A 21-year-old, 21-week pregnant woman presented to a dentist with complaints of swollen and erythematous gingiva with spontaneous bleeding. The patient further reported that she noticed the bleeding at the time of brushing and during eating. The patient’s medical history was unremarkable. Her prenatal examinations were within normal limits.

However, the patient had routine dental restorations before her pregnancy. Dental examination Absence of any signs or symptoms of oral cancer Intact dental restorations Grade 4 spontaneous gingival bleeding What is the possible cause of gingival inflammation in the patient? Option A: Streptococcus mutans infection Option B: Plaque Option C: Caries Option D: Progesterone Source: Medscape *This image-based patient case is from the Docplexus editorial team for educative purpose only. Stay tuned; the answer will be posted soon.