Paediatric dosing — by weight
Weight-based dental doses for children, reconciled to current Australian Therapeutic Guidelines · enter a weight → capped dose, suspension volume and a ready-to-print script.
Oral antibiotics are an adjunct to drainage and a dental procedure. Not routinely needed for a localised infection if a procedure can be done within 24 h. Stop at 48–72 h if the child is improving after source control.
These regimens are for a spreading infection WITHOUT severe features, as an adjunct to prompt dental treatment. Refer urgently to hospital (oral & maxillofacial surgery) — call an ambulance, do not manage with oral antibiotics — if ANY of the following are present:
- Difficulty breathing or swallowing, or noisy / laboured breathing
- Swelling of the floor of the mouth
- Trismus — cannot open the mouth
- Neck swelling
- Facial swelling occluding the eye (cavernous sinus thrombosis risk)
- Temperature above 38 °C or below 36 °C
- Pallor, sweating or tachycardia
In a child, the threshold is lower: grunting, lethargy or irritability, or inability to feed may be the only signs of sepsis — and act on sepsis whenever you or the family are significantly concerned. Consider meningitis in a young child.
Therapeutic Guidelines: Oral & Dental — Acute odontogenic infections, Table 13.19 & Figure 13.79 (Published Sept 2025).