Pediatric Dentistry · single question

Tetracycline causes intrinsic tooth staining mostly when given during which period?

  1. In utero (2nd–3rd trimester) and infancy/early childhood
  2. Age 10
  3. Only after age 12
Show answer and explanation

Correct answer: A. In utero (2nd–3rd trimester) and infancy/early childhood

Tetracycline staining risk: 2nd-trimester in utero through ~8 years (period of crown calcification).
  • A. Correct. Tetracycline crosses the placenta and binds calcifying tissues; it is contraindicated from the 2nd trimester through ~age 8.
  • B. By ~age 8 the anterior permanent crowns are calcified; risk has largely passed.
  • C. Risk is during active tooth calcification, which is complete for most teeth by then.

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