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Paleopathology of skeletal fluorosis

Bibliographic Data

ID8316539
AuthorsJ Littleton (0000-0003-2622-3432, University of Auckland, corresponding author)
Year1999
Volume109
Issue4
Pages465-483
Publication date1999-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Physical Anthropology (JOURNAL)
Journal identifiersISSN: 0002-9483 • E-ISSN: 1096-8644
PublisherWiley (PUBLISHER • GB)
DOI10.1002/(sici)1096-8644(199908)109:4<465::aid-ajpa4>3.0.co;2-t
PMID10423263
OpenAlexW2129259099
LanguageEN
Citations received20
References cited42

Skeletal fluorosis is one of a range of conditions causing excessive ossification and joint ankylosis in skeletons. It is rarely considered, however, in differential diagnoses of palaeopathological lesions. This paper considers the identification of skeletal fluorosis in a skeletal sample from the island of Bahrain, Arabian Gulf, dating to ca. 250 BC-AD 250. Approximately 4% of 255 adult skeletons in the sample have hyperostosic lesions resulting in joint ankylosis primarily of the lumbar vertebrae, as well as the major joints. These lesions most frequently occur among males in the 50+ age group. Chemical analysis on a small series of bone and dental samples confirmed the presence of high levels of fluoride, while staining of the teeth is evidence of dental fluorosis. The level of dental fluorosis is comparable with a naturally occurring fluoride level in water of between 1-2 ppm. The prevalence of hyperostosic lesions, however, appears higher than expected, and two possible reasons are suggested: confusion between a diagnosis of diffuse idiopathic skeletal hyperostosis and skeletal fluorosis on partial or less severely affected skeletons; and the presence of predisposing factors for skeletal fluorosis on the island in the past.

Ankylosis · Dental fluorosis · Diffuse Idiopathic Skeletal Hyperostosis · Fluoride · Hyperostosis · Ossification · Paleopathology · Pathology · Skeletal fluorosis · Anatomy · Chemistry · Dentistry · Endodontics and Root Canal Treatments · Forensic Anthropology and Bioarchaeology Studies · Medicine · Paleopathology and ancient diseases

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Unique citing works20
Citations per year0.87
Citation span2003 - 2025 (23)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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