“…The morphology of the tissue and its constant exposure to inflammatory agents and mechanical stress suggest that the oral sulcular epithelium is a weak barrier to antigenic substances, as attested to by numerous in vivo and in vitro permeability studies. Studies on permeation of substances through mucosal tissues have included measurements of permeability to [3H] -H2 0 (Kaaber, 1 973;Adams, 1974), drugs (Altman et al, 1960), topical application of antigen (Rizzo, 1970;McDougall, 1972), labeled human albumin (Tolo, 1971), horseradish peroxidase (Squier, 1973), endotoxin (Schwartz et al, 1973;Alfano et al,, 1975), inulin (Alfano et al, 1977), and dextran (Tolo and Johnsen, 1975). The initiation of periodontal disease appears to be associated with the breakdown of the integrity of epithelial basement membrane (Stern, 1965).…”