An adult client in orthodontic treatment is taking nifedipine, a calcium channel blocking agent, to control hypertension. What is the concern for this client?
A) Nifedipine can cause a hormonal imbalance, making the control of gingival inflammation more difficult.
B) A side effect of nifedipine is increased bone density, which can make tooth movement more difficult.
C) A side effect of nifedipine is gingival hyperplasia, which can become more pronounced during orthodontics owing to increased plaque accumulation around brackets and bands.
D) Nifedipine also acts as a prostaglandin inhibitor, which when taken in higher doses will slow the process of bone resorption required to move teeth.
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