“…Subgingival microflora in gingivitis represent a transition between that associated with health and periodontitis, 38 in which subgingival microflora shifts from being predominately gram-positive to an increased number of obligate anaerobic gram-negative organisms, such as Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, and Selenomonas noxia, as well as Campylobacter rectus, Aggregatibacter (formerly Actinobacillus) actinomycetemcomitans, and Prevotella intermedia, and spirochetes. [35][36][37][38][39][40][41] Other microorganisms found in PD include Chlamydophila pneumoniae 42 ; Mycoplasma 43,44 ; Helicobacter pylori [45][46][47] ; candida 48 -51 ; Epstein-Barr virus, cytomegalovirus, and herpesviruses [52][53][54] ; ameba 55 ; methane-producing microorganisms called archaea 56 -59 ; and sulfate-reducing bacteria and archaea. 60,61 Epithelium in the gingival sulcus interacts with bacteria in the subgingival crevicular space, generating and transmitting signals between bacteria and adjacent immune cells.…”