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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-97Increasing the Percentage of Toddlers Who Completed Four Times Fluoride VarnishApplication in Klinik Pergigian (KP) SikamatDewi Mayang SK1, Nurul Iza A1,2, Noor Farishahbanu A1,2, Nur Aliah A1,2, Prisitha Nair V1,2, NurhazirahSuhailah MI1,2, Nur Aqilah Syuhada MN1,2, Zainul Iman AM1,21 Seremban Oral Health District Of ice, Negeri Sembilan2 Sikamat Oral Health Clinic, Negeri SembilanSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:The prevalence of dental caries is high among pre-school children in Malaysia. Based on the NationalOral Health Survey of Preschool Children (NOHPS) in 2015, the prevalence is 71.3%. Despite strongevidence proved that four times application of Fluoride Varnish (FV) significantly prevented caries; veryfew toddlers completed the course, only one out of 142 toddlers (0.7%) completed the course during2021.KEY MEASURES FOR IMPROVEMENT:The indicator for improvement was the increase in percentage of toddlers who completed four times FVapplication. A standard of %u226513% was used based on the Plan of Action in Malaysia Oral HealthProgramme 2022-2023.PROCESS OF GATHERING INFORMATION:A quality improvement study is being conducted at KP Sikamat involving toddlers with high caries-risk.The study was started in 2022 in three phases; (i) verification study (December 2021 - January 2022),(ii) implementation of remedial measures; Cycle 1 (January- December 2022), Cycle 2 (February 2024 -January 2025) and (iii) re-evaluation post-intervention; Cycle 1 (January - February 2023), Cycle 2(February %u2013 March 2025).ANALYSIS AND INTERPRETATION:Potential contributing factors include poor patient-parent compliance, dental fear, lack of follow-up fromdental officers and the inability to contact parents.STRATEGIES FOR CHANGE:Remedial measures during Cycle 1 (2022-2023) include creation of: (i) Excel Sheet Recall System (ii) FVForm to document toddler%u2019s FV visit, and (iii) parents were contacted via call or text to remind them ontoddler%u2019s follow-up appointments. Additional remedial measures during Cycle 2 involves (i) designing FVpocket cards consisting of information on FV, (ii) decorating surgery rooms, and (iii) devising steps topositively reinforce toddlers attending the clinic.EFFECT OF CHANGE:Evaluation of Cycle 1 showed an increase in percentage of toddlers who came for four times FVapplication; from 0.7% to 28.2%. The interventional measures are being continuously implemented andmonitored while undergoing Cycle 2.THE NEXT STEP:Our goal is to execute these interventional measures to all government dental clinics in Seremban.190 | Page