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Seawater intrusion and drinking-water fluorosis are frequently documented along coastal plains. Groundwater is characterized by high OH−, Na+, total dissolved solids, and low Ca2+ because of seawater intrusion, and such conditions favor sediment fluoride-leaching and fluorosis. But the geological process of seawater intrusion has not been noticed when high-fluoride groundwater along coastal areas is discussed. The groundwater and sediments in a typical seawater intrusion and fluorosis area are gained, and fluoride-leaching simulation experiments are performed. Sediment fluoride levels are equal to or lower than average sediment fluoride levels in China and Shandong province, but strong fluoride-leaching in aquifers is observed. Compared with the supplied water from the non-intruded neighboring area, the local groundwater has higher fluoride levels, together with higher pH, total dissolved solids, HCO3−, Cl−, Br−, SO42−, Na+, K+, and low Ca2+ because of seawater intrusion. Aquifer sediment fluoride-leaching ability increases with an increase in seawater (brine water) mixing ratios, and NaCl or NaHCO3 levels, but with a decrease in CaCl2 levels. This directly confirms that seawater (brine water) intrusion promotes sediment fluoride-leaching, and the high pH, Na+, HCO3−, and low Ca2+ levels caused by seawater intrusion are responsible for the high-fluoride groundwater along coastal plains. HIGHLIGHTS The local groundwater is characterized by seawater intrusion and high fluorine levels, while the aquifer sediments show low fluorine levels.; The fluorine-leaching ability of aquifer sediments increases with higher ratios of seawater or brine water, higher levels of NaCl and NaHCO3, and lower levels of CaCl2.; Seawater intrusion is an important dynamic of groundwater fluorine enrichment along coastal plains.;