Teething

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Trauma to soft Tissue and Primary (milk) Teeth

Small superficial oral lacerations heal spontaneously and no antibiotic is indicated.

Dirty lacerations need surgical debridement and antibiotic with:

• Penicillin 12.5mg/kg four times a day for 5-7 days

OR

• Amoxicillin 25mg/kg three times a day for 5-7 days

OR

• Benzyl penicillin, 15-30mg/kg IV every six hours

If hypersensitive to penicillin, use:

• Erythromycin 10-20mg/kg orally bd

OR

• Cephalexin 6.25mg/kg orally every 6 hours

OR

• Clindamycin (child: 5mg/kg up to) 300mg orally, twice daily for 5 days