“…Periodontitis affects many people worldwide and is the main cause of tooth loss, whereas its pathogenesis is quite complicated. In general, periodontitis is an inflammatory disease, usually initiated by periodontal pathogens residing in the dental plaque, including Porphyromonas gingivalis (P. gingivilas) (Byrne et al, 2009), Aggregatibacter actinomycetemcomitans (A. actionomycetecomitans or Aa) (Fine et al, 2007), Tannerella forsythia (T. forsythia) (Tomita et al, 2013), Fusobacterium nucleatum (F. nucleatum), Treponema denticola (T. denticola) (Shin et al, 2013), and Actinomyces viscosus (A. viscosus) (Shimada et al, 2012). However, other risk factors, such as smoking (Kamma et al, 2004), dental calculus (Susin and Albandar, 2005), occlusal trauma (Nakatsu et al, 2014), mouth breathing (Seo et al, 2013), genetic factors (Laine et al, 2012), hormones (Antonoglou et al, 2015), and stress (Huang et al, 2011), can promote the progression of periodontitis.…”