Porphyromonas gingivalis is strongly associated with periodontal diseases and is regarded as one of the risk factors for periodontitis. Insertion sequence element IS1126-based PCR was used to investigate the genetic heterogeneity of P. gingivalis from periodontitis patients and to examine the frequency of the parent-child and spouse-spouse transmission. Two sets of IS1126-specific primers were used for the PCR. The inward primer set (PI1 and PI2), which amplifies the IS1126 fragment of approximately 690 bp, was used to identify P. gingivalis. The outward primer set (PI1RC and PI2RC), which is reverse complementary to PI1 and PI2, respectively, and amplifies the gene fragments between the adjacent IS1126 elements was used to characterize the genotypes of the P. gingivalis strains. PCR of P. gingivalis with PI1RC and PI2RC resulted in the production of two to seven amplicons, which showed a unique electrophoretic pattern in each strain (4 laboratory strains and 37 clinical isolates cultured from 12 patients with aggressive periodontitis). The usefulness of the method for transmission study was confirmed by detecting identical genotypes between the isolates and the plaque samples from which the isolates were cultured and between the plaque samples from different tooth sites in the same patient. Thirty probands with periodontal diseases and their thirty immediate family members were included in the transmission study. In 11 of 14 parent-child pairs (78.6%), P. gingivalis revealed an identical or similar band pattern, whereas 5 of 16 spouse pairs (31.25%) had this similarity. These results show that IS1126-based PCR for genotyping P. gingivalis has a highly discriminating potential with reproducible data and is a simple and reliable method for a transmission study.Porphyromonas gingivalis is a gram-negative, anaerobic, nonmotile short rod-shaped, black-pigmented bacterium. Studies on the epidemiology, the virulence factors, the host response, and the pathogenicity in animal models have provided strong evidence implicating this bacterium in the etiology of periodontitis (9, 10, 12). P. gingivalis is known to be a risk factor for periodontitis (3). In addition, there is accumulating evidence showing that an infection with P. gingivalis may predispose an individual to cardiovascular disease and cause the delivery of preterm infants (4,5,24). This emphasizes the importance of preventing an infection by this bacterium. In this respect, information on the transmission route of P. gingivalis between individuals is important for determining the risk factors for periodontitis and for developing strategies for preventing the transmission of the pathogen to uninfected individuals.Several studies on the transmission of periodontopathogens have been performed by detecting identical strains between related family members. The transmission of Actinobacillus actinomycetemcomitans and P. gingivalis has been reported by comparing either the serotypes (15, 32) or the genotypes. The transmission rate reported thus far varies from study ...