“…DF is the most widespread and long-recognized health effect of F − exposure. However, F − also may cause damages to other organs and systems: for example, skeletal fluorosis (Edmunds and Smedley, 2005) that is characterized by the thickening and increased density of bones, thyroid dysfunction (resulting in slower mental development and lower IQ in children) (Ding et al, 2011) (Xiang et al, 2003), dysfunction of reproductive system (leading to infertility, especially in males due to oligo-or azoospermia and, probably, lower testosterone level) (Chinoy and Narayana, 1994;Ortiz-Pérez et al, 2003), developmental defects in fetuses (GUPTA et al, 1995;Takahashi, 1998), and gastrointestinal problems (nausea, stomach pain, intermittent diarrhea, and flatulence) (Dasarathy et al, 1996). We conducted a study of dental health outcomes among randomly selected households living in several communities of the MER of Ethiopia; our focus on DF was motivated by the fact that it is the most widespread and easily diagnosed condition that can be observed in populations consuming water with excessive F − concentration.…”