Dental fluorosis—a case study from Nawa tehsil in Nagaur district,Rajasthan (India)

A study was carried out in Nawa tehsil of Nagaur district to assess the prevalence of dental fluorosis and its crippling effect due to ingestion and prolonged exposure of fluoride over a long period of time. During the survey of the study area, high concentration of fluoride (14.62 ppm) has been recorded. The presence of fluoride in quantities in excess of limits is a serious matter of concern from a public health point of view. Due to higher fluoride level in groundwater, several cases of dental fluorosis have appeared at alarming rate in the study area. The children’s teeth are damaged and are characterized by black and brown stains as well as cracking and pitting of the teeth have been observed. In the study area, 93.12% population suffered from dental fluorosis, and it was more prevalent in men (94.90%) than in women (90.00%). Dental fluorosis was also examined according to different grades. Out of the total 72 afflicted, in the 4–16-year age group, 41.46% were suffering from Grade I, Grade II was more prevalent in 33.85% of the 17–28-year age group and similarly Grade II was more prevalent in 39.13% of the 29–40-year age group. In the age group of above 40 years, grade III and grade IV were more prevalent. Thus, in the higher age group, the prevalence and severity of fluorosis is almost certainly due to longer exposure to fluoride. The major risk factor consistently identified for dental fluorosis was the consumption of fluoridated drinks and fluoride supplements. Ingestion of calcium, vitamin D and vitamin C is effective in protection from fluoride toxicity to certain extent.