Introduction: Oral health is a loyal part of general health. As per the World Health Organization (WHO), dental caries is the most widespread noncommunicable disease and is a significant universal public health concern. The main causative organism associated with this disease is Streptococcus mutans (S. mutans). Various synthetic agents like chlorhexidine and fluorides are commercially available to prevent dental caries. However, these have side effects. Presently, research is engaged in the use of plant extracts to develop an effective and biocompatible material that may be used safely in the oral cavity.
Methodology: Four plants were collected—Emblica officinalis, Vitis vinifera seeds, Psidium guajava (P. guajava) Linn leaves, and Acacia nilotica (A. nilotica), and extracts were prepared individually. These extracts were subjected to phytochemical analysis, and bacterial growth and fermentation were assessed.
Result: The level of significance was set at p < 0.05. All the plant extracts inhibited S. mutans growth at all serial dilutions except P. guajava Linn and A. nilotica showing 55 CFU/mL and 5 CFU/mL, respectively in 1/1000 dilution only. The phytochemical analysis confirmed that all four plant extracts had alkaloids, carbohydrates, tannins, and flavonoids. Steroids and proteins are present in P. guajava Linn. Proanthocyanidins were present in Vitis vinifera. Saponins and Anthraquinones were present in A. nilotica exclusively.
Conclusion: All the extracts were effective against S. mutans. These could be tried as herbal alternatives to conventional adjuncts. However, these results must be additionally evaluated for toxicity in animal models, and effectiveness must be assessed using in vivo studies on human subjects.
Peres MA, Macpherson LMD, Weyant RJ, et al. Oral diseases: a global public health challenge. Lancet 2019;394(10194):249–260. DOI: 10.1016/S0140-6736(19)31146-8
Gandhalikar S, Chauhan N, Gupta A, et al. A Review on herbal extracts in dentistry: current scenario and future trends. South Asian Res J Oral Dent Sci 2022;4(2):15–19. DOI: 10.36346/sarjods.2022.v04i02.003
Chandra Shekar BR, Nagarajappa R, Jain R, et al. Antimicrobial efficacy of Acacia nilotica, Murraya koenigii (L.) Sprengel, Eucalyptus hybrid, Psidium guajava extracts and their combination on Streptococcus mutans and Lactobacillus acidophilus. Dent Res J (Isfahan) 2016;13(2):168–173. DOI: 10.4103/1735-3327.178206
Jain RL, Tandon S, Rai TS, et al. A Comparative evaluation of xylitol chewing gum and a combination of IgY + Xylitol chewable tablet on salivary Streptococcus mutans count in children: a double-blind randomized controlled trial. Int J Clin Pediatr Dent 2022;15(Suppl 2):S212–S220. DOI: 10.5005/jp-journals-10005-2162
Kumar G, Jalaluddin M, Rout P, et al. Emerging trends of herbal care in dentistry. J Clin Diagn Res 2013;7(8):1827–1829. DOI: 10.7860/JCDR/2013/6339.3282
Nagi R. Role of medicinal herbs in management of oral diseases – a review. OSR-JDMS 2015;14(8):40–44.
Turagam N, Mudrakola DP. The scope of an alternative medicine to cure oral diseases. Dent 2017;7:7–10. DOI: 10.4172/2161-1122.1000453
Bulugahapitiya VP, Kokilananthan S, Manawadu H, et al. Phytochemistry and medicinal properties of Psidium guajava L. leaves: a review. Plant Sci Today [Internet] 2021;8(4):963–971. DOI: 10.14719/pst.2021.8.4.1334
Pote M, Hirapure P. Antimicrobial potential of Acacia nilotica extracts on few dental pathogens. Int J Pharm Sci Res 2014;5:4759. DOI: 10.13040/IJPSR.0975-8232.5(11).4756-59
Pai MB, Prashant GM, Murlikrishna KS, et al. Antifungal efficacy of Punica granatum, Acacia nilotica, Cuminum cyminum and Foeniculum vulgare on Candida albicans: an in vitro study. Indian J Dent Res 2010;21(3):334–336. DOI: 10.4103/0970-9290.70792
Rather LJ, Islam SU, Mohammad F. Acacia nilotica (L.): a review of its traditional uses, phytochemistry, and pharmacology. Sustain Chem Pharm 2015;2:12-30. DOI: 10.1016/j.scp.2015.08.002
Doshi K, Nasim I. Evaluation of antioxidant property of three herbal formulations -an in vitro study. Int J Dentistry Oral Sci 2021;8(8):3596–3600.
Torwane NA, Hongal S, Goel P, et al. Role of Ayurveda in management of oral health. Pharmacogn Rev 2014;8(15):16–21. DOI: 10.4103/0973-7847.125518
Rajendran P, Rajesh R, Srihari J, et al. Ayurveda in dental practice and its role in the management of dental diseases: a narrative review. Indian J Integr Med 2023;28:9–13.
Greenwell M, Rahman PK. Medicinal plants: their use in anticancer treatment. Int J Pharm Sci Res 2015;6(10):4103–4112. DOI: 10.13040/IJPSR.0975-8232.6(10).4103-12
Bhagavathy S, Mahendiran C, Kanchana R. Identification of glucosyl transferase inhibitors from Psidium guajava against Streptococcus mutans in dental caries. J Tradit Complement Med 2019;9(2):124–137. DOI: 10.1016/j.jtcme.2017.09.003
Sonawane R. A review on the medicinal plant- Psidium guajava Linn. Int J Pharm Res Appl 2021:6(6):311–329. DOI: 10.35629/7781-0606311329
Senthilkumar S, Jagadeson M, Krupa NC, et al. Comparison of changes in salivary ph after chewing guava leaves (Psidium Guajava) and xylitol gum: A randomized, single-blind, crossover study. J Indian Assoc Public Health Dent 2021;19(2):134–138. DOI: 10.4103/jiaphd.jiaphd_134_20
Altemimi A, Lakhssassi N, Baharlouei A, et al. Phytochemicals: extraction, isolation, and identification of bioactive compounds from plant extracts. Plants (Basel) 2017;6(4). DOI: 10.3390/plants6040042
Deshpande SN, Kadam DG. Phytochemical analysis and antibacterial activity of Acacia nilotica against Streptococcus mutans. Phytochem Anal 2013;5(1):236–238.
Abubakar AR, Haque M. Preparation of medicinal plants: basic extraction and fractionation procedures for experimental purposes. J Pharm Bioallied Sci 2020;12(1):1–10. DOI: 10.4103/jpbs.JPBS_175_19
Mishra P, Marwah N, Agarwal N, et al. Comparison of Punica granatum, Terminalia chebula, and Vitis vinifera seed extracts used as mouthrinse on salivary Streptococcus mutans levels in children. J Contemp Dent Pract 2019;20(8):920–927.
Prince A, Roy S, McDonald D. Exploration of the antimicrobial synergy between selected natural substances on Streptococcus mutans to identify candidates for the control of dental caries. Microbiol Spectr 2022;10(3):e0235721. DOI: 10.1128/spectrum.02357-21
Moghadam ET, Yazdanian M, Tahmasebi E, et al. Current herbal medicine as an alternative treatment in dentistry: in vitro, in vivo and clinical studies. Eur J Pharmacol 2020;889:173665. DOI: 10.1016/j.ejphar.2020.173665
Hassan HH, Mahmoud M, Mahmoud HI. Chemical studies and phytochemical screening of grape seeds (Vitis Vinifera L.). Minia J Agric Res Develop 2015;35:314–325.
Gupta D, Kamat S, Hugar S, et al. A comparative evaluation of the antibacterial efficacy of Thymus vulgaris, Salvadora persica, Acacia nilotica, Calendula arvensis, and 5% sodium hypochlorite against Enterococcus faecalis: an in-vitro study. J Conserv Dent 2020;23(1): 97–101. DOI: 10.4103/JCD.JCD_48_20
Sahni A, Chandak M, Shrivastava S, et al. An in vitro comparative evaluation of effect of Magnifera Indica (mango), Azadirachta Indica (neem) and Acacia Nilotica (babool) on Streptococcus mutans. J Adv Med Dent Scie Res 2016;4(1):1.
Moghaddam A, Ranjbar R, Yazdanian M, et al. The current antimicrobial and antibiofilm activities of synthetic/herbal/biomaterials in dental application. Biomed Res Int 2022;2022:8856025. DOI: 10.1155/2022/8856025