INBDE (Integrated National Board Dental Examination) Practice Exam

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Tetracycline affects what layer of the tooth?

  1. Dentin

  2. Enamel

  3. Pulp

  4. Cementum

The correct answer is: Dentin

Tetracycline, a type of antibiotic, affects the dentin layer of the tooth. Dentin is the hard tissue beneath the enamel which forms the majority of the tooth's structure. When a person takes tetracycline antibiotics, especially during tooth development, it can lead to discoloration of the dentin layer, resulting in a characteristic yellow or gray-brown color of the teeth. This discoloration is due to the incorporation of tetracycline into the dentin matrix as the tooth develops, affecting its appearance. Therefore, the correct answer is dentin. Enamel is the outer layer of the tooth that protects it from wear and decay, while pulp is the innermost part of the tooth containing nerves and blood vessels. Cementum is a specialized calcified substance covering the root of the tooth. These layers are not directly affected by tetracycline as it primarily impacts the dentin layer.