PEDIATRIC SAFETY PROTOCOL
Dental Local Anesthesia
Weight-Based Maximum Safe Dosage (LA)
TOXICITY GUARD
Calculations assume standard 1.7mL or 1.8mL US dental cartridges.
MAXIMUM SAFE DOSE
0.0 CARTRIDGES
0 mg
SECURE RANGE
Pediatric Anesthesia Safety Standards
Calculating the maximum recommended dose (MRD) of local anesthetic is critical in pediatric dentistry to prevent Systemic Local Anesthetic Toxicity (LAST). Children are more susceptible to overdose due to lower body mass and metabolic rates.
What is the "Rule of 25" for Lidocaine?
A common clinical shortcut: for a child over 25lbs, one cartridge of 2% Lidocaine is generally safe. However, always use precise weight-based calculation for maximum safety.
Why is Articaine restricted in very young children?
Articaine is often restricted in children under 4 years of age due to limited clinical data on safety and efficacy in this specific age group.
Dr. Nikhil Mahajan, PT