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Patients are informed of the various aspects of transmissibility of the infectious agents which will allow them to develop disease.

They are informed that the bacteria are not easy to transmit and people probably need to live together to exchange them. The bacteria which cause periodontitis are anaerobic thus the surfaces of transmission must remain wet to stay anaerobic.

Kissing, sharing cups and glasses, coughing and sneezing can cause the transmission.

Microbiologists at a recent meeting honoring Dr. Loesche have confirmed that although certain patients are genetically predisposed to develop infections, they all must have the appropriate bacteria in order to develop infections.

Therefore infection control treatment supported by bacteriologic testing is still quite important for the clinical practice.