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Background: The aim of the study is to compare the erosive potential of three different commonly used pediatric syrups on deciduous teeth enamel. The objectives of the study were to assess the endogeneous pH and titratable acidity of mefenamic acid syrup (meftal P), cetrizine syrup (alerid) and multivitamin syrup (zincovit) and to evaluate the microhardness of the enamel after successive immersion cycles in each of the syrups.Methods: 40 non carious deciduous teeth were included for the study The samples were then randomly allocated into 4 groups (10 in each group): Group A- mefenemic acid syrup (meftal P), Group B- cetrizine syrup (alerid), group C- multivitamin syrup (zincovit) and group D- control (distilled water). The samples were then subjected to the immersion cycles in the syrups. Assessment of enamel surface microhardness was done using Vickers hardness tester at 7th day and 14th day. The pH and titrable acidity of the syrups were also assessed. One way analysis of variance (ANOVA) and post hoc tests were used for the statistical analysis.Results: Out of the test groups, group C showed the lowest pH of around 4.2 and exhibited the largest titrable acidity (22.8 ml) compared with 21 ml in group A and 15.5 ml in group B. At the end of 14th day, group A had microhardness of about 293.43.84±6.34, group B had 299.930±6.85, group C had 313.380±6.23 and group D had 334.190±5.51.Conclusions: All the pediatric liquid medications assessed in the study, meftal P, alerid and zincovit showed acidic pH, high titrable acidities and all the syrups showed loss of microhardness after exposure to the syrups for 14 days. Loss of microhardness was highest for meftal P followed by alerid and least for zincovit.

A healthy-women during the period of conception has higher chances of a successful delivery and a healthy child 1 .At the time of maternity, the mother's oral health has a direct relationship to the birth outcome and simultaneously, the infant's oral health. Gingival and periodontal diseases are the most commonly observed diseases found in mothers who neglect their dental hygiene. These conditions, if left untreated in the mother have significant implications on the infant which comprises of preterm birth, preeclampsia and delivery of low-birth weight babies 2. Oral microbiota which comprises of Streptococcus mutans as the most cariogenic microorganism has a unique property of vertical transmission from the mother to the foetus. Consequently, there are higher chances of infants being prone to early development of caries in mothers with higher cariogenic flora 2 .There are large proportions of low-birth weight babies resulting from inadequate nutrition during pregnancy. The demand for nutrition increases during the course of pregnancy and insufficient nutrition can have both short-and long-term effects on the developing foetus. It is therefore imperative for a mother to consume adequate nutrients in adequate proportions. In order to avoid complications, the mother should be referred to a nutritionist by the gynaecologist to counsel them regarding the importance of maintaining a balanced diet. Further complications in infants can be attributed to preconception underweight or overweight and micro nutrient deficiencies in mothers 3 .The nutritional deficiencies in a mother can have significant implications on the developing dentition and the associated periodontium of a child. There is a lack of awareness in pregnant women regarding the importance of prenatal counseling and nutrition during the preconception period. Health care professionals are in a position to take initiative and impart knowledge about preconception-pregnancy related nutrition. Discussions regarding healthy eating guidelines, dietary supplement intake and maintenance of healthy weight should be included in the preconception counseling. Educating pregnant mothers about the different aspects of prenatal and postnatal care should be the aim of oral health promotion 4. Postnatal care includes early referral of the child to pedodontists to prevent diseases and to treat the pre-existing ones if present 2. Therefore, there is a need for an interdisciplinary collaboration among gynaecologists, pediatricians, nutritionists and pedodontists during preconception, conception and postconception 4 .

Mucocele is defined as the lesion present on the oral mucosa such as lip, cheeks and the floor of the mouth, but mainly appear in the lower lip, that results from the accumulation of mucous secretion. This could be due to trauma and lip biting habits or alteration of minor salivary glands. The present case report highlights the importance of identifying the exact etiology of the mucocele and appropriate management to prevent its recurrence. This case report also advocates the use of diode laser for the treatment of mucocele as it requires minimal anesthesia which reduces apprehension and fear in pediatric patients, causes minimal blood loss and accelerates the healing of the surgical site.

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