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This Concept Map, created with IHMC CmapTools, has information related to: Etiology and Pathogenesis (Updated), orchestrate inflammatory disease (e.g. periodontitis) by remodelling a normally benign microbiota, "microbial shift" which happens due to a keystone pathogen, increase in number of pathogens and/or decrease in the number of beneficial symbionts, Dysbiosis also known as "microbial shift", Oral hygiene procedures such as Using antibacterial mouthwash, Periodontal Disease Gingivitis, HISTOPATHOLOGY ???? Clinically Healthy Gingiva, Changes in structure whch include Apical migration of junctional epithelium, Predisposing Factors (Plaque Retentive Factors) in order to achieve Clinical Periodontal Health, Periodontal Disease Periodontitis, DEVELOPMENT OF PERIODONTITIS is associated with cells, Increased immune response such as Predomination of plasma cells, Three Factors which are Local environment, Periodontitis is characterized by Changes in structure, Surgical Treatment Bone grafting, Changes in structure such as Appearance of pocket epithelium of about 4mm w/o loss of attachment, Oral hygiene procedures such as Brushing at least twice a day, Local environment that is if it favors the growth of the microorganisms, increased interstitial pressure which leads to compressed blood vesels resulting to engorgement of venous blood, Changes in structure such as Continued epithelial proliferation