“…Other approaches extend traditional genetic and aggregation models to specifically model transmission. 48,49 As mentioned earlier, some of the known or suspected risk factors in periodontal disease etiology are age, race, gender, socioeconomic status, genetics, periodontal microbes, comorbidities (systemic disease, diabetes, etc. ), dental hygiene, diet and nutrition, tobacco use (cigarette, cigar, pipe), alcohol, osteopenia, osteoporosis, psychosocial factors (stress, distress, coping behaviors), and polymorphonuclear leukocyte disorders.…”