Elements in the development of gingivitis include which of the following? (Select all that apply.)

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Each of the selections may be an element in the development of gingivitis.Local factors include plaque biofilms and smoking.Systemic factors include immunocompromised health status and diabetes.Use of certain medications,including antihistamines and antidepressants,and hormonal changes are well documented for their tendency to initiate gingival changes.Although vitamin A contributes to formation of oral structures,vitamin C is more closely linked to gingivitis.

Elements in the Development of Gingivitis Include Which of the Following