NewBioWorld A
Journal of Alumni Association of Biotechnology (2023) 5(1):37-44
RESEARCH
ARTICLE
Formulation
and Evaluation of Herbal Toothpaste against Biofilm Producing Staphylococcus
aureus
Shreeti
Mishra1, Andrea Pereira Kolla2, Rakhi Bajpai3,
Chitranshu Pandey4, Varaprasad Kolla5*
1Ajjenkya DY
Patil University, Pune, Maharashtra, India
2Seth
Phoolchand Agrawal Smriti College, Nawaparra, Chhattishgarh, India
3ITM
University, Naya Raipur, Chhattishgarh, India
4MRD Life
Sciences, Lucknow, Uttar Pradesh, India
5Amity
University, Raipur, Chhattishgarh, India
Author’s
Email- 1shreeti123mishra@gmail.com; 2annpereira@gmail.com; 3bajpai.rakhi683@gmail.com;
4chitranshupandeyniu@gmail.com; 5naidu.prasad@gmail.com
*Corresponding Author Email- naidu.prasad@gmail.com
ARTICLE INFORMATION
|
|
ABSTRACT
|
Article history:
Received
30 May 2023
Received in revised form
17 June 2023
Accepted
Keywords:
Herbs;
Phytochemicals;
Biofilm;
Staphylococcus
aureus;
Eucalyptus;
Orange
peel;
Tomato
peel
|
|
Dental
and oral hygiene is essential for overall health and well-being. Tooth brush
and dental floss help remove food debris and plaque, while tooth paste and
mouth wash are a key part of oral hygiene as they reduce bacterial growth.
The use of chemical agents in tooth paste formulations are effective but can
have undesirable side effects. The use of herbal extracts instead can be
equally effective due to the presence of phytochemicals which render
antibacterial and antiseptic properties, with no side effects. In this study
we have formulated toothpaste using the extracts of orange peel, tomato peel
and Eucalyptus leaves. The extracts were positive for phytochemicals like
terpenoids, flavonoids and tannins. The formulated tooth paste demonstrated
antibacterial and biofilm degrading activity against Staphylococcus aureus isolated from dental plaques. On
comparison with commercially available toothpastes, the herbal formulation
was observed to be more effective against the biofilm forming Staphylococcus aureus.
|
|
Introduction
Tooth is an important part of the body responsible
for chewing food. In case of bad oral hygiene many dental problems can occur
such as dental caries, periodontitis and gingivitis. The most important and
common problem is accumulation of plaque and germs (Pitts et al. 2017). Dental
plaque forms structurally & functionally organized biofilms with species
rich microbial community on a tooth surface (Marsh 2004; Socransky et al.
2002). The types of bacteria inhabiting dental plaque is defined by the diet,
nutrition and immunity of an individual and hence can vary. In case of
non-removal, microbial plaque becomes harder and becomes tartar which cannot be
easily removed by brushing. Bacterial activities at the surface of tooth cause
gingival irritation and immune response against this which results in
inflammation. The tissues near the tooth become extremely thin and sensitive to
heat, cold in cases like periodontal disease. Dental caries is a disease
induced by dental plaque (Grigalauskiene et al. 2015). Gingivitis if left untreated
can lead to periodontal disease, jawbone erosion, pus extraction from gingival
and spontaneous falling of the tooth (Axelsson et al. 2015). Oral hygiene is
hence very important and should be maintained (Tadin et al. 2022).
For the control of plaque and gingivitis many
mechanical methods were earlier used which include tooth brushes, dental floss,
mouth rinses and however as per study effective mechanical plaque removal
methods are performed by only less than one third of the population. Another
method for controlling plaque and oral diseases is the use of toothpastes which
is a gel dentifrice used to brush the teeth regularly to maintain oral hygiene.
Toothpaste can be synthetic or herbal. Chemical agents like triclosan,
chlorohexidine and fluoride and many such chemical formulations were tried in
dentifrices (Barnes et al. 2010; George et al. 2009; Habashneh et al. 2017). Of
these Chlorohexidine is considered a gold standard and is useful amongst
various areas of dentistry including oral surgery, periodontics, and even
general dentistry (Deus and Ouanounou 2022). However long-term usage of
chemicals like triclosan and chlorhexidine showed certain undesirable side
effects such as discolouration of the
teeth, parotid swelling, oral mucosal lesions, dental fluorosis and altered
taste, thus increasing the limitations on the safety of its long term usage
(Barnes et al. 2010; Bossù et al. 2019; de Oliveira et al. 2008). Considering
the harmful effects of chemical in the synthetic toothpaste the choice for
herbal oral products have increased.
DOI: 10.52228/NBW-JAAB.2023-5-1-7
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Herbal ingredients have several
benefits. They have anti-bacterial and anti-septic properties and give a
cooling effect to mouth (Grace et al. 2015; Chatterjee et al. 2021; Srivastava
et al. 2022). Herbal toothpaste contains molecules such as phenols, alkaloids,
glycosides which make toothpaste more effective against different group of
bacteria and protect the mouth from infection (Sherikar et al. 2015). Further,
no side effects or adverse reaction were observed with the use of herbal
toothpaste (Garg et al. 2023).
Previous studies have reported the use of neem
leaves, guava leaves, cinnamon bark, camphor and honey in herbal toothpaste
formulations (Deshmukh et al. 2015).Earlier studies have tested herbal
ingredients like aloe vera, turmeric, miswak, chamomile,pudina leaves,
pomegranate peel, lemon peel, amalaka, babul, orange peel, banana peel and have
observed that aloe vera, turmeric, miswak, orange peel have antibacterial
property (Chowdhury et al. 2017; Deshmukh et al. 2017; Ghelichli 2014; Shende
et al. 2018; Gupta et al. 2021). Amalaka, guava and chamomile have
anti-inflammatory property (Deshmukh et al. 2017; Doijad et al. 2018; Ghelichli
2014; Dubey et al. 2022). Pudina leaf has germicidal property (Chowdhury et al.
2012). Pomegranate peel, banana peel has antimicrobial propertyand lemon peel
has good abrasive property (Sekar and Abdullah 2016; Sekar and Ariffin 2016).
The main reason to promote herbal products is the
awareness and tendency of consumers to “go natural”. They are not tested on
animals, carry no side-effects, use no animal products, are vegan friendly,
contain no added artificial colours or flavours and are also based on various invitro and invivo studies.
In our herbal toothpaste formulation, we have used
orange peel, Eucalyptus leaves, Jungle jalebi fruit, Mango leaf and tomato
peel. Orange peel is an immune- enhancer, has the ability to fight viral and
bacterial infections (Grosso et al. 2013). Extract from Eucalyptus leaveshave
anti-inflammatory and antimicrobial properties (Ragul et al. 2018), and have
been effective in both toothpastes as well as in oral rinse on dental plaque
and sulcus bleeding (Nagata et al. 2008). In Mango the presence of tannins and
resin contributes to its astringent effect on mucous membrane which helps in
protecting enamel by forming layer on it (Mahant and Thakur 2020). Tomato, has
antioxidant properties, it contains pigment lycopene which is effective in
treatment of oral cavity diseases such as oral cancer and precancerous lesions
(Mehta and Lycopene et al. 2012). The fruit of Jungle jalebihas antibacterial
activity against pathogenic bacteria Staphylococcus aureus, Klebsiella
pneumonia and Escherichia coli (Singh et al. 2016).
Materials and methods
Sample collection and extract preparation
Plant parts were washed with tap water and then
wiped with 70% ethanol. The desired plant part was finely chopped and dried at
room temperature for 2-3 days. After drying, the plant was ground to powderin a
mortar and pestle.
The powder was dissolved in various solvents
(Acetone, Distilled water, Hexane, Benzene, propanol, DMSO, Chloroform,
Methanol, Ether) and incubated for 24 hours in dark place. After incubation the
extract was filtered with the help of a filter paper. The filtrate was dried in
a hot air oven. After evaporation DMSO was added for preservation.
Sample
|
Botanical name
|
Plant part
|
Tomato
|
Solanum
lycopersicum
|
Peel
|
Orange
|
Citrus X
sinensis
|
Peel
|
Eucalyptus
|
Eucalyptus
globules
|
Leaf
|
Mango
|
Mangifera
indica
|
Leaf
|
Jungle Jalebi
|
Pithecellobium
dulce
|
Fruit
|
Bacteria
isolation
Samples from plaque were collectedin saline. 20µl of
samples were serially diluted in 9ml of saline water. 40µl of the last three
serially diluted tubes were spread on nutrient agar plates. 3 individual
coloniesfrom were isolated from each plate and streaked nutrient agar plates
and pure culture were maintained.
Characterization
and identification of bacteria
The identification bacteria isolated from plaques
was done based on morphology, Gram’s staining, endospore staining and
biochemical characterization by IMViC, oxidase, coagulase tests and
fermentation of sugars and the Analytical profile index (API). (Muhammad S et
al. 2020)
Screening
for biofilm production
75ml of Nutrient Agar Medium (NAM) was prepared and
autoclaved. 15ml media was poured in each Petri plate. After the media
solidified 45µl of sample was spread in the NAM plates. The cover slip coated
with 20% plasma was placed on the spread Petri plates. The plates were
incubated at 37̊C. (Walker J et al. 2012)
Antibiotic
Sensitivity Test (AST)
NAM was prepared, poured into petriplates and
allowed to solidify. 45µl of bacterial sample was spread on the NAM plates.
Wells were prepared with the help of micro tips. Each extract was loaded in the respective
well and incubated for 24hours at 37̊C. After incubation, results were obtained
as zone of inhibition and were measured with a scale.
Biofilm
degradation by plant extract
Biofilms were produced on coverslips. These coverslips
were then placed on a slide. Then the
cover slip was filled with extract and incubated for 1-2 days.
Phytochemical
analysis
The extract was first dissolved in methanol and
incubated for 1hour at room temperature and then filtered. The filtrate was then
used for phytochemical analysis as per the standard procedure (Alfalluos et al.
2017).
Formulation
Orange peel, eucalyptus leaves and tomato peel were
dried and ground to a powder. Sodium bicarbonate, sodium lauryl sulphate,
honey, coconut oil, clove oil, salt and herbal ingredient were added in a
mortar and mixed well until it formed a paste consistency. The composition of the herbs and chemicals
used in toothpaste preparation is as follows:
Plant
extract
Ingredients
Orange peel -0.3gm, Eucalyptus leaf - 0.1gm, Tomato
peel - 0.4gm
Composition
of chemicals
Ingredient
Sodium bicarbonate – 0.9gm, Sodium lauryl sulphate –
1.5gm, Honey – 1 spoon, Salt – 0.1gm, Coconut oil – 5 drops, Clove oil – 5
drops
Physical
examination
Formulated toothpaste was evaluated for the
following parameters:
Colour
was visually checked.
Odour
was tested by smelling the product.
Taste
was checked manually by tasting the formulation.
The
smoothness was tested by rubbing the paste formulation between the fingers.
Composition
All the ingredients used complied with the Indian
standards. Toothpaste was not composed of mono or disaccharide such as sucrose
or fermentable carbohydrate.
pH
10gm of toothpaste was mixed with 10ml water, boiled
and then cooled to make a suspension. The pH was determined using pH meter.
Foam
ability
The foam ability of formulated toothpaste was
evaluated by taking small amount of toothpaste with water in measuring
cylinder. Initial volume was noted and then shaken 10 times. The final volume
of was noted.
Spread
ability
1gm of formulated paste was placed on the slide. The
toothpaste was placed like sandwich between two slides for 5min to expel air
and to provide a uniform film of paste between the slides. Excess of the paste
was scrapped off from the edges. The top slide was then subjected to pull with
the help of string attached to a hook and time required by the top slide to
cover a particular distance was noted.
Comparative
study
Nutrient agar plates were prepared. The bacterial
culture was spread on the agar and wells were made. The formulated toothpaste
and marketed ones were poured in the respective wells and incubated for 24
hours.The Zone of Inhibition (ZOI) of each sample was measured using a scale
and compared.
Results
Different herbs like tomato (Solanum lycopersicum),
orange (Citrus X sinensis), Mango (Mangifera indica), Eucalyptus
(Eucalyptus globules) and Jungle jalebi (Pithecellobium dulce)
were collected for the preparation of herbal toothpaste, extracts of these
herbs were prepared in various solvents. Micro-organisms were isolated from
plaques. The isolated bacterium was capable of producing a biofilm (Figure 1).
The biofilm forming bacterium was then biochemically characterized (Table 1,
Figure 2 and Figure 3) and based on morphology, cuture characters, API was
identified as Staphylococcus aureus.
The Antimicrobial susceptibility test (AST) of these extracts were performed
and analysed on the isolated biofilm producing Staphylococcus aureus isolated from plaques.
Table-
1: Biochemical characters of plaque bacteria
TESTS
|
PLAQUE BACTERIA
|
Gram
stating
|
Gram
positive
|
Endospore
test
|
Positive
(Figure 3)
|
Catalase
test
|
Positive
|
Mannitol
test
|
Positive
|
Gram
nature
|
Positive
cocci (Figure 2)
|
Coagulase
|
Positive
|
Figure- 1: Slide view of biofilm production
Figure- 2: Gram positive bacteria
Figure- 3: Endospore positive
Extracts of tomato peel, jungle jalebi fruit and
orange peel extracted in acetone showed a Zone of Inhibition (ZOI) of 16.5 mm,
16.5 mm and 27.5 mm respectively (Table 2).
The biofilm degrading capability of the extracts of
tomato, orange and jungle jalebi in acetone were checked. These extracts
together degrade the biofilm produced in a test tube (Figure 4).
Figure- 4: Test tube view of biofilm degradation
Phytochemical analysis of the extract was done.
Terpenoid, Flavonoid, Tannin and Steroid were present in 3 extracts apart from
other phytochemicals (Table 3).
Tooth
Paste Formulation
The herbal toothpaste was formulated by mixing the
selected herbs as per the formulation protocol. The physical parameters of the
formulation were observed (Table 4).
Table-2:
ZOI of the extracts in different solvents
Zone of inhibition
|
S.No
|
Extract
|
Hexane
|
Acetone
|
Ether
|
DW
|
Methanol
|
Benzene
|
Chloroform
|
1
|
Tomato
peel
|
-
|
16.5mm
|
-
|
14mm
|
-
|
-
|
-
|
2
|
Mango
leaf
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
3
|
Orange
peel
|
-
|
27.5mm
|
-
|
-
|
-
|
-
|
-
|
4
|
Jungle
jalebi fruit
|
-
|
16.5mm
|
-
|
-
|
-
|
-
|
-
|
5
|
Eucalyptus
leaf
|
17.5
mm
|
20.5
mm
|
17
mm
|
-
|
16.5
mm
|
19.5
mm
|
18.5
mm
|
Table-3: Phytochemicals test of orange peel, tomato peel and
Eucalyptus
Tests
|
Orange Peel
|
Eucalyptus
|
Tomato Peel
|
Terpenoid
|
Positive
|
Positive
|
Positive
|
Flavonoid
|
Positive
|
Positive
|
Positive
|
Phlobatannin
|
Positive
|
Negative
|
Negative
|
Tannin
|
Positive
|
Positive
|
Positive
|
Leucoanthocyanin
|
Negative
|
Negative
|
Negative
|
Coumarin
|
Negative
|
Positive
|
Positive
|
Steroid
|
Positive
|
Positive
|
Positive
|
Fatty acid
|
Positive
|
Positive
|
Negative
|
Table- 4: Physical parameters of the formulated toothpaste
A
Comparative Study
S.No.
|
Parameter
|
Observation
|
1
|
Color
|
Muddy
Orange
|
2
|
Odour
|
-
|
3
|
Taste
|
sweetish
|
4
|
Smoothness
|
Slightly
smooth
|
5
|
pH
|
6.5
|
6
|
Foam
ability
|
Good
|
7
|
Spread
ability
|
Average
|
The AST against Staphylococcus
aureus was done with commercially available toothpastes Colgate, Dabur Red
& Dantkanti. The AST of each of the toothpastes were compared with the new
formulation against the isolated Staphylococcus
aureus. The ZOI of Dant kanti was 27.5 mm and the new formulation was 24.5
mm (Figure 5).
Figure-5: AST of
different toothpastes.
A.
AST of Formulated herbal toothpaste against Staphylococcus aureus
B.
AST of Dabur Red against Staphylococcus aureus
C.
AST of Colgate against Staphylococcus aureus
D.
AST of Dant Kanti against Staphylococcus aureus
Discussion
Plaque formation is a most common problem faced by
people all over the world. Untreated Plaque formation can lead to dental caries
which one of the most common oral infections. Many chemical and herbal remedies
have already been tried and tested. Chemical remedies have been effective but
come along with many side effects on long term usage. Herbal remedies have been
equally effective with better acceptance and no side effects as they are
natural. The presence of a variety of phytochemicals in herbal extracts such as
tannins, terpenoids, flavonoids, saponinsconfer antimicrobial properties to the
extracts and they are able to kill or inhibit the growth of different bacterial
communities.
Previous studies have shown that the extract of C.
sinensis has antimicrobial and anti-biofilm activities against S. aureus
and P. aeruginosa (Baba et
al. 2018; Zubir 2020). Extracts from other citrus species have also
demonstrated anti-microbial activity against Prevotella intermedia, Porphyromonas
gingivalis, Bacillus subtilis, Shigella flexineri, Staphylococcus
epidermidis (Hussain et al. 2015;
Zubair 2020). Our results indicate that orange peel extract in
acetone has antibacterial activity against biofilm forming isolates of S. aureus
from dental plaque with a ZOI of 27.5 mm. Phytochemical like tannins,
flavonoids, terpenoids have been identified in the extract prepared in acetone.
The anti-microbial activity in the extracts is due to the presence of
phytochemicals like tannin which is capable of inhibiting protein synthesis by
forming reversible complexes with proteins rich in proline, flavonoids which
exhibit anti-inflammatory, anti-microbial, cytostatic and antioxidant
properties (Alams et al. 2005; Hodek et al. 2002; Shimda et al. 2006). The
individual effect of the orange peel extract on biofilm degradation was not
checked. However, the extract of orange, along with Eucalyptus and tomato can
degrades the biofilim.
Many studies have reported the antibacterial
activity of Eucalyptus against oral and other pathogens. Extracts of Eucalyptus
prepared in a wide variety of solvents have abundant phytochemicals which
contribute to its antimicrobial activity. It has been observed that the effect
of eucalyptus in maintaining oral hygiene is comparative or equivalent to
chlorohexidine (Amabye et al. 2016; Asimuddin et al. 2017; Nagpal et al. 2010;
Ragul et al. 2018). In our study extracts were prepared in acetone have terpenoids,
tannins, flavonoids, coumarin, steroid. These extracts showed a zone of
inhibition of 20.5mm against S. aureus. The antibacterial activity of
Eucalyptus against S. aureus is in agreement with other studies
(Asimuddin et al. 2017). The best antimicrobial activity of Eucalyptus extract
was observed in acetone (ZOI of 20.5mm) compared to methanol (ZOI -16.5mm).
Tomato peel and extracts due to the high presence of
biologically active compounds have been shown to inhibit the growth of
foodborne pathogenic bacteria. The pigment lycopene present in tomato has a
very high singlet oxygen quenching capacity and plays an important role in the
treatment of oral diseases like leukoplakia, oral submucous fibrosis, lichen
planus, oral squamous cell carcinoma, and also prevents the destruction of
periodontal tissues (Gupta et al. 2015). The acetone extracts of tomato in our
study have of terpenoids, flavonoids, tannins, coumarin and steroid. Extracts
in acetone showed a better antibacterial activity.
The combined anti-biofilm activity of the extracts
with the best anti-bacterial activity was tested and we observed the
degradation of the biofilm with the combined extracts.
The toothpaste formulation was made selecting the
acetone extracts of orange peel, tomato peel and eucalyptus which showed the
best antibacterial activity by well-diffusion method, against the biofilm
producing S. aureus isolated from plaque.
A comparative study of the prepared formulation with
the commercially available Colgate, Dabur red and Dantkanti, revealed that the
anti-bacterial activity of the formulation (ZOI 24.5mm) against S. aureus
was almost equivalent to Dant Kanti (ZOI 27.5mm).
Conclusion
The formulated tooth paste contains herbal
ingredients that are active against biofilm forming S. aureus isolated
from dental plaques. The extracts of the herbs used contain phytochemicals
which contribute to their anti-microbial activity. The formulated herbal tooth
paste is equivalent to an even better that some of the available commercial
preparations.
Conflict of Interest
The
authors declare that there is no conflict of interest.
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