Representative strains of oral streptococci, lactobacilli and bifidoba
cteria were incubated overnight with lactulose or other carbohydrates
and the final pH recorded. Most bacteria tested were able to metaboliz
e lactulose with the exception of strains of Streptococcus salivarius
Lactobacillus acidophilus and Lact, fermentum. Streptococcus mutans pr
oduced most acid overnight but the initial rate of acid production fro
m lactulose by uninduced cultures was very low. Plaque pH was monitore
d in 12 volunteers following rinsing the mouth with lactulose, sucrose
or sorbitol or Lactulose BP. These studies in vivo showed both lactul
ose and Lactulose BP to exhibit low acidogenic potential. Thus, althou
gh plaque bacteria are capable of fermenting lactulose, the results su
ggest that lactulose is likely to pose a small acidogenic challenge to
teeth under normal conditions of use.