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Pediatric Dental Dosing Calculator

Weight-based pediatric dosing for the four most-prescribed drugs in Indian dental practice — Amoxicillin, Cefadroxil, Ibuprofen and Paracetamol. Generates exact mL of syrup, daily totals, and India-relevant brand & cost prompts.

kg
yrs
Enter the child's weight to compute pediatric dental doses for Amoxicillin, Cefadroxil, Ibuprofen and Paracetamol with India-available syrup volumes.
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Also Known As

pediatric dental dosingamoxicillin dose childibuprofen syrup doseparacetamol child weightcefadroxil pediatricdental prophylaxis childendocarditis prophylaxis pediatricBDS pedodonticsMDS pediatric dentistryIndian Dental AssociationIDA pediatricIndian Academy of PediatricsIAP STGCalpol dose dentalBrufen syrup doseMox syrup dental

Why Weight-Based Dosing Matters

Pediatric drug dosing is weight-based, not age-based. A 6-year-old can weigh 16 kg or 28 kg in Indian populations — flat age-based dosing risks under-treatment of cellulitis or overdose of paracetamol (a leading cause of pediatric hepatotoxicity globally).

The IAP Standard Treatment Guidelines and IDA pediatric protocols both emphasise mg/kg dosing with maxima capped at adult doses. This calculator follows IAP STG 2022 and BNFc.

Quick-Reference Pediatric Dental Doses

  • Amoxicillin — odontogenic infection: 25 mg/kg/dose TDS × 5 days (max 500 mg/dose).
  • Amoxicillin — endocarditis prophylaxis: 50 mg/kg, single dose 30-60 min pre-procedure (max 2 g).
  • Cefadroxil: 30 mg/kg/dose BD × 5 days — use in non-IgE penicillin allergy.
  • Ibuprofen: 10 mg/kg/dose TDS — preferred analgesic post-extraction.
  • Paracetamol: 15 mg/kg/dose QID, max 60 mg/kg/day or 4 g/day adult cap.

Indian Brand & Bottle Strength Notes

  • Mox / Novamox: Comes as 125 mg/5 mL AND 250 mg/5 mL (DS). Always read bottle label.
  • Calpol: 120 mg/5 mL (standard) and 250 mg/5 mL (Calpol-T DS) — most dosing errors come from mixing these up.
  • Brufen / Ibugesic: 100 mg/5 mL is the common pediatric strength.
  • Cefadrox / Droxyl: 125 mg/5 mL syrup is the typical pediatric formulation.
  • Typical Indian retail cost: a complete 5-day antibiotic course for a 15-kg child runs ₹50–120, well within outpatient affordability.

When NOT to Prescribe Antibiotics for Dental Issues

Per IDA / Cochrane evidence, the majority of pulpal pain and reversible pulpitis does not need antibiotics — definitive treatment (pulpectomy, extraction, drainage) is the cure. Reserve antibiotics for systemic involvement (fever, cellulitis, lymphadenopathy), spreading infection, or the immunocompromised child.

Frequently Asked Questions

Is amoxicillin still 1st-line for pediatric dental infections in India?

Yes. IDA and IAP both recommend amoxicillin as 1st-line for odontogenic infections in non-allergic children. Metronidazole may be added for spreading anaerobic infection. Co-amoxiclav (Augmentin) is reserved for severe or non-responding cases.

When is antibiotic prophylaxis indicated before dental procedures?

AHA / IDA: prosthetic valves, previous infective endocarditis, unrepaired cyanotic CHD, valvulopathy post cardiac transplant. Dose: amoxicillin 50 mg/kg single dose 30-60 min before invasive dental procedure.

Can I prescribe ibuprofen to all children post-extraction?

Avoid in infants <6 months, dehydration, NSAID hypersensitivity, asthma exacerbation, peptic ulcer, severe renal impairment. For most healthy Indian children >6 months, ibuprofen 10 mg/kg TDS is superior to paracetamol for post-extraction pain.

What is the max paracetamol dose per day for a child?

60 mg/kg/day or 4 g/day (whichever is lower). Hepatotoxicity is a real risk in malnourished or hepatically-impaired Indian children — never exceed five doses in 24 hours and never combine multiple paracetamol-containing products (e.g., Calpol + cold syrup).

Does EasyClinic auto-calculate pediatric doses?

Yes. The EasyClinic prescription engine takes weight + diagnosis and outputs mg dose, mL of syrup, brand/strength on the Indian market, daily total, duration, and prints / WhatsApps the instructions in your patient's preferred regional language. Saves ~2 minutes per pediatric prescription.

Clinical Disclaimer: Always confirm weight, allergy history and contraindications before prescribing. Verify syrup strength on the actual bottle in the child's possession — both 125 mg/5 mL and 250 mg/5 mL formulations exist for most antibiotics in India. Do not exceed adult maxima (Paracetamol 4 g/day, Ibuprofen 1.2 g/day, Amoxicillin 3 g/day). Always verify against your local prescribing reference and apply clinical judgment.

References

Pediatric dose, brand, cost — auto-printed on every Rx

EasyClinic's pediatric-aware prescription engine auto-doses by weight, picks an India-available brand, prints WhatsApp-ready instructions in Hindi / Tamil / Marathi, and flags allergies and renal contraindications. ₹1,999/month.

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