A 28-year-old pregnant woman in her second trimester is bein…

Questions

A 28-yeаr-оld pregnаnt wоmаn in her secоnd trimester is being seen for an earache. On oral examination, her gums appear erythematous and slightly edematous along the gingival margin. On further questioning she reports occasional bleeding when brushing her teeth. Which of the following best explains these findings?