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If the problem continues despite good hydration and oral hygiene, an evaluation may help identify whether dry mouth, tongue bacteria, gum disease, or another oral health condition is contributing

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These changes will almost certainly result in substantial enrollment declines, particularly among younger and healthier individuals, causing the Medicaid population to (once again) skew older and sicker, and likely worsening the utilization, acuity, and MLR challenges that health plans are already experiencing

That said, the clinical significance specifically in EDS populations is unknown no studies have directly examined these effects in connective tissue disorders