In vitro, xylitol was not fermented by S. mutans and A. viscosus and had no effect on cell growth. Xylitol neither interfered with the utilization of sucrose by the two bacterial species nor inhibited bacterial colonization of rat molar surfaces in sucrose-containing broth. In a rat caries test, xylitol added to starch diets and starch-sucrose diets did not affect formation of bacterial agglomerates on rat molars. Rinsing with 10% xylitol solutions did not interfere with early plaque formation in young adults consuming their habitual diet. Telemetric recordings of interdental plaque pH showed that 10% xylitol rinses and xylitol chewing gum were non-acidogenic. Xylitol did not prevent rapid sucrose glycolysis. In a 40-day rat caries test, xylitol was non-cariogenic and seemed to reduce the cariogenic potential of sucrose administered simultaneously, however, the animals consuming xylitol diets suffered from severe diarrhoea and gained less weight. In another experiment, rats drank less when xylitol was added to the drinking water.