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Pediatric liquid analgesics (PLA) are widely prescribed and are easily accepted by both parents and children. However, these drugs can place patients at risk for dental caries and dental erosion, especially when used on a regular basis and over a long period of time Sucrose is widely used in the pharmaceutical industry due to its properties as preservative, antioxidant, solvent and thickening agent.
The erosive potential of food of liquid preparations depends on pH, titratable acid, type of acid (pKa), calcium chelation properties and physical and chemical properties affecting adherence to the enamel surface and stimulation of salivary flow. Liquid oral medicines are usually viscous syrups that penetrate into fissures and proximal areas that are inaccessible to the toothbrush. Therefore, regular and long-term use of medications with prolonged oral clearance may increase the risk of dental caries if they contain sugars or dental erosion if they contain acids.