Fluoride occurs naturally in drinking water and is also added to promote dental health, though high levels can cause health issues. A study found fluoride in 23 of 25 water samples tested, all below EPA and WHO standards. Excess fluoride intake, especially during tooth development, can cause dental and skeletal fluorosis. Dental fluorosis causes tooth discoloration and pitting, while skeletal fluorosis damages bones and joints. Methods for removing fluoride include distillation, reverse osmosis, activated alumina filtration, and bone char carbon filtration, which can remove 90-98% of fluoride but require maintenance.