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People with Asthma/Chronic Obstructive Pulmonary Disease (COPD): The use of inhaled corticosteroids has been shown to increase an individuals risk for oral thrush

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Tobacco use (smoking and chewing) Chronic alcohol consumption Ill-fitting dental appliances causing repeated irritation HPV infection and persistent mechanical trauma Together these triggers create a pro-inflammatory, pro-oxidant environment in your oral mucosa

Opponents of the measure also say it violates Ohio's home rule provision, which allows local governments to create their own ordinances as long as they do not interfere with the state's revised code