Pregnant patient with asthma (last asthma attack 1 week ago). Presents with pain from impacted #32 — pericoronitis. Patient is NOT allergic to penicillin. What is a safe antibiotic for this patient?

Correct answer: B. Amoxicillin

• A. Tetracyclines are contraindicated in pregnancy due to risk of fetal tooth discoloration/bone effects.
• B. Correct. Amoxicillin (a penicillin) is generally considered safe in pregnancy and is first-line for odontogenic infections in a non-penicillin-allergic patient.
• C. Doxycycline (a tetracycline-class antibiotic) is contraindicated in pregnancy for the same reasons as tetracycline.
• D. Fluoroquinolones (e.g., ciprofloxacin) are generally avoided in pregnancy due to potential effects on fetal cartilage/joint development.