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Dentistry · Paediatric dentistry: tetracycline staining
Sample itemWhich antibiotic is avoided in pregnancy and in children under 8 years because it permanently discolours developing teeth?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Tetracycline
Tetracyclines chelate calcium and are incorporated into developing teeth and bone, causing yellow-brown banded discolouration that fluoresces under ultraviolet light.
Option by option
A. Amoxicillin
Amoxicillin does not stain teeth.
B. Cefixime
Cefixime is not associated with tooth staining.
C. Tetracycline (correct)
Correct. Tetracycline stains developing teeth.
D. Azithromycin
Azithromycin is not associated with intrinsic staining.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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