“…Oral spirochetes, including Treponema denticola, are associated with both acute and chronic periodontal diseases and are frequently found in high numbers at diseased sites (3,38,40,60). The interaction of periodontal organisms with host tissues is complex, involving mechanisms of adhesion, proteolysis, and evasion and modulation of the immune system (37,39,46,54,55). T. denticola binds to a number of extracellular matrix (ECM) components and other host factors that may mediate binding to gingival tissue (11,18,23).…”