Female Wistar rats were divided into four groups each fed ad libitum regular rodent chow and fluoridated water at four levels (0, 2, 4, 6 mmol/l) for 3 months. There were significant differences in ash weights between control and fluoridated vertebrae (P < 0.01). Intact bone fluoride (F) values observed were: 0.04 ± 0.01% fat-free dry weight (ffdw) for control vertebrae and 0.22 - 0.34 ± 0.03% ffdw for fluoridated vertebrae. Deproteinized fluoridated vertebral bone had significantly lower specific surface area (SSA) (from 100 ± 19 m2/g, P < 0.01, down to 80 ± 20 m2/g, P < 0.001) than the control group (120 ± 10 m2/g); a finding in support of our hypothesis that more of the bone mineral units in fluoridated bone are older (hence denser) than in normal bone. Static morphometric analysis of toluidine blue-stained sections of the femoral metaphyses showed that both cancellous bone volume/tissue volume (Cn-BV/TV) and trabecular thickness (Tb.Th) increased linearly with NaF dosage (R = 0.99 and 0.97, respectively); with Cn-BV/TV increasing from 21 ± 7 to 33 ± 6% (P < 0.01) and Tb.Th from 76 ± 8 to 98 ± 9 μm (P < 0.01). Similar Cn-EV/TV results were also obtained from von Kossa-stained sections. Analysis of the toluidine blue sections also showed that both bone formation and bone resorption were inhibited by NaF at these experimental levels, with cancellous osteoid surface/bone surface decreasing from 10 ± 2 to 4 ± 1% (P < 0.005), cancellous osteoblast surface/bone surface decreasing from 5 ± 2 to 1 ± 1% (P < 0.05) and cancellous eroded surface/bone surface decreasing from 1.3 ± 0.6 to 0.2 ± 0.1% (P < 0.01). Even with reduced formation, NaF increases rat cancellous bone volume through trabecular thickening in a dose-dependent manner, probably due to a more severely reduced resorption. NaF also increases the bone mineral packing density and perhaps the size of individual bone mineral crystallite, both capable of producing a more brittle bone. © 1990.