Dental Fluorosis in Wild Deer: Its Use as a Biomarker of Increased Fluoride Exposure

The relationships between age (range: 3 to 14 yr), mandibular bone fluoride level (marker of accumulated internal dose, range: 597 to 4680 mg F^- kg^-1> dry wt) and intensity of dental fluorosis (reflecting fluoride exposure during enamel formation) were studied in a sample of 53 fluorosed red deer from a fluoride-polluted area in the Czech-German border region (Ore mountains and their southern foreland). Assessment of the severity of dental fluorosis was performed for the 3 permanent premolars and 3 molars of one hemimandible per animal by using an ordinal measurement scale. For statistical analysis, the maximum tooth score of fluorosis (MTS) and the dental lesion index of fluorosis (DLI, sum of the six tooth scores per individual) were used. In the sample, both MTS (r_s = 0.850) and DLI (r_s = 0.813) were highly significantly (p <0.00001) correlated with bone fluoride content. A weaker correlation existed between age and bone fluoride content (r_s = 0.322, p <0.05). The results demonstrate that in case of regional, long-term fluoride pollution, dental fluorosis (measured as MTS or DLI) can be used as a sensitive biomarker of fluoride exposure in deer and thus as an indicator of the level of environmental contamination by fluorides. In many countries, skulls and mandibles of wild deer are regularly and continuously collected by hunters. Assessment of the prevalence and severity of dental fluorosis in this material offers the opportunity for an efficient large-scale biomonitoring of environmental pollution by fluorides at very low cost.