“…Endemic fluorosis afflicts N260 million individuals worldwide in 25 different nations, and N100 million people in southeast Asia, including India, Pakistan and Sri Lanka (Farooqi et al, 2007a(Farooqi et al, , 2007bAmini et al, 2008;Ravenscroft et al, 2009;Rafique et al, 2009;Kim et al, 2012). Both dental and skeletal fluorosis is a global problem, occurring in various countries, such as Ethiopia, Kenya and Tunisia (Rango et al, 2010(Rango et al, , 2013Olaka et al, 2016;Guissouma et al, 2017), India (Jacks et al, 2005;Vikas et al, 2013), China (Smedley et al, 2003;Guo and Wang, 2005;Guo et al, 2007;Amini et al, 2008;Wang et al, 2009;Currell et al, 2011), Brazil (Souza et al, 2013), and Pakistan (Farooqi et al, 2007a(Farooqi et al, , 2007b.…”