“…Additionally, elevated levels of antibodies are detected to bacteria considered to be pathogens in oral biofilms (Hayman et al, 2011, Ramseier et al, 2009, Kinane and Bartold, 2007, Takeuchi et al, 2006). The breadth of adaptive immune responses, coupled with the detection and proposed role of professional antigen presenting cells (APCs), macrophages (Ku et al, 2011, Artese et al, 2011, Ren et al, 2009) and den-dritic cells (Jotwani et al, 2001, Cutler and Jotwani, 2006) supports that local antigen uptake, processing, and presentation must occur and play a role in control of periodontal infections.…”