and Prevalence of Dental Fluorosis in the Municipality of Santana, in Region Karstic of West Bahia, Brazil

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