2014
DOI: 10.1111/jre.12248
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Bacterial invasion and persistence: critical events in the pathogenesis of periodontitis?

Abstract: Periodontitis is chronic inflammation of the periodontium caused by the host's inflammatory response to plaque biofilm, which destroys tooth-supporting soft and hard tissues. Periodontitis is a complex disease that involves interactions among three main features -microbial challenge, the host immune response, and environmental and genetic risk factors -in its pathogenesis. Although periodontitis has been regarded as the result of hyperimmune or hyperinflammatory responses to plaque bacteria, recent studies ind… Show more

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Cited by 114 publications
(107 citation statements)
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References 180 publications
(297 reference statements)
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“…Invasion of periodontal pathogens into periodontal tissues is an important step that can initiate periodontal diseases [18]. Gingival epithelium is the first cell layer that bacteria in subgingival biofilms have to pass through in order to invade into the deeper parts of periodontal tissues.…”
Section: Introductionmentioning
confidence: 99%
“…Invasion of periodontal pathogens into periodontal tissues is an important step that can initiate periodontal diseases [18]. Gingival epithelium is the first cell layer that bacteria in subgingival biofilms have to pass through in order to invade into the deeper parts of periodontal tissues.…”
Section: Introductionmentioning
confidence: 99%
“…Thus, TRPV4‐associated epithelial cell‐cell junctions appear to play an important role in human oral mucosal epithelia. It is well known that bacteria and their components can intrude into the junctional epithelium, which increase neutrophil penetration and enhance periodontal inflammation . Impaired epithelial cell‐cell contact via TRPV4 may lead to more serious vulnerability of periodontal tissues to bacteria or mechanical stresses and aggravate periodontal inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…The degradation of the soft and hard tissues of the periodontium results from both the colonization of tooth surfaces by certain Gram-negative anaerobic bacteria, such as Aggregatibacter actinomycetemcomitans 2,3) and Porphyromonas gingivalis 4) , and the host response to its accumulation 5) . In dental plaque, lipopolysaccharide (LPS) from the cell wall of Gram-negative bacteria induces the production of bone-absorbing cytokines, such as interleukin (IL)-1, IL-6, interferon (IFN)-α, and tumor necrosis factor (TNF)-α [6][7][8] , and of prostaglandin E2 (PGE2) 9) .…”
Section: Introductionmentioning
confidence: 99%