“…Although some apoptosis could occur in the clinically healthy gingiva, especially in the junctional epithelium, a phenomenon that may play a role in the regulation of mucosal inflammation for the maintenance of homoeostasis, increased apoptosis and reduced proliferation observed in the deepest sulcular pocket and most apical part of the pocket might be an essential factor in progression of periodontitis (Jarnbring, Somogyi, Dalton, Gustafsson, & Klinge, 2002;Tonetti, Cortellini, & Lang, 1998). Periodontopathogens are associated with cell apoptosis and necrosis with concomitant activation of the immune system (Kelk et al, 2011;Leung, Wu, Hannam, McBride, & Uitto, 2002;Uitto et al, 1995). The various inflammatory processes could also drive surrounding tissue cells, granulocytes, and macrophages to apoptosis and thus increase and maintain the inflammation (Haanen & Vermes, 1995).…”