A complex aggregation of microorganisms growing on a solid substrate is termed a biofilm and is considered to be an etiological agents. Pseudomonas aeruginosa and Streptococcus mutans are representative bacteria in such biofilms. It is well known that deuterium oxide (D 2 O) causes toxic effects on a number of biological systems. We investigated the effects of D 2 O on growth and biofilm formation of P. aeruginosa and S. mutans. These bacteria were incubated in medium containing D 2 O (100%, 75% or 0%) at 37°C for 24hr, 48 hr or 72hr. Growth of P. aeruginosa was inhibited by D 2 O within the first 48hr. However, after 72 hr, growth rate was seen to increase in the D 2 O-containing medium compared with in medium without D 2 O. In contrast, the growth of S. mutans in the D 2 O medium was inhibited within 72hr. The biofilm formation of P. aeruginosa was increased in the D 2 O medium. Biofilm formation of S. mutans in the D 2 O medium increased compared with in the medium without D 2 O, but this increase was only temporary in the case of P. aeruginosa. Compared to biofilm formation in 0% D 2 O medium marked as 100%, the biofilm formation rate of S. mutans in 75% D 2 O medium was 143% at 24hr, 146% at 48 hr and 130% at 72 hr. In other D 2 O concentration media biofilm formation was lower. In 100% D 2 O medium, biofilm formation rate decreased from 114% at 24hr to 56% at 72hr. The biofilm formation rate of P. aeruginosa in 100% D 2 O medium was 172% at 24hr, but decreased to 88% at 72hr. Biofilm formation of P. aeruginosa in 75% and 0% D 2 O media showed no significant difference. We consider that these results were due to stress or alteration in bacterial metabolisms.