“…The initiating role of bacteria in inflammatory gingival disease has been studied at length, especially over the last decade (Lee, Theilade, and Jensen, 1965, Socransky, Hubersak, and Propas, 1970, Jordan, Keyes, and Be1lack, 1972 with germfree rats, demonstrated periodontal inflammation could not occur in the absence of microorganisms. They observed both local irritation and bacteria were necessary to produce periodontal inflammation in their model.…”