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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024OP-21Improving the Percentage of Dental Case Completion among Kindergarten Childrenin Selising, Pasir PutehSiti Razan R1, Nur Farah Athirah M1, Hasmawati H1, Izzah Hameeda Z2, Nurul Izlin Z21 Klinik Pergigian Selising, Pasir Puteh, Kelantan2Klinik Pergigian Pasir Puteh, Pasir Puteh, KelantanSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Completing dental treatments needed for kindergarten children is crucial as it will impact the overallquality of children's health. A verification study in 2022 reported that kindergarten children in Selisingachieved the lowest percentage which is 30.9% of dental case completion in Pasir Puteh district.KEY MEASURES FOR IMPROVEMENT:The indicator is the percentage of kindergarten children with dental case completion in Selising, wherebythe standard is %u226570% based on state target.PROCESS OF GATHERING INFORMATION:This study was conducted from 2022 to 2023. Five kindergartens with the lowest percentage of dentalcase completion in Selising were selected. Data was collected using the patients%u2019 dental records (LP 8),Kindergarten report data (PGPS 201), Modified scale of dental anxiety for kindergarten children andquestionnaires to parents and teachers who met the inclusion criteria.ANALYSIS AND INTERPRETATION:Pre-remedial study showed 69% defaulted appointments due to unsystematic appointment schedules,81% with high dental anxiety among kindergarten children and 80% with no consent for dentaltreatment. Moreover, knowledge, attitude and practice among kindergarten parents and teachers weregenerally poor.STRATEGIES FOR CHANGE:A specific appointment book in the dental clinic was created to aim for dental case completion. DentalOfficer-In-Charge assigned for close monitoring. Besides, Innovative %u2018Child-Friendly%u2019 treatmentapproach was implemented. Other strategies include distributing consent forms to all parents andreturning on the same day during kindergarten registration day, organised Parents-Dentists Meeting Dayand counseling sessions with parents. Also, training of trainers was organised for kindergarten teachers.EFFECT OF CHANGE:The percentage of dental case completion increased from 31% to 73%. ABNA was reduced from 39%to 0%.THE NEXT STEP:The remedial actions have been expanded and implemented to all kindergartens in Pasir Puteh District.We plan to continue the remedial actions at the state level.46 | Page