A quick, simple, accurate method of evaluating dental caries activity of individuals, before the actual dissolution of enamel begins, would be a valuable aid in studies and treatments of dental caries because knowledge of caries activity would permit the dentist to plan his dental treatment program more intelligently and investigators could study methods of controlling dental caries more efficiently. Several methods of testing for dental caries activity have been reported, most of them based upon interpretations of studies of the oral flora, or upon the action of oral bacteria on carbohydrates. A brief outline of the better known tests follows:(1) Lactobacillus acidophilus colony counts [Hadley, Bunting and Delves (1)1. Studies are made of the number and types of colonies of Lactobacillus acidophilus which will grow in 48 hours on tomato agar (pH 5.0) plates after inoculation with 0.1 c.c. of a 1 in 5 dilution of saliva collected while the patient is chewing paraffin. High colony counts indicate caries activity while counts 0-100 indicate caries inactivity.(2) Direct microscopic study of plaque material [Blayney (2) 1. Plaques carefully removed from tooth surfaces under observation are stained and studied. Results indicate that caries active areas show plaques containing innumerable cocco-bacilli, while caries immune areas show a mixed flora of a different nature.(3) Enamel decalcification test [Fosdick, Hansen and Epple (3)1. Powdered enamel is suspended in a mixture of 6 c.c. of stimulated saliva and 0.2 gm. of glucose and agitated in a 3700 water bath for 4 hours. The amount of enamel which is dissolved is calculated by titration with N/100 KMmOj. As enamel dissolution increases above 9-10 mg. increase in caries activity is reported.(4) Study of pH of plaques on tooth surfaces [Stephan (4) ]. Using an antimony electrode, Stephan demonstrated that dental plaques varied in their pH, and those of low pH were apparently in caries active areas.(5) Fermentation Test [Snyder (5) ]. A 0.2 cc sample of stimulated saliva is incubated in 5 to 7 cc. of culture media containing Brom-cresol-green indicator. Formation of acid is shown by color change of indicator in 48 hours; saliva samples from caries active patients produce more acid than salivary samples from caries inactive patients.The present report concerns another method. of testing for dental caries activity. Our test is based upon the premise that acidogenic organisms are more nuimerous and more active in saliva from caries active patients, so that when a freely fermentable carbohydrate is added, acid production quickly follows.