Fluorine gas is extremely toxic; breathing in fluorine at a concentration of 25 parts per million is potentially lethal. Hydrofluoric acid is also toxic, being able to penetrate skin and cause highly painful burns. In addition, fluoride anions are toxic, but not as toxic as pure fluorine. Fluoride can be lethal in amounts of 5 to 10 grams. Prolonged consumption of fluoride above concentrations of 1.5 mg/L is associated with a risk of dental fluorosis, an aesthetic condition of the teeth. At concentrations above 4 mg/L, there is an increased risk of developing skeletal fluorosis, a condition in which bone fractures become more common due to the hardening of bones. Current recommended levels in water fluoridation, a way to prevent dental caries, range from 0.7 to 1.2 mg/L to avoid the detrimental effects of fluoride while at the same time reaping the benefits. People with levels between normal levels and those required for skeletal fluorosis tend to have symptoms similar to arthritis.