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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024OP-19Reducing the Percentage of Patients Developing Active Caries within Six MonthsAfter Comprehensive Dental Treatment Under General Anesthesia in theDepartment of Pediatric Dentistry, Slim River HospitalLiyana Aqilah R1, Zulaikha ZA1, Fayyadhah MA1, Nurul Nadia AH1,1Department of Pediatric Dentistry Hospital Slim River, PerakSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Development of new caries within six months after a comprehensive dental treatment under generalanesthesia is alarming as it warrants another repeat procedure, which is time consuming, costly and notwithout risk. This study aims to reduce the percentage of patients developing active caries within sixmonths after comprehensive dental treatment under general anesthesia.KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement was measured using the percentage of patients developing activecaries within six months after comprehensive dental treatment under general anaesthesia with a standardof %u226410%, following the National Paediatric Dentistry Key Performance Indicator.PROCESS OF GATHERING INFORMATION:A quality improvement study involving a verification study and three post-interventional cycles using auniversal sampling method were conducted. A clinical audit of dental records and a focus groupdiscussion were done to determine the contributing factors. Number of patients who develop active carieswithin six months post-operatively was collected and recorded in a data collection form.ANALYSIS AND INTERPRETATION:The contributing factors identified were incomplete peri-operative dental charting (100%), poorcompliance to oral habit post-operatively (36.7%) non-compliance to post-operative appointments(17.4%), failure of restorations (1.5%) and the lack of standardised caries risk assessment post-operatively(100%). 14.1% of patients developed new caries and the ABNA was 4.1%.STRATEGIES FOR CHANGE:The strategies implemented were introducing a new caries risk assessment form adapted from CAMBRA2021 during post-operative appointments, improving peri-operative documentation, optimisingpost-operative preventive and restorative measures, and reminders to parents for recall appointments toreduce defaulters.EFFECT OF CHANGE:The percentage of patients developing active caries within six months after comprehensive dentaltreatment under general anaesthesia reduces from 14.1% to 3.85% in Cycle 1, 3.57% in Cycle 2 and 0%in Cycle 3.THE NEXT STEP:Remedial measures have been shown to reduce the percentage of new caries and improve patienttreatment. An audit will be carried out periodically to ensure the sustainability of the department%u2019s result.44 | Page