“…In accordance with the above observations the absence of a mechanism to remove lactate from the ecosystems would result in the accumulation of lactate which, in turn, would inhibit energy recovery from lactate efflux. Oral ecosystems, such as whole saliva and dental plaque, are known to possess a simple food chain [7,8] whereby the fermentation of sugars by acidogenic bacteria, such as the streptococci, is coupled to lactate utilization by members of the asaccharolytic genus, Veillonella, which utilize lactate for energy with the formation of acetate, propionate, CO 2 and H 2 [9]. Consequently, the combination of a lactate-forming streptococcal organism with a member of the Veillonella would be mutually beneficial since it would maximize the energy gained from lactate efflux, as well as from the metabolism of lactate.…”