“…Because of its many virulence factors, such as proteases, P. gingivalis can modulate host cytokine signaling networks and generate inflammatory infiltrates that are responsible for the chronic nature of periodontitis. Previous studies have shown that P. gingivalis can survive, spread to neighboring host epithelial cells, and resist phagocytosis in vitro (Cutler et al ., ; Miyabe et al ., ). In vivo , P. gingivalis has been identified in pathological gingiva using several methods, including immunofluorescence, immunohistochemistry, and fluorescence in situ hybridization (Rudney et al ., ; Kim et al ., ).…”