Antimicrobial effect of Pentaclethra Macroloba plant extract against Enterococcus Faecalis

M L Gioster-Ramos1, V F Pedrinha2, M C Barros2

  • 1Universidade Estadual Paulista "Júlio de Mesquita Filho" - UNESP, Faculdade de Odontologia, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil.

Insights

A new intracanal drug from Pentaclethra macroloba extract shows antimicrobial effects against Enterococcus faecalis. Combined with calcium hydroxide, it demonstrated the lowest minimum bactericidal concentration, proving effective in dentinal tubules.

Area of Science:

  • Endodontics
  • Microbiology
  • Natural Products

Background:

  • Enterococcus faecalis is a resilient bacterium frequently found in persistent root canal infections.
  • Intracanal medications are crucial for eliminating microorganisms within the root canal system.
  • Exploring novel antimicrobial agents from natural sources is vital for endodontic treatment.

Purpose of the Study:

  • To evaluate the antimicrobial efficacy of a Pentaclethra macroloba extract-based intracanal drug against Enterococcus faecalis.
  • To determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the extract alone and in combination with calcium hydroxide and ultracall.
  • To assess the efficacy of these medications within dentinal tubules using Confocal Laser Scanning Microscopy (CLSM).

Main Methods:

  • Macrodilution tests were performed to determine MIC and MBC values.
  • Dentin cylinders were prepared and inoculated with E. faecalis.
  • Confocal Laser Scanning Microscopy (CLSM) was used to visualize the antimicrobial effect on bacteria within dentinal tubules.
  • Statistical analysis was conducted using Kruskal-Wallis and Dunn tests.

Main Results:

  • The Pentaclethra macroloba extract combined with calcium hydroxide exhibited the lowest minimum bactericidal concentration (MBC).
  • All tested intracanal medications demonstrated effectiveness against E. faecalis within the dentinal tubules in the CLSM evaluation (P >0.05).
  • The pure extract also showed antimicrobial activity, though specific MIC/MBC values were determined.

Conclusions:

  • The novel intracanal drug formulation based on Pentaclethra macroloba extract possesses significant antimicrobial activity against Enterococcus faecalis.
  • The combination with calcium hydroxide appears to enhance bactericidal efficacy.
  • Further research is warranted to explore the clinical applicability of this Amazonian plant extract in endodontic therapy.