Horizontal gene transfer (HGT) plays an important role in bacterial evolution. HGT is an important way for bacteria to rapidly obtain genetic improvement. HGT promotes the transmission of biological characteristics such as virulence, antibiotic resistance and allometabolism in microorganisms. The bacteria in the mouth are abundant and abundant. Bacterial virulence gene (Virulence genes, VGs) and antibiotic resistance genes (Antibiotic resistance genes, ARGs) besides through vertical transmission by parental, also can through HGT in oral symbiotic species or genus within the transmission. HGT promotes the spread of virulence genes and resistance genes, becomes an important driving force for the adaptive evolution of oral microorganisms, increases the difficulty of the treatment of oral bacterial infectious diseases (periodontal disease, periradicular lesions, Periimplantitis, etc.), and brings serious harm to human oral health and even general health. With modern microbiology, genetics, molecular biology, the macro development of disciplines, such as genomics, electron microscope and laser confocal microscope, nucleic acid hybridization (especially the 16 sRNA gene sequencing) and other modern analysis technology has been widely applied in periodontal pathogens resistance genes, through the study of HGT way spread and made some progress. This paper will analyze and summarize the literature on the spread of resistance genes of common periodontal pathogens through HGT method in recent years, in order to provide reference for the follow-up study of resistance of periodontal pathogens, as well as for the solution of resistance of periodontal pathogens and the treatment of periodontal diseases.