Fluoride, the ionic form of fluorine, is a natural component of the biosphere and 13th most abundant element in the crust of the earth. It is, therefore, found in a wide range of concentrations in virtually all inanimate and living things. Many trace elements perform a definite function in human metabolism and the question of the value of fluoride, always found in the body, has been raised. Much evidence suggesting that the inclusion of fluoride in drinking water has beneficial as well as adverse effects on human health was obtained. Either alone or in combination with calcium and/or vitamin D, it is used in high daily doses for the treatment of osteoporosis. Although organic fluorine compounds are used in medicine and commerce, the inorganic fluorine compounds are of greater importance toxicologically because they are more readily available. The major pathway of fluoride elimination from the human body is via the kidney. When renal function deteriorates, the ability to excrete fluoride markedly decreases, possibly resulting in greater retention of fluoride in the body. At this point, more research is needed to evaluate the effects of physiological variables on the fluoride metabolism in humans.