Silver diamine fluoride: where it fits in a general practice
It arrests decay, it is inexpensive and it stains. Getting the consent conversation right matters more than the technique.
Every province publishes a suggested fee guide, but the number on the guide, the number on the invoice and the number the insurer reimburses are three different things.
The details differ by regulator, but the structure is remarkably consistent across the country. Here is the shape of it, and where offices tend to slip.
Municipal councils keep revisiting the question. This is what the research supports, what it does not, and how to answer a patient who asks.
It arrests decay, it is inexpensive and it stains. Getting the consent conversation right matters more than the technique.
The scanner is the easy part. The lab relationship, the storage and the way you talk to patients all shift, and nobody warns you about it.
Sedation has its place, but most anxious adults can be managed with control, predictability and a few minutes of conversation.
Inspections rarely find an office doing nothing. They find an office doing almost everything and skipping the paperwork.
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