Arising awareness of health hazards due to long-term exposure of fluoride has led researchers to seek for more innovative strategies to eliminate excess fluoride in drinking water. Fluoride-bearing chemicals in both natural and anthropogenic sources contaminate drinking water, which mainly cause for human fluoride ingestion. Hence, developing sustainable approaches toward alleviation is essential. Among many emerging techniques of defluoridation, nanotechnological approaches stand out owing to its high efficiency, and hence, as in many areas, nanotechnology for excess fluoride removal in water is gaining ground compared to other conventional adsorbents and process. The present review focuses on some of the advanced and recent nanoadsorbents including their strengths and shortcomings (e.g., CNT, LDH, graphene-based nanomaterials, and magnetic nanomaterials) and other processes involving nanotechnology while discussing basic aspects of hydrochemistry of fluoride and geological conditions leading for water fluoride contamination. Considering all the findings in survey, it is evident that developing more sustainable techniques is essential rather than conducting batch-type experiments solely.