Fluoride may occur naturally in water or it may be added in controlled amounts. Some fluorosis may occur when the fluoride level exceeds the recommended limits. In rare instances, the naturally occurring fluoride concentration may approach 10 mg/L.
Accurate determination of fluoride has increased in importance with the growth of the practice of fluoridation of water supplies as a public health measure. Maintenance of an optimal fluoride concentration is essential in maintaining effectiveness and safety of the fluoridation procedure.