1. Introduction
Fluoride ions are the negatively charged species of fluorine that occur in a plethora of minerals which can be present both in water and soil. Although there have been some reports of the possible beneficial effects of low concentrations of fluoride on dental health, especially when considered as an effective means of preventing dental caries
[1], the exposure to excessive fluoride concentrations can cause severe damages to human health
[1]. The negative effects of extensive fluoride exposure include dental and skeletal fluorosis, endocrine effects, attention deficit hyperactivity disorder, and neurotoxicity
[2]. The margin between the desired and the undesired fluoride dose is narrow and there is therefore a great need to supervise and evaluate the quality of drinking water and, when necessary, to remove the excess of fluoride from water in order to protect human health
[1][3].
Table 1 summarizes the acceptable concentration values of fluoride in drinking water and the health effects associated with those concentration levels.
Table 1. Fluoride health effect associated with concentration levels and permissible limits of fluoride in drinking water according to the International Standards organization
[4][5].
Fluoride Concentration (mg L−1) |
Effects |
International Standards Organization |
Permissible Limit (mg L−1) |
<0.5 |
Prevention of teeth cavities |
World Health Organization (WHO) |
0.6–1.5 |
0.5–1.5 |
Helps in bones and teeth development |
Bureau of Indian Standards (BIS) |
0.6–1.5 |
1.5–4 |
Dental problems in children |
US Public Health Standards |
0.8 |
>4 |
Dental and skeleton fluorosis |
Indian Council of Medical Research (ICMR) |
1.0 |
>10 |
Crippling skeletal fluorosis, possibly cancer |
Directive 98/83/EC |
1.5 |
Although groundwater comprises a safe drinking water source for billions of people
[6], there are some cases where groundwater presents unacceptable contamination levels and cannot be used without treatment for potable purposes. The fluoride contamination of drinking water is an environmental issue concerning a big part of the global population. In particular, in countries such as India, Bangladesh, China, Pakistan, Ghana, and Tanzania
[7][8], the concentrations of fluoride in the waters are so high that several thousands of people suffer from fluoride associated illnesses. Effective fluoride removal in these regions is thought to be a difficult and stimulating matter, mainly due to the difficulties arising from fluoride chemistry which prevent fluoride from being efficiently sorbed by most conventional adsorbents used in the drinking water industry. A lack of essential infrastructure and technological know-how also play a significant part.
[7][9]. However, China
[10] and India
[11] are making efforts to defeat this problem and the situation is constantly improving.
Consequently, fluoride removal from drinking water has received great attention in the last years and several technologies have been tested in laboratories or applied in the field
[12][13][14][15]. Ion exchange, chemical precipitation, membrane processes, coagulation, adsorption and both phyto and bio-remediation are the main technologies which have already applied for the removal of fluoride in potable water treatment.
Figure 1 summarizes the commonly applied techniques and their main advantages and disadvantages.
Figure 1. Commonly applied techniques for fluoride removal from drinking water
[16][17][18][19].
Nevertheless, most of the aforementioned methods display particular disadvantages. In the case of ion-exchange, the price of resin, its regeneration and resultant waste disposal requirements, and the fact that it is not selective enough preclude this method from being efficient and cost-effective
[18]. The use of membranes belongs to the same category of disadvantages, as the elevated cost of membrane acquisition and operation and the disposal of concentrates, which necessitates posttreatment of water, makes the process rather uneconomical
[20]. Coagulation, on the other hand, is an economical technology for defluoridation but requires high doses, leading in high residual concentrations, (e.g., of harmful aluminum) and hence produces significant amounts of sludge
[17]. Precipitation methods relying on the use of calcium, aluminum, and iron salts have been widely published in the literature as well. Nevertheless, the problems related to lime-based processes include the low solubility of the resulting calciumhydroxide, which hinders adequate removal of fluoride from the waters
[17][18]. Among these processes, adsorption is a very promising technique due to its handy operation, low-cost operation, increased selectivity, and the readiness of adsorbents. Materials such as alumina
[16], activated carbon
[21], ion exchange resins
[22], silica gel
[23], natural materials such as clay
[24] and mud
[25][26], and low-cost alternative adsorbents such as fly ash
[27][28], bone charcoal
[29], metallic iron
[30], nanomaterials
[31][32], etc., have been employed
[12][13][14].
In parallel, due to its profound effect on human teeth and bones, there is a demand for the development of precise and sensitive analytical methods for the measurement of fluoride in aquatic solutions. Until recently, several methods have been developed to determine fluoride in drinking water. These methods were classified into six main categories
[33], namely chromatographic, electrochemical and spectroscopic methods, microfluidic analysis, titration, and sensors. Among the chromatographic methods, high-performance liquid chromatography (HPLC), ion chromatography (IC), and gas chromatography (GC) are the most widely used techniques for fluoride determination. Electrochemical methods include potentiometry, ion selective potentiometry, polarography, and voltammetry. Spectroscopic methods include atomic and molecular spectroscopy, while microfluidic analysis includes flow injection analysis (FIA) and sequential injection analysis (SIA)
[33][34]. Up to date, the development of novel cost-efficient fluoride monitoring systems for the assessment of drinking water quality has been undoubtedly at the forefront of research
[33][35].
There is a number of review articles in the literature regarding the removal
[3][36][37] and the analytical determination
[33][36] of fluoride from various matrices. Herein, the methodology that we followed to prepare this review study was based on the presentation and the discussion of recently developed materials (mainly adsorptive materials) in order to highlight the specific properties which enhance fluoride removal. Novel adsorbents have been classified in the following categories: carbon-based materials (i.e., activated carbon (AC), graphene oxide (GO) and carbon nanotubes (CNTs)); nanostructured materials combining metals and their oxides or hydroxides; and natural materials. These adsorbents have been reviewed and critically assessed. Regarding analytical techniques, the most common techniques for fluoride determination are presented, and an emphasis has been given to methodologies developed between 2015 and 2021. The novelty of this review is based on the fact that the most recent reviews for fluoride removal have only reported, in general, on the technologies used for removal and have not focused on newly produced adsorbing materials. To the best of our knowledge, this is the first review which also combines the relevant analytical techniques required for fast and accurate fluoride determination. The further objective of the present study is to compare and identify possible new materials with high advantages for fluoride removal with the aim of producing an adsorbent with high efficiency for fluoride removal which will also be able to be placed in the market.