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You are a member of an interprofessional primary care team, caring for Mary Smith, a 53 year old patient with a history of well-controlled diabetes mellitus, depression, hypertension, and allergies. Today, she presents for routine follow-up for her multiple medical conditions.
Mrs. Smith is diabetic, so you perform an oral examination at this visit and advise her to see a dental care provider regularly. What is the probable mechanism connecting periodontal disease with diabetes mellitus?
On today’s visit, you find that Mrs. Smith’s glucose control has recently worsened. The findings on her oral exam are illustrated in the photo.
Robert Henry, DMD, MPH
Which of the following statements is correct?
Mrs. Smith takes multiple medications each day to treat her hypertension, depression, asthma, and allergies. Today you review her medication list, which includes hydrochlorothiazide, citalopram, intranasal fluticasone, albuterol, and loratadine.
Which oral complication is common to all the medications Mrs. Smith takes?