There seems to have been a decline in otosclerosis with fluoridation of municipal water systems. If an individual with a positive family history does not have access to fluoridated water, then fluoride tablets are beneficial.
There are no long-term effects if the bone growth stops. If the condition progresses and affects the more of the bones of the inner ear, nerve deafness or loss of balance can result.
There is no risk to others, as the condition is not contagious.