Dear Dr. Ellie,

Do you have a comment about how Mr. Udo Erasmus mentions to take
probiotics (brush with them). Here are Udo’s comments (I like his
products, I have no commercial interest in them but I do promote them to
patients & non-patients):


Hi there J,
I have asked several “experts” in this field of probiotics and they agree that it is unlikely that timing would matter. Dr. Peldyak says “Xylitol is pretty “inert” toward most of these microorganisms.  It is only really “toxic” to certain strains of MS and inhibitory toward a few pathogens”.

There is literature about xylitol having favorable influence on gut flora, suppressing some strains of E.coli and generally shifting GI flora to simpler, more gram-positive organisms, along with lower rates of candida growth and invasion. ( There is a PerioBiotic” paste from Designs for Health made with attenuated L. paracasei, which seems promising). Here are some other studies about this subject:

Xylitol helped to inhibit adherence of Clostridium difficile, which is potentially useful for the prevention and treatment of pseudomembraneous colitis (antibiotic-associated diarrhea). P. Naaber, E. Lehto, S. Salminen, M. Mikelsaar, “Inhibition of adhesion of Clostridium difficile to caco-2 cells,” FEMS Immunology and Medical Microbiology vol. 14, no. 4, pp. 205-209, 1996.

Use of probiotic/xylitol tablets for 2 and 4 weeks showed improvement in halitosis and gingival bleeding upon probing.T. Iwamoto, N. Suzuki, K. Tanabe, T. Takeshita, T. Hirofuji, “Effects of probiotic Lactobacillus salivarius WB21 on halitosis and oral health: an open-label pilot trial,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics vol. 110, no. 2, pp. 201-208, August 2010.

Hope this is useful information for you!

Ellie Phillips DDS

Dental Health for Everyone!
author, Kiss Your Dentist Goodbye
26, Corporate Woods, Rochester NY 14623

Categories: Xylitol