Abstract
No studies on the concentration dependency of the inhibition of Streptococcus mutans with xylitol are available. We studied xylitol-induced growth inhibition of two type strains, S. mutans NCTC 10449 and Ingbritt, and three clinical isolates of S. mutans. The strains were grown in Brain Hearth Infusion Medium in the presence of 0.001% (0.066 mM), 0.005% (0.33 mM), 0.01% (0.66 mM), 0.1% (6.6 mM), and 1% (66 mM) xylitol. Growth was followed by measuring the absorbance at a wavelength of 660 nm. The highest xylitol concentration tested in this study, 1%, showed mean inhibition percentages ranging from 61% to 76% when the growth inhibition of the five strains was compared to the control without xylitol at log-phase. For 0.1% xylitol, the inhibition percentages ranged from 22% to 59%. A concentration dependency was seen in the growth inhibition, with 0.01% xylitol being the lowest xylitol concentration inhibiting all five strains significantly (p < 0.001). The growth inhibition percentages determined for 0.01% xylitol, however, were low, and the inhibition was significantly weaker as compared to 0.1% and 1% xylitol. Our results suggest that low xylitol concentrations of 0.1% (6.6 mM) could inhibit mutans streptococci in vivo but even lower xylitol concentrations may be inhibitory.

Similar content being viewed by others
References
Featherstone JDB (2006) Delivery challenges for fluoride, chlorhexidine and xylitol. BMC Oral Health 6(suppl 1):S8
Gold OG, Jordan HV, van Houte J (1973) A selective medium for Streptococcus mutans. Arch Oral Biol 18:1357–1364
Gauthier L, Vadeboncoeur C, Mayrand D (1984) Loss of sensitivity to xylitol by Streptococcus mutans LG-1. Caries Res 18:289–295
Holgerson PF, Stecksen-Blicks C, Sjöström I, Öberg M, Twetman S (2006) Xylitol concentration in saliva and dental plaque after use of various xylitol-containing products. Caries Res 40:393–397
Knuuttila ML, Mäkinen KK (1975) Effect of xylitol on the growth and metabolism of Streptococcus mutans. Caries Res 9:177–189
Kontiokari T, Uhari M, Koskela M (1995) Effect on xylitol on growth of nasopharyngeal bacteria in vitro. Antimicrob Agents Chemother 39:1820–1823
Maguire A, Rugg-Gunn AJ (2003) Xylitol and caries prevention—is it a magic bullet? Brit Dent J 194:429–436
Miyasawa-Hori H, Aizawa S, Takahashi N (2006) Difference in the xylitol sensitivity of acid production among Streptococcus mutans strains and the biochemical mechanism. Oral Microbiol Immunol 21:201–205
Mäkinen KK, Bennett CA, Hujoel PP, Isokangas PJ, Isotupa KP, Pape HR (1995) Xylitol chewing gums and caries rates: a 40-month cohort study. J Dent Res 74:1904–1913
Mäkinen KK, Söderling E, Isokangas P, Tenovuo J, Tiekso J (1989) Oral biochemical status and depression of Streptococcus mutans in children during 24- to 36-month use of xylitol chewing gum. Caries Res 23:261–267
Milgrom P, Ly KA, Roberts MC, Rothen M, Mueller G, Yamaguchi DK (2006) Mutans streptococci dose response to xylitol chewing gum. J Dent Res 85:177–181
Scheie AA, Assev S, Rölla G (1988) Combined effect of xylitol, NaF and ZnCl2 on growth and metabolism of Streptococcus sobrinus OMZ 176. APMIS 96:761–767
Söderling E, Isokangas P, Pienihäkkinen K, Tenovuo J (2000) Influence of maternal xylitol consumption on acquisition of mutans streptococci by infants. J Dent Res 79:882–887
Söderling E, Trahan L, Lenander-Lumikari M (1998) Growth of xylitol-resistant versus xylitol-sensitive Streptococcus mutans strains in saliva. Acta Odontol Scand 56: 116–121
Taipale T, Pienihäkkinen K, Alanen P, Jokela J, Söderling E (2007) Dissolution of xylitol from a food supplement administered with a novel slow-release pacifier. Eur Arch Ped Dent 8:123–125
Tapiainen T, Renko M, Kontiokari T, Uhari M (2002) Xylitol concentrations in the saliva of children after chewing xylitol gum or consuming a xylitol mixture. Eur J Microbiol Infect Dis 21:53–55
Thorild I, Lindau B, Twetman S (2003) Effect of maternal use of chewing gums containing xylitol, chlorhexidine or fluoride on mutans streptococci colonization in the mothers’ infant children. Oral Health Prev Dent 1:53–57
Vadeboncoeur C, Trahan L, Mouton C, Mayrand D (1983) Effect of xylitol growth and glycolysis of acidogenic oral bacteria. J Dent Res 62:882–884
Acknowledgments
Dr. Anna Haukioja is thanked for valuable comments on the manuscript. The excellent technical assistance of biomedical research technician Oona Hällfors is gratefully acknowledged. The Finnish Dental Society Apollonia and the Finnish Dental Association have supported the study financially.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Söderling, E.M., Ekman, T.C. & Taipale, T.J. Growth Inhibition of Streptococcus mutans with Low Xylitol Concentrations. Curr Microbiol 56, 382–385 (2008). https://doi.org/10.1007/s00284-007-9076-6
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00284-007-9076-6

