“…20 Although this research evaluated only the formation of P. gingivalis biofilm as monospesies, a decrease in potential biofilm formation of P. gingivalis was assumed to be related to environmental changes (in wells), such as changes in the pH of the medium due to the introduction of test material that may have affected the metabolism of P. gingivalis biofilm mass. 21 Environmental factors, such as pH, temperature, cytokines, hormones, and oxidative stress have an effect on the formation of bacterial biofilms, including P. gingivalis, in the pathogenesis of periodontal infection. Specifically, changes in temperature could improve attachment, coaggregation, and production of protease.…”