A clinical investigation of human chronic fluorosis, known as ''Darmou
s'' in Morocco, was carried out in Youssoufia city and its region. Flu
oride concentrations were also measured in soil and water from this ar
ea and in urine collected from the surveyed persons; soil and to a les
ser extent water were rich in fluoride (948.6 +/- 356.2 mu g/g and 1.0
3 +/- 0.19 mu g/ml, respectively). Fluoride concentrations in urine we
re heterogenous and varied from 0.17 to 47.5 mu g/ml. There was a good
correlation between these values and the age of the sampled persons.
This study revealed that 14% of the urine samples were at or above the
maximum fluoride concentration in urine from non-intoxicated individu
als (ie 10 mu g/ml). Dental cartes, teeth loss and teeth pigmentation
and deviation were the most frequent dental effects in this area. Skel
etal effects were mostly joint pa in and exostosis. With the exception
of dental caries, teeth and bone abnormalities were more frequent and
pronounced in people living in the rural area.