“…In germ-free mice and rats, it was demonstrated that periodontal disease and caries, similarly to other human inflammatory diseases, cannot be experimentally induced in the absence of microbiota ( Heijl et al, 1980 ; Tlaskalova-Hogenova et al, 2004 ). Experimental animal models (e.g., the gavage model of periodontal disease) and in vitro studies revealed that certain components of oral microbiota, mainly P. gingivalis , play a crucial role in the innate host defense of periodontium and that dysregulation of the immune response in the presence of oral microbiota leads to inflammation and alveolar bone loss ( Ivanyi et al, 1991 ; Darveau et al, 2012 ; Papadopoulos et al, 2013 ). The mechanisms by which microbiota triggers the pathological changes are not yet fully understood, however, new approaches promise to shed light on the role of oral microbiota ( Kinane et al, 2017 ; Pitts et al, 2017 ).…”