Deep Thoughts on Fluoride, Otosclerosis, and Sleep Apnea

Otosclerosis is a relatively common condition we see in our field, typically leading to early hearing loss. It leads to stiffening of one of the middle ear bones (the stapes), preventing sound waves from reaching the inner ear. Surgery can result in a dramatic hearing improvement. Over the past few decades, it’s been noted by prominent otologists that the rate of otosclerosis has dramatically declined, presumably due to fluoride supplementation in our water supply. This element is thought cause increased resorption of bone, and cause early maturation and calcification. One of the conservative treatments for otosclerosis is to give fluoride tablets. 

I was thinking if fluoride can affect the middle ear bones, can’t it also affect a developing fetus or infant’s jaw development? Premature hardening and early maturation could lead to suboptimal jaw growth, which can predispose to obstructive sleep apnea. This is in addition to all the other various risk factors that can prevent proper jaw development (soft food consistency, bottle-feeding, etc.). Almost every younger patient I see today has significant dental crowding and narrowed arches. Having smaller jaws leaves less room for your regular sized tongue and other soft tissues of the throat, leading to more frequent breathing problems while you sleep. No wonder why most modern humans these days can’t sleep on their backs.

Sure enough, if you comb through the research literature, there are a number of studies that directly or indirectly support my suspicion. For example, rats fed fluoride were found to have significantly diminished horizontal mandibular dimensions. Another study showed that addition of sodium fluoride to explants of embryonic rat palates lead to retardation of the palatal shelf growth and lack of fusion. I’m sure there are dozens, if not hundreds of other similar commonly used chemicals that can retard proper growth and development in all age groups.

Doing some more research on the internet, there seems to be a growing grass-roots movement to remove fluoride from our drinking water. Here’s a site that lists 50 reasons why fluoride is dangerous to our health. One of their main arguments is that the original studies cited to make the argument for adding fluoride were flawed and that there’s no convincing proof that it prevents dental caries. I take all these arguments with a grain of salt, but these are serious issues that need further discussion. I always wondered why a dangerous chemical that I used in my organic chemistry class is so commonly used for every-day purposes (water, toothpaste, etc.).

Am I being overly paranoid, or is there some merit to this argument?

Please note: I reserve the right to delete comments that are offensive or off-topic.

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2 thoughts on “Deep Thoughts on Fluoride, Otosclerosis, and Sleep Apnea

  1. was it Fluoride Action Network? they are doing good work at spreading the word. fluoride is effective topically, but the evidence for ingested fluoride is not good and does not justify putting what basically amounts to medication in our drinking water. in every other situation with medication administration there is informed consent; why should fluoride be exempt from that? when there are serious concerns about negative effects from fluoride, it is time to stop water fluoridation. what you are finding with its effect on the jaws is just another really serious reason to stop.

    I found a study this week showing that exposure to organophosphate pesticides in mice caused hypoplasia of the maxilla and mandible; so yes, multiple chemicals are probably affecting the development of the jaws. this may explain why we are seeing such an exponential increase over recent years, of multiple illnesses which are linked to sleep apnea. I think the dietary theories for jaw shrinkage were just the beginning, but that something is occurring over the last 40 years that has accelerated the shrinkage. as I recall, about 40 yrs ago was when they put fluoride in the water where I grew up; Yorktown Hts, NY. it is also when pesticide use skyrocketed.

  2. I think you have a good point, actually. I know, for example, ADHD has been associated with fluoride in drinking water…

    …as well as sleep apnea…

    …and smaller head circumference, which could possibly result in smaller jaw size as well.

    By the way, you can find more specific clinical/toxicological information if you research the actual chemical name instead of “fluoride,” imho. Fluorides are chemical compounds containing fluorine, not necessarily fluorine ions or salts. Problem is, fluorine likes to bond with aluminum. Aluminum fluoride (cryolite) is a lot more toxic than the sodium fluoride that has typically been used to study health effects. Aluminum fluoride is already listed as neurotoxic by NIOSH, so yes, “fluoride” does affect the brain, like says.

    [] (pg 1) “Fluorides are properly defined as binary compounds or salts of fluorine and another element… we generally measure the amount of fluorine in a substance rather than the amount of a particular fluorine compound.”… (pg 3) “In water, fluorides associate with various elements present in the water, mainly with aluminum in freshwater.”… (pg 29) “Fluoride salts, such as sodium fluoride and calcium fluoride, are much less reactive and much less toxic… Most of the available literature on fluoride toxicity concerns sodium fluoride.”

    [] (pg 6) “Although fluoride is not metabolized, it forms fluoride-phosphate complexes with various metals, for example, aluminum, calcium, beryllium, and magnesium.”

    [] “ALUMINIUM FLUORIDE… may have effects on the bone, nervous system, resulting in bone alterations (fluorosis), and nervous system impairment.”

    [] “Aluminum is a listed by the EPA as a drinking water contaminant with a high health research priority. Since aluminum is found in nearly all drinking water and fluoridation may enhance absorption, there is a need for long-term low concentration rodent studies. The effects of aluminum citrate & aluminum fluoride complexes on body burdens of aluminum including the brain need to be evaluated.”
    Supporting Documentation:

    [] (pg 211) “Because of the great affinity between fluorine and aluminum, it is possible that the greatest impairments of structure and function come about through the actions of charged and uncharged AlF complexes (AlFx)… In a study of more than 3,500 French men and women above the age of 65 (Jacqmin et al. 1994), a significant decrease in cognitive abilities was found when their drinking water contained calcium, aluminum, and fluorine.”
    (pg 217) “adult rats were administered AlF3 at 0.5 mg/L, NaF at 2.1 mg/L… for 1 year. During that time six of nine animals drinking the AlF3 water died, three of the nine animals drinking the NaF died… Brains from both the NaF and the AlF3 groups had more than twice as much aluminum as the brains of the control animals. This supports the work of Strunecka et al. (2002) indicating that fluoride enhances the uptake of aluminum.”

    Scientific explanation of aluminum fluoride toxicity: