Human type II low-affinity receptor for immunoglobulin G (FcgRII) constitutes a clustered gene family consisting of FcgRIIA, IIB and IIC genes. FcgRIIB is unique in its ability to transmit inhibitory signals in B cells via immunoreceptor tyrosine-based inhibitory motif (ITIM). B-cell activation and subsequent elevated production of IgG are the immunopathological features of inflammatory disease such as periodontitis. To determine whether an association with periodontitis susceptibility exists, genetic polymorphisms of FcgRIIB were examined in Japanese patients with aggressive periodontitis (AGP) and chronic periodontitis (CP), and in the race-matched healthy controls (HCs). A significant difference was observed in the distribution of FcgRIIBÀ232I/T allele (exon 5) between the AGP and HC groups, with enrichment of the 232T in the AGP group (P¼0.006). In addition, the FcgRIIB-nt 646À184A/G allele (intron 4) distribution was significantly different between the CP and HC groups, with enrichment of the nt 646À184A in the CP group (P¼0.011). These results document the association of FcgRIIB gene polymorphisms with susceptibility to periodontitis in the Japanese.