In vitro evaluation of antibacterial effect of combination of honey and Aloe vera extract against Enterococcus faecalis and Escherichia coli

Antimicrobial agents are used as intra-canal drugs or canal cleaners for complete dental root canal cleaning. This new study attempts to compare the antibacterial effect of 2% chlorhexidine and combination of honey and Aloe vera extract (H-Av mixture) against Enterococcus faecalis (E.faecalis) and Escherichia coli (E.coli) which are the most important pathogens isolated from infectious root canals. Enterococcus faecalis (ATCC® 29212™) and Escherichia coli (ATCC® 25922™) were cultured in the tryptic soy broth medium. Dilution of H-Av mixture by the method of macrodilution to determine Minimum Inhibitory Concentration was investigated. In this paper agar well diffusion and colony count methods were also used to ensure the accuracy of the results. The results were statistically analyzed by student’s t-test. The significant level established at 5% (P 0.05) Increasing drug resistance to antimicrobial compounds needs to study of new drugs against pathogens. H-Av mixture with benefits such as availability, good taste and easier use than chlorhexidine, and fewer side effects can be a good option for intracanal irrigation after clinical trials.

[1]  Jian Ni,et al.  Aloe‐emodin: A review of its pharmacology, toxicity, and pharmacokinetics , 2019, Phytotherapy research : PTR.

[2]  J. Hamman,et al.  Treatment of skin disorders with Aloe materials. , 2019, Current pharmaceutical design.

[3]  Soujanya Goud,et al.  Comparative Evaluation of the Antibacterial Efficacy of Aloe Vera, 3% Sodium Hypochlorite, and 2% Chlorhexidine Gluconate Against Enterococcus faecalis: An In Vitro Study , 2018, Cureus.

[4]  N. Singh,et al.  Disinfection of dentinal tubules with 2% Chlorhexidine gel, Calcium hydroxide and herbal intracanal medicaments against Enterococcus faecalis: An in-vitro study. , 2017, Singapore dental journal.

[5]  R. Nagi,et al.  Antibacterial Effect of Aloe Vera Gel against Oral Pathogens: An In-vitro Study. , 2016, Journal of clinical and diagnostic research : JCDR.

[6]  M. Balouiri,et al.  Methods for in vitro evaluating antimicrobial activity: A review☆ , 2015, Journal of pharmaceutical analysis.

[7]  Y. Shen,et al.  Irrigation in endodontics , 2014, BDJ.

[8]  E. Zabokova Bilbilova,et al.  Chronic periapical lesions: correlations with clinical finding. , 2014, Prilozi.

[9]  S. Khafri,et al.  A Comparison between Antibacterial Activity of Propolis and Aloe vera on Enterococcus faecalis (an In Vitro Study) , 2013, International journal of molecular and cellular medicine.

[10]  S. Mandal,et al.  Honey: its medicinal property and antibacterial activity. , 2011, Asian Pacific journal of tropical biomedicine.

[11]  B. Joseph,et al.  A Comparitive Study on Various Properties of Five Medicinally Important Plants , 2011 .

[12]  Arun Kumar,et al.  Antibacterial efficacy of aloe vera extract on resistant antimicrobial strains in endodontics , 2011, Endodontology.

[13]  Renu Gupta,et al.  Anti-tuberculosis activity of selected medicinal plants against multi-drug resistant Mycobacterium tuberculosis isolates. , 2010, The Indian journal of medical research.

[14]  S. Gan,et al.  The antibacterial properties of Malaysian tualang honey against wound and enteric microorganisms in comparison to manuka honey , 2009, BMC complementary and alternative medicine.

[15]  B. Antony,et al.  Comparative evaluation of the antimicrobial efficacy of aloe vera tooth gel and two popular commercial toothpastes: an in vitro study. , 2009, General dentistry.

[16]  Z. Mohammadi Antibiotics as intracanal medicaments: a review. , 2009, Journal of the California Dental Association.

[17]  S. Ahmad,et al.  ANTIBACTERIAL ACTIVITIES OF HONEY, SANDAL OIL AND BLACK PEPPER , 2009 .

[18]  H. Katırcıoğlu,et al.  Antimicrobial activity and pollen composition of honey samples collected from different provinces in Turkey , 2007, Natural product research.

[19]  Olaitan,et al.  Comparative antibacterial activity of honey and gentamicin against Escherichia coli and pseudomonas aeruginosa. , 2006, Annals of burns and fire disasters.

[20]  F. Beland,et al.  An Evaluation of the Biological and Toxicological Properties of Aloe Barbadensis (Miller), Aloe Vera , 2006, Journal of environmental science and health. Part C, Environmental carcinogenesis & ecotoxicology reviews.

[21]  R. Cooper,et al.  The antibacterial activity of honey against coagulase-negative staphylococci. , 2005, The Journal of antimicrobial chemotherapy.

[22]  J. Wilkinson,et al.  Antibacterial activity of 13 honeys against Escherichia coli and Pseudomonas aeruginosa. , 2005, Journal of medicinal food.

[23]  M. Olaleye,et al.  Comparative antimicrobial activities of aloe vera gel and leaf , 2005 .

[24]  R. Wynn Aloe vera gel: update for dentistry. , 2005, General dentistry.