Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 11 (2016) pp. 205-221 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.511.023 Preparation of Antibacterial Herbal Mouthwash against Oral Pathogens J. Nasreen Banu* and V. Gayathri Department of Microbiology, Ethiraj College for Women, Chennai- 600008, Tamil Nadu, India *Corresponding author A B S T R A C T Medicinal plants, plays vital role in curing diseases due to their antimicrobial and antifungal activ ity against human pathogens through decades. Herbal Mouthwashes are in high demand , because thy act on oral pathogens and relieve the pain instantly and are also less side e ffective. One of the most common infectious diseases encountered by many individua ls are Dental carries and Periodontal diseases at different stages of their life time. Dental caries include the cavity formation, eruption of enamel, swollen gums, bleeding gums, formation of hollow black eruption on the surface of the teeth. In early Keywords days, Dental c aries are high among Children and Adolescents, because they do not Antibact erial, practice proper oral hygiene. To prepare Anti-bacterial Herbal Mouthwash from the Herbal M outhwash, aqueous extrac ts of 4 different leaves namely Azadirachta indica (Neem), Ocimum Staphylo coccus basilicum (Tuls i), Mentha longifolia (Mint), Punica granetum Linn (Pomegranate) and aureus, Lactobacillus rhizomes of C urcuma longa (Turmeric) that acts against the oral pathogens- bulgaric us, Staphylococcus aureus, Streptococcus pyogenes, Lactobacillus bulgaricus, Bacillus Bacillus subtilis, Streptoc occus subtilis and Esc herchia coli and to check the Anti-microbial activity by using Agar well pyogene s, diffusion metho d. Punica granetum Linn(Pomegranate) shows sensitivity towards the Escherc hia coli. Streptococcus pyogenes, Lactobacillus bulgaricus, Staphylococcus aureus, Bacillus subtilis and Es cherchia coli. Azadirachta indica (Neem) shows sensitivity towards A rticle Info Staphylococcus aureus and Escherchia coli and shows resistance towards Streptococcus pyogenes, Lact obacillus bulgaricus and Bacillus subtilis. Ocimum baslicum (Tulsi) Accepte d: shows sensitivity towards Staphylococcus aureus, Bacillus subtilis and Escherchia coli 12 October 2016 and shows resistance towards Streptococcus pyogenes, Lactobacillus bulgaricus. Available Online: Mentha longi folia (Mint) shows sensitivity towards Staphylococcus aureus, 10 November 2016 Lactobacillus bulgaricus and Escherchia coli and shows resistance towards Streptococcus pyogenes and Bacillus subtilis. Curcuma longa (Turmeric) shows sensitivity towards Lactobacillus bulgaricus, Staphylococcus aureus and Escherchia coli and shows res istance towards Streptococcus pyogenes, Bacillus subtilis. Hence this study proves that Punica granetum Linn(Pomegranate) shows effectiveness against all the 5 oral bacterias namely Strep tococcus pyogenes, Lactobacillus bulgaricus, Staphylococcus aureus, Bacillus sub tilis and Escherchia coli. Pomegranate leaves possess flavonoids which is used a s an anti-oxidant in conditions of Xerotomia. Thereby, Pomegranate leaves can also be included in the preparation of Herbal mouthwashes. Introduction The importance of herbs are highly plays vital role in curing diseases due to considered as effective in contrast to their antimicrobial and antifungal activity chemical products. Medicinal plants, against human pathogens through decades. 20 5 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 Herbal Mouthwashes are in high demand, mouth rinses are used to remove the because thy act on oral pathogens and retained food particles in a short period of relieve the pain instantly and are also less time. side-effective. Chemical mouthwashes have hydrogen peroxide and chlorhexidine as an The mouth washes are concentrated immediate whitener, steriliser and pain aqueous anti-bacterial solution that are used reliever of teeth, but they tend to produce against oral microbes to counter oral discoloration of teeth and may produce side infection, cleansing, to get rid of bad breath effect, meanwhile they are cost effective. refreshing ,anti-septic .The mouthwash One of the most common infectious plats an prominent role in the oral hygiene diseases encountered by many individuals of an individual ,it helps to relieve are Dental carries and Periodontal diseases symptoms of inflamed gums gingivitis. And at different stages of their life time. also it reliably used to destruct the pathogenic germs. The mouth washes are Periodontal diseases can lead to destruction used by most of the dental patients to of ligament, cementum, gingiva and overcome sour mouth (xerostomia), alveolar bone. Plaque is the main ulcerated throat and sensitive teeth. Dentists etiological causes for the gingival always use mouthwash as an antimicrobial inflammation. Thus the control of the agent before oral surgery of the patients, plaque can be done by using instant herbal because they help to sterilise the surface of mouth wash. Mouth washes have the ability the inflamed gums and teeth, thereby the to deliver the therapatic ingredients and contamination of any other microorganisms ingredients to access against the organism can be avoided. present on the surface of the mouth. Cholorhexidine is regarded as gold standard The Pomegranate (Punica granatum L.) is mouth wash but has a significant side an ancient fruit. The pomegranate belongs effects, apart from staining the teeth after to the family Punicaceae. It is native from long term use, like contact dermatitis, IgE the area of Iran to the Himalayas in mediated hypersensitivity (Monica Lamba, northern India, and has been cultivated and 2015). naturalized over the entire Mediterranean region since ancient times. A clinical The role of junk foods in affecting the oral analyses determine the leaf mineral cavity of an individual is high and contents (N, P, K, Ca, Mg and Fe) were unavoidable. The foods like Candies, significantly affected the organisms with chocolates, jellies and jams have high sugar anti-oxidant treatments. The pomegranate content the children and adolescents are extracts shows effective reduction of usually prone to consume this kind of sugar pathogens in chronic periodontal disorders. products but ,the sugar content possess The pomegranate are anti-inflamatory in insoluble glucan which gets attached to the nature, hence they are used to treat against enamel of the tooth resulting in the oral-ailments. The pomegranate possess formation of cavity in tooth. The active polyphenolic flavonoids like carbonated drinks is other important punicalagins and ellagic acids which helps destroyer of teeth enamel, as it erodes the to prevent gingivitis and or-potential of the enamel some may even results in depth mouth. eruption of dentine and results in tooth The Mentha leaves (Mentha longifolia) are discolouration. Hence mouthwashes or aromatic, perennial herbs. The mentha 206 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 belongs to the family Lamiaceae. 0.1% mercuric chloride, thus it helps in the Peppermint was first described in 1753 by instant whitening of teeth. The basil leaves Carl Linnaeus. Mentha are extensively used shows high microbial activity against as flavouring ingredient in breath freshness, Streptococcus pyogenes, Staphylococcus antiseptic mouth rinses, chewing gums and aureus and E.coli. tooth paste. The pulegone primarily responsible for the aroma and flavour of Turmeric (Curcuma longa) a rhizomatous, spearmint is L-Carvone. Menthol oil herbaceous plant of the ginger family contains menthone, menthyl esters, menthyl zingiberaceae. It is native to south west acetate and menthofuran. Mint also consists India requiring temperatures between 20 of small amounts of many additional and 30 C and the plants are gathered compounds including Limonene, Pulegone, anually for their rhizomes. Turmeric was Caryophyllene and Pinene. first used as a dye by ancients, then later for its medicinal properties. The important The use of Neem are known from ancient chemical components of turmeric are a dates back since 45,000 years against oral group of compounds called curcuminoids diseases. The neem leaves Azadirachta that includes demethoxycurcumin and indica belongs to the family Lamiaceae. bisdemethoxycurcumin. The other volatile The neem solutions are used in decreasing compounds include turmerone, altantone the inflammation of gums, to remove and zingiberine. According to the National canker and against dental cavities. centre for complementary and Integrative Nowadays the neem extracts are used as health, some researches shows compound in antiseptic substance against inflammation turmeric to have antifungal and of mouth. The neem extract shows antibacterial properties. significant effects on both Gram positive and Gram negative bacteria such as Chlorhexidine is a chemical antiseptic Staphylococcus spp, Streptococcus spp, solution against Gram positive and negative E.coli and Salmonella. bacteria, aerobic and anaerobic spp. It is used in dental surgery to create germ-free A.indicahas inhibition against the environment, periodontal treatment, production of insoluble glucan,which is the halitosis and Xerostomia. It is highly used main cause for plaque formation.Theneem in the dental disorders patients especially, sticks has proven to show markedly individuals using permanent braces. inhibition against Streptococci ,which Turmeric oil plays a vital role in killing oral colonise the surface of the tooth. cancer cells. Curcumin loaded nano- particles were used in chemotherapy The Basil leaves (Ocimumbasilicum L.) is resistant against oral submucous fibrosis. an annual herbs, which is used as an Turmeric extracts can replace antimicrobial and antifungal substance chlorhexidine, as it helps to reduce burning against oral microbes. The basil leaves are sensation, staining of teeth, allergy-type used by Hindus since, dates back for symptoms, numbness of teeth and destruct reducing morning bad breathe. It consists of plaque forming bacteria. phytochemical compound Terpenes, cineole and other allophatic compounds. It also The aim to prepare Anti-bacterial Herbal consists of Linalool and methyl eugenol as Mouthwash from the aqueous extracts of 4 essential oil. The basil leaves naturally has different leaves namely Azadirachta 207 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 indica(Neem), Ocimum basilicum(Tulsi), Collection of organisms Mentha longifolia(Mint), Punica granetum Linn (Pomegranate) and rhizomes of Oral swab: The sterile absorbent cotton Curcuma longa (Turmeric) that acts against was rolled against the tip of the wooden the oral pathogens- Staphylococcus aureus, stick besides the flame to avoid spores and Streptococcus pyogenes, Lactobacillus were sterilised by autoclaving at 121ºC for bulgaricus, Bacillus subtilis and Escherchia 15 mins. The swab was rubbed on to the coli and to check the Anti-microbial activity gums and periodontal region of both upper by using Agar well diffusion method. and lower jaws of the individuals. Totally 25 oral swabs were collected from the The present study objectives includes that individuals under sterile condition inside to prepare the aqueous extracts of the laboratory. Azadirachta indica (Neem), Ocimum basilicum Tulsi), Mentha longifolia(Mint), Peptone water:1.5g of peptone water was Punica granetum Linn (Pomegranate) and weighed and dissolved in 100ml of distilled Curcuma longa ( Turmeric ). water, mixed gently and were autoclaved at 121ºC for 15mins.Cooled to 50-55ºC and To isolate and study the colony morphology transferred to sterile test tubes, the oral of the oral microorganisms-Staphylococcus swabs were inoculated and incubated at aureus, Streptococcus pyogenes, 37ºC for 1h and results were observed. Lactobacillus bulgaricus, Bacillus subtilis and Escherichia coli by using culture media Maintaining the culture: The culture was and biochemical tests. allowed to store in Refrigerator and frequently subcultured by inoculating it in To perform the agar well diffusion Nutrient slant or Peptone water for long technique in the Muller Hinton agar and to period of usage. identify the anti-bacterial activity of leaf extracts against test organisms,by Collection of Plant Leaves: Leaves of measuring the zone of inhibition. Azadirachtaindica(Neem), Ocimumteniflorum(Tulsi), Mentha To compare the efficacy of extracts of 4 longifolia(Mint), Punicagranetum different herbal leaves on the basis of their Linn(Pomegranate) and rhizomes of resistancy and sensitivity towards the oral Curcuma longa (Turmeric) were randomly microbes and to formulate the herbal collected from mature plants. mouthwash. Extraction process: The leaves were Materials and Methods washed with sterile water,shadow- dried,pulverized and stored in air-tight Test organisms: The isolates of Mouth bottles. The Aqueous extracts were organisms like Staphylococcus aureus, prepared by soaking the powdered leaves in Streptococcus pyogenes, Lactobacillus sterile distilled water and maintained in bulgaricus, Bacillus subtilis and Escherchia Incubator at 37°C for 72 h and were filtered coli, were collected by using sterile oral using Whattmann filter paper and used for swab under aseptical condition. They were identifying organisms sub-cultured in peptone water and maintained in refrigerator for longer period Equipments: Sterile Petriplates, Testtubes, of storage. 208 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 Conicalflask, Whattmann filterpaper, (iv) After 5 days, the dried leaves were Incubator, Autoclave, Laminar air flow, taken and powdered by using sterile mixer Pippetting device, Hotair-oven. under aseptic condition. Preliminary test for organisms: The (v) The pulverized leaves are collected samples were cultivated and the transferred to air-tight sterile container jars. colony morphology on the culture media - Nutrient agar were examined. A colony was (vi) 100ml of sterile distilled water was picked, inoculated in peptone water and taken in 4 conical flask (250 ml), the incubated at 37°C for 1h.The isolates were pulverised leaves were weighed and streaked on specific medium- Blood agar, suspended in distilled water under sterile Macconkey agar, Manitol salt agar, Eosine condition. methylene blue and Lactobacillus Mann rogosa agar. Meanwhile, the isolates were (vii) The preparation was heat sterilised identified with Gram staining techniques, at 40°C for 5-10 mins and was kept for Motility test and biochemical tests. incubation at 37°C for 72h. Antibacterial activity of Herbal leaves (viii) After incubation, the extracts were filtered with the help of a sterile The antibacterial activity of Aqueous Whattmann filter paper no: 1 and a funnel extracts of Azadirachtaindica, under lab condition. Ocimumbasilicum, Mentha longifolia, Punicagranetum Linn and rhizomes of (ix)The filtered extracts are boiled Curcuma longa was determined against the vigorously again to kill the bacterial spores, test organism-Lactobacillus bulgaricus, which will prevent from contamination. Staphylococcus aureus, Streptococcus pyogenes, Bacillus subtilis ,Eschrechia coli (x) The extracts after heating is ready to use by agar well diffusion method. for the formulation of Mouth wash and also can be tested against the oral pathogens by Aqueous extracts of Leaves by Shadow using Agar well diffusion techniques. drying technique Collection of organisms (i) The leaves of mature plants were collected and washed 3-5 times with tap (i) 25 students were selected randomly water to remove dust and dirt. for the collection of mouth organisms. (ii) The leaves were allowed to soak in (ii) The oral swabs were rubbed on the already boiled water bath at 30-40ºC for 10- periodontal region of their mouth gently, 15 mins to kill microbes present in the under aseptic condition. surface of the leaves. (iii) The collected swabs were inoculated (iii) The leaves undergoes Shadow in freshly prepared saline or peptone water drying technique were the leaves were and incubated at 37°C for 2h. spread in sterile container trays and kept at ambient temperature for 5 days. 209 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 (iv) The luxuriantly grown organisms (ii) 19.0g of agar was weighed and were isolated and identified in culture dissolved in the water and a pinch of agar- media or by using biochemical techniques. agar was added for solidifying the media. (v) After using the culture, it was (iii) The media was autoclaved at 121°C refrigerated till the next use, meanwhile for 15 mins, cool to 55°C. before using the culture, they were incubated at 37° C for 2 h. (iv) 5-7ml of agar was poured in the 25 petriplates, to form a thick agar plate and Isolation of Organisms kept in room temperature to get settled. (i) 25 plates of nutrient agar was (v) The plates were then air dried and prepared by above mentioned procedure, UV radiated in the laminar air flow for 5-10 each plates were inoculated with 25 mins. swabbed culture by using Streak plate technique and was incubated at 37°C for 24 (vi) The agar wells were punctured by h. using sterile micropipette tips with equal intervals and the dilutions were marked as (ii) After incubation, the 2-3 different 50µl, 100µl, 150µl for each extracts. colonies were observed in the plates, 5 randomly selected colonies were picked out (vii) The isolated bacterial colonies were and transferred to the freshly prepared picked from the test organism culture media saline and incubated at 37°C for 2h. and inoculated in peptone water or saline and was incubated at 37°C for 2h. (iii) The isolates after incubation was identified by preliminary test such as Gram (viii)After incubation the bacterial cultures staining technique, Motility test, Catalase were compared with 0.5 Mac Farland's and Oxidase test. standard, for the standardization of the bacterial cultures. (iv)The isolates were streaked on the specific agar plates such as Blood agar, (ix) With the help of oral swab the isolates Macconkey agar, Emb agar and were swabbed on the upper surface of the Lactobacillus MRS agar and also agar gently, under sterile condition. inoculated into biochemical tubes under sterile condition which was then, incubated (x)The micro pipette is used to transfer the at 37°C for 24h. aqueous extracts in each wells and incubated at 37°C for 24 h. (v) After incubation at 37°C for 24h, the plates were observed for colony (xi) After 24h, the plates shows agar morphology and the isolates were diffusion around the wells and the results differentiated by identifying the bio- were identified by measuring the zone of chemicals. inhibition. Agar well diffusion technique (xii) The zone of inhibition was identified for the resistance of the (i) A sterile conical flask was taken and organisms. filled with 500 ml of distilled water. 210 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 Results and Discussion media and biochemical techniques. The test organisms were isolated and identified and Aqueous extraction of herbal leaves the results were recorded based on the The aqueous extracts of the leaves were morphological and cultural characters. done by suspending shadow dried and pulverized leaf powder in sterile distilled Anti-bacterial activity water. The leaf extracts were subjected to heat, vigorously to kill all the aerobes and The Herbal mouthwash prepared by the spores, there by the extracts are free from aqueous extract from the leaves of the herbs contaminants. On the other hand, the shows: component of leaf and its antigenicity were The Herbal mouth wash was prepared from not lost by heating. The aqueous extract is 4 different leaves- Neem (Azadirachta purely herbal hence no chemical component indica), Pomegranate (Punica granetum is involved in the preparation of the Linn), Basil (Ocimum baslicum) and Mint extracts. The aqueous extracts were (Mentha longifolia) by Aqueous extraction prepared as it shows very less side-effects method, thus the mouthwash was purely, than the other commercially available herbal and contains no chemical ingredient. chemical mouth washes. The herbal mouth And also the leaves were allowed to washes are homemade hence it is of low shadow dried hence the phytochemical expenditure whereas, the commercially component and the antibacterial activity of available mouthwash is cost-effective. The the leaves are not lost. herbal mouthwash has short shelf life when compared to chemical mouthwash but the The isolates of the oral test organisms- storage of unsealed mouthwash may tend to Staphylococcus aureus, Streptococcus invade the air microbes and other pyogenes, Lactobacillus bulgaricus, facultative anaerobes. Bacillus subtilis and Escherchia coli were The extracts of Neem is taken very less idententified and isolated by using Streak amount due to its bitterness, it acts as Anti plate method in culture media like Nutrient inflammatory component against bleeding agar, Blood agar, Macconkey agar, Eosine gums. Mint is known for its aroma hence it methylene blue agar and Lactobacillus helps to get rid of bad breath. Pomegranate MRS agar. leaves possess flavonoids which is used as an antioxidant in conditions of Xerostomia. The extracts were taken in different Tulsi extracts were used as they consists of dilutions and inoculated against the little amount of mercury chloride as a leaf swabbed test isolates in Mueller Hinton component, which acts as natural whitener. agar and the sensitivity and resistance of the It helps in destruction of oral microbes by test organism against the formulated mouth preventing oral disorders like pyorrhea and wash were analysed. As by their cavities. Turmeric is used to replace effectiveness the dilution of the extracts chlorhexidine, it is an anti-microbial and were formulated. anti-septic agent used in oral hygiene. Punica granetum Linn (Pomegranate) Isolation of test organisms shows sensitivity towards the Streptococcus pyogenes, Lactobacillus bulgaricus, The isolates from the collected oral swabs Staphylococcus aureus, Bacillus subtilis were identified with the help of culture and Escherchia coli. Hence this study 211 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 proves that Punica granetum Linn bulgaricus, Staphylococcus aureus, (Pomegranate) shows effectiveness against Bacillus subtilis and Escherchia coli all the 5 oral bacterias namely (Table.1-5 and Figure.1-6). Streptococcus pyogenes, Lactobacillus Table.1 Zone of inhibition in Neem Extracts S.no ORAL MICROBES DILUTION ZONE OF SENSITIVITY RESISTANCE OF THE INHIBITION EXTRACTS 1 Staphylococcus 50 µl 7 mm + - 100 µl 10 mm + - 150 µl 15 mm + - 2 S. pyogenes 50 µl 18 mm - + 100 µl 22 mm - + 150 µl 24 mm - + 3 Escherchia coli 50 µl 17 mm + - 100 µl 21 mm + - 150 µl 25 mm + - 4 L. bulgaricus 50 µl 9 mm - + 100 µl 10 mm - + 150 µl 12 mm - + 5 Bacillus subitilis 50 µl 5 mm - + 100 µl 8 mm - + 150 µl 10 mm - + Table.2 Zone of inhibition in Tulsi Extracts S.no ORAL MICROBES DILUTION ZONE OF SENSITIVITY RESISTANCE OF THE EXTRACTS INHIBITION 1 Staphylococcus aureus 50 µl 18mm + - 100 µl 20 mm + - 150 µl 23 mm + - 2 Streptococcus pyogenes 50 µl 10 mm - + 100 µl 14 mm - + 150 µl 19 mm - + 3 Escherchia coli 50 µl 15 mm + - 100 µl 19 mm + - 150 µl 25 mm + - 4 L.bulgaricus 50 µl 11 mm - + 100 µl 13 mm - + 150 µl 16 mm - + 5 Bacillus subitilis 50 µl 10 mm + - 100 µl 12 mm + - 150 µl 18 mm + - 212 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 Table.3 Zone of inhibition in Mint Extracts S.no ORAL MICROBES DILUTION ZONE OF SENSITIVITY RESISTANCE OF THE INHIBITION EXTRACTS 1 Staphylococcus aureus 50 µl 16 mm + - 100 µl 17 mm + - 150 µl 22 mm + - 2 Streptococcus pyogenes 50 µl 9 mm - + 100 µl 10 mm - + 150 µl 12 mm - + 3 Escherchia coli 50 µl 15 mm + - 100 µl 18 mm + - 150 µl 20 mm + - 4 L.bulgaricus 50 µl 9 mm + - 100 µl 11 mm + - 150 µl 17 mm + - 5 Bacillus subitilis 50 µl 9 mm - + 100 µl 10 mm - + 150 µl 12 mm - + Table.4 Zone of inhibition in Pomegranate Extracts S.no ORAL MICROBES DILUTION ZONE OF SENSITIVITY RESISTANCE OF THE INHIBITION EXTRACTS 1 Staphylococcus aureus 50 µl 23mm + - 100 µl 26mm + - 150 µl 33 mm + - 2 Streptococcus pyogenes 50 µl 21 mm + - 100 µl 23 mm + - 150 µl 25 mm + - 3 Escherchia coli 50 µl 20 mm + - 100 µl 24 mm + - 150 µl 25 mm + - 4 L.bulgaricus 50 µl 22 mm + - 100 µl 24 mm + - 150 µl 31 mm + - 5 Bacillus subitilis 50 µl 20 mm + - 100 µl 21 mm + - 150 µl 23 mm + - 213 Int.J.Curr.Microbiol.App.Sci (2016) 5(11): 205-221 Table.5 Zone of inhibition in formulated Herbal Mouthwash S.no ORAL MICROBES DILUTION ZONE OF SENSITIVITY RESISTANCE OF THE INHIBITION EXTRACTS 1 Staphylococcus aureus 50 µl 11 mm - + 100 µl 10 mm - + 150 µl 16 mm - + 2 S. pyogenes 50 µl 11 mm - + 100 µl 12 mm - + 150 µl 15 mm - + 3 Escherchia coli 50 µl 11 mm - + 100 µl 14 mm - + 150 µl 15 mm - + 4 L.bulgaricus 50 µl 9 mm - + 100 µl 15 mm - + 150 µl 16 mm - + 5 Bacillus subitilis 50 µl 8 mm + - 100 µl 11 mm + - 150 µl 13 mm + - Fig.1 Antimicrobial activity of Pomegranate extracts. 214
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