The Villain — Dysbiotic Microbiome
Act 1 · Microbial Complexes · Keystone Pathogen Hypothesis
Microbial complexes in subgingival plaque. J Clin Periodontol. 1998;25(2):134–44.
The keystone-pathogen hypothesis. Nat Rev Microbiol. 2012;10(10):717–25.
A low-abundance biofilm species orchestrates inflammatory periodontal disease through the commensal microbiota and complement. Cell Host Microbe. 2011;10(5):497–506.
Periodontitis: from microbial immune subversion to systemic inflammation. Nat Rev Immunol. 2015;15(1):30–44.
Periodontium as a model for bacterial pathogenesis. Nat Rev Microbiol. 2010;8(9):577–88.
Experimental gingivitis in man. J Periodontol. 1965;36:177–87.
The Victim — Host Periodontium
Act 2 · Innate & Adaptive Immunity · Histological Stages
Pathogenesis of inflammatory periodontal disease. A summary of current work. Lab Invest. 1976;34(3):235–49.
Destructive and protective roles of cytokines in periodontitis: a re-appraisal from host defense and tissue destruction viewpoints. J Dent Res. 2010;89(12):1349–63.
Involvement of T-lymphocytes in periodontal disease and in direct and indirect induction of bone resorption. Crit Rev Oral Biol Med. 2001;12(2):125–35.
The Conflict — Pathogenesis
Act 3 · Cytokine Storm · MMPs · RANKL/OPG · Disease Models
The pathogenesis of human periodontitis: an introduction. Periodontol 2000. 1997;14:9–11.
The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000. 1997;14:33–53.
Role of matrix metalloproteinases in human periodontal diseases. J Periodontol. 1993;64(5 Suppl):474–84.
The contribution of interleukin-1 and tumor necrosis factor to periodontal tissue destruction. J Periodontol. 2003;74(3):391–401.
Mapping the pathogenesis of periodontitis: a new look. J Periodontol. 2008;79(8 Suppl):1560–8.
The Referee — Risk Modifiers & Classification
Act 4 · 1999 AAP · 2017 World Workshop · Systemic Links
Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996;67(10 Suppl):1103–13.
Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1–6.
Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018;89 Suppl 1:S159–72.
Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S173–82.
Current view of risk factors for periodontal diseases. J Periodontol. 1996;67(10 Suppl):1041–9.
The Hero — Treatment & Future
Act 5 · Treatment Cascade · Resolution Biology · Precision Periodontology
Resolution of inflammation: a new paradigm for the pathogenesis of periodontal diseases. J Dent Res. 2003;82(2):82–90.
Treatment of stage I–III periodontitis — the EFP S3 level clinical practice guideline. J Clin Periodontol. 2020;47 Suppl 22:4–60.
Periodontal diseases: pathogenesis. Ann Periodontol. 1996;1(1):821–78.