India is one among the 23 nations identified as fluoride endemic regions. The concentration of fluoride in the groundwater ranges from 1.0mg/l to 48.0mg/l, while The Bureau of Indian Standards has set 1.0mg/l as the acceptable limit. The constant exposure to fluoride through food and drinking water results in dental, skeletal and non-skeletal fluorosis. To mitigate the effects of fluoride, an Integrted approach is needed as it is advantageous than the conventional defluoridation techniques. The Integrated Fluorosis Mitigation approach imparts better understanding of the adverse effects of fluoride consumption through Information, Education and Communication activities. Using data from dental survery and Quantitative Chemical Risk Assessment tool, the hazard is identified and risk is characterised. Based on these data, mitigation strategies are planned. This review outlines the process of Integrated Fluorosis Mitigation and various programmes undertaken by the various Indian state and central governmental agencies.
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