Evidence map›Paper›PMID 41296691›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2025

Utilization of silver diamine fluoride by dentists in Canada: a review of the Non-Insured Health Benefits Dental Claims database.

Mohamed El Azrak, Mary F Bertone, Anil Menon, Robert J Schroth

Abstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mohamed El AzrakDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Mary F BertoneSchool of Dental Hygiene, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Anil MenonDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Robert J SchrothDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn August 2020, Indigenous Services Canada's Non-Insured Health Benefits (NIHB) program approved reimbursement for silver diamine fluoride (SDF), a dental caries-arresting agent, for NIHB-eligible clients of all ages. We investigated the utilization of SDF for NIHB-eligible children and youth and determined trends and regional differences.

methodsThe NIHB program provided data on SDF claims for children and youth (< 17 years) from 1 August 2020 to 31 July 2022. We derived descriptive statistics and calculated rates of SDF application by dividing the number of children and youth with SDF claims by the number of NIHB-eligible children and youth (n = 215 215). There were 4158 SDF claims for 3465 children and youth (1542 in 2020-2021 and 1923 in 2021-2022, a 24.7% increase). The mean (SD) age was 7.9 (4.0) years, and 52.9% were female. General dentists made the most claims (87.1%). Manitoba had the most initial claims (19.6%), but Alberta had the highest number of follow-up claims. Nunavut (37.0/1000; 95% CI: 33.8-40.4) and Northwest Territories (20.9/1000, 95% CI: 17.2-25.1) had the highest rates of SDF claims. The increase in the number of SDF claims over the 2 years may indicate that more dental care providers have become aware that the NIHB program covers SDF treatment and have incorporating it into their caries treatment approaches. Still, few children and youth received follow-up SDF applications, potentially reducing the effectiveness of caries arrest.

Indexed as

Cariostatic AgentsDental CariesDentistsFluorides, TopicalPractice Patterns, Dentists'Quaternary Ammonium CompoundsSilver CompoundsAdolescentCanadaChildChild, PreschoolDatabases, FactualFemaleHumansMaleCariostatic AgentsFluorides, TopicalQuaternary Ammonium CompoundsSilver Compoundssilver diamine fluoridechildren and youthdental cariesIndigenous oral healthoral health policyprevention and control

Identifiers

PMID41296691
PMCPMC12714367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.