Chronic exposure to periodontal pathogens results in the continued sti
mulation of an immune and nonimmune response by the host. The cytokine
s and other inflammatory mediators produced in gingivitis/periodontiti
s result in local tissue destruction and may reach significant levels
affecting the cardiovascular system or placental tissues. The oral cav
ity may also serve as a direct reservoir for bacterial contamination o
f the lungs with subsequent development of bacterial pneumonia.