Xylitol fermentation by human dental plaque.

The aim of the present study was to examine xylitol metabolism by dental plaque collected immediately after the use of xylitol gum. Plaque was collected from 12 individuals immediately before and after xylitol exposure. The effect on xylitol metabolism by dental plaque of a 3 d discontinuation of the xylitol exposure was also examined. Xylitol metabolism by the plaque suspensions was initiated by adding [14C]xylitol and analyzed by HPLC. The results showed increased xylitol metabolism after 11 wk of chewing xylitol-containing gum. The ability to metabolize xylitol was rapidly reduced after the discontinuation of the xylitol exposure. It is suggested that an induction of enzymes in one or more of the species of plaque bacteria may have caused this effect. Glucose metabolism, which also was studied in the plaque samples, was decreased after xylitol exposure, but increased again 3 d after cessation of the xylitol exposure. It is suggested that the reduced glycolysis was caused by accumulation of intracellular xylitol-5-phosphate in some plaque bacteria during the xylitol exposure.