In vitro antibacterial effect of Moringa oleifera on bacteria associated with caries and periodontal disease

Authors

Keywords:

Fusobacterium nucleatum; Moringa oleifera; Streptococcus mutans

Abstract

Introduction: Dental caries and periodontal disease are prevalent public health problems associated with Streptococcus mutans and Fusobacterium nucleatum. The increasing bacterial resistance to conventional antimicrobials is driving the search for natural alternatives such as Moringa oleifera, a plant recognized for its medicinal properties

Objective: To evaluate the in vitro antibacterial effect of the hydroethanolic extract of Moringa oleifera on the growth of Streptococcus mutans and Fusobacterium nucleatum.

Methods: An in vitro experimental study was conducted using 102 Petri dishes inoculated with certified strains (S. mutans ATCC® 25175 and F. nucleatum ATCC® 25586). Extracts at concentrations of 50%, 75%, and 100% were evaluated by agar diffusion (inhibition zones) and macrodilution in tubes (minimum inhibitory concentration). PerioAid® was used as a positive control and distilled water as a negative control.

Results: For S. mutans, the inhibition zones were 15.2 mm (50%), 16.3 mm (75%), and 20.5 mm (100%), compared to 25 mm for the control. The minimum inhibitory concentration was 0 CFU/mL at all concentrations. For F. nucleatum, the zones were 9.9 mm (50%), 11.3 mm (75%), and 12,4 mm (100%), compared to 25.1 mm for the control. The minimum inhibitory concentration was 3.32 × 10² CFU/mL at 50% and 0 CFU/mL at 75% and 100%.

Conclusions: The hydroethanolic extract of Moringa oleifera shows antibacterial activity in vitro against S. mutans and F. nucleatum, with greater effectiveness at high concentrations, suggesting its potential in the prevention of oral diseases.

Downloads

Download data is not yet available.

References

1. Alarcón J. Efecto antimicrobiano in vitro del extracto de vitis vinífera (uva) sobre el Streptococcus mutans [Internet]. [Tesis de pregrado]. Quito: Universidad Central del Ecuador, Facultad de Ciencias de la Salud; 2018. [acceso: 14/05/2025]. Disponible en: https://www.dspace.uce.edu.ec/server/api/core/bitstreams/d06f8810-954d-41e8-9f47-6a47b62f0b10/content

2. Abranches J, Zeng L, Kajfasz J, Palmer S, Chakraborty B, Wen Z et al. Biology of oral Streptococci [Internet]. Microbiol Spectrum. 2018; 6(5): GPP3-0042. DOI: 10.1128/microbiolspec.gpp3-0042-2018

3. Lemos J, Palmer S, Zeng L, Wen Z, Kajfasz JK, Freires I, et al. The biology of Streptococcus mutans [Internet]. Microbiol Spectrum. 2019; 7(1): GPP3-0051. DOI: 10.1128/microbiolspec.gpp3-0051-2018

4. Pardo F, Hernández L. Enfermedad periodontal: enfoques epidemiológicos para su análisis como problema de salud pública [Internet]. Rev salud pública. 2018; 20(2): 258-64. DOI: 10.15446/rsap.v20n2.64654

5. Mohanty R, Asopa S, Joseph M, Singh B, Rajguru J, Saidath K, et al. Red complex: Polymicrobial conglomerate in oral flora: A review [Internet]. J Family Med Prim Care. 2019;8(11):3480-6. DOI: 10.4103/jfmpc.jfmpc_759_19

6. Mayta M, Guerra V, Bernabe A. Association between type 2 diabetes and periodontitis: a population-based study in the North Peru [Internet]. Wellcome Open Res. 2024;9(1):562. DOI: 10.12688/wellcomeopenres.23036.4

7. Pałka Ł, Nowakowska-Toporowska A, Dalewski B. Is Chlorhexidine in dentistry an ally or a foe? A Narrative Review [Internet]. Healthcare (Basel). 2022; 10(5):764. DOI: 10.3390/healthcare10050764

8. Pareek A, Pant M, Gupta MM, Kashania P, Ratan Y, Jain V, et al. Moringa oleifera: an updated comprehensive review of its pharmacological activities, ethnomedicinal, phytopharmaceutical formulation, clinical, phytochemical, and toxicological aspects [Internet]. Int J Mol Sci. 2023; 24(3):2098. DOI: 10.3390/ijms24032098

9. Islam Z, Islam S, Hossen F, Mahtab K, Hasan M, Karim R. Moringa oleifera is a prominent source of nutrients with potential health benefits [Internet]. Int J Food Sci. 2021; 21(1):6627265. DOI: 10.1155/2021/6627265

10. Velázquez M, Peón I, Zepeda R, Jiménez M. Moringa (Moringa oleifera Lam.): potential uses in agriculture, industry and medicine [Internet]. Rev Chapingo. 2016; 2(2):95-116. DOI: 10.5154/r.rchsh.2015.07.018

11. Li J, Liu D, Tian X, Koseki S, Chen S, Ye X, et al. Novel antibacterial modalities against methicillin resistant Staphylococcus aureus derived from plants [Internet]. Crit Rev Food Sci Nutr. 2019;59(sup1): S153-S161. DOI: 10.1080/10408398.2018.1541865

12. Xinyue S, Guanzheng L, Liang Y, Ruyu S, Maomao Z, Xinming Y, et al. Moringa oleifera Lam.: a comprehensive review on active components, health benefits and application [Internet]. RSC Adv. 2023; 13(35): 24353–84. DOI: 10.1039/D3RA03584K

13. Elgamily H, Moussa A, Elboraey A, El-Sayed H, Al-Moghazy M, Abdalla A. Microbiological assessment of moringa oleifera extracts and its incorporation in novel dental remedies against some oral pathogens [Internet]. Open Access Maced J Med Sci. 2016;4(4):585-90. DOI: 10.3889/oamjms.2016.132

14. Cáceres R. Efecto antimicrobiano del extracto etanólico de Moringa oleifera “moringa” comparado con ciprofloxacino sobre Escherichia coli ATCC 25922 [Internet]. [Tesis de pregrado]. Lima: Universidad César Vallejo, Facultad de Ciencias de la Salud; 2018. [acceso: 14/05/2025]. Disponible en: https://repositorio.ucv.edu.pe/handle/20.500.12692/25912

15. Arévalo L, Aguilar L, Caballero S, Gonzáles N, Del Valle J. Antibacterial and cytotoxic effects of Moringa oleifera (Moringa) and Azadirachta indica (Neem) methanolic extracts against strains of Enterococcus faecalis [Internet]. Int J Dent. 2018; 18(1):1071676. DOI: 10.1155/2018/1071676

16. Al-Ghanayem A, Alhussaini M, Asad M, Joseph B. Effect of Moringa oleifera leaf extract on excision wound infections in rats: antioxidant, antimicrobial, and gene expression analysis [Internet]. Molecules. 2022;27(14):4481. DOI: 10.3390/molecules27144481

17. Baquerizo R. Efecto antibacteriano del extracto de hojas de Moringa oleifera comparado con clorhexidina al 0,12% frente a cepas de Streptococcus mutans ATCC 25175 [Internet]. [Tesis de pregrado]. Lima: Universidad Nacional Federico Villareal, Facultad de Ciencias de la Salud; 2023. [acceso: 14/05/2025]. Disponible en: https://repositorio.unfv.edu.pe/handle/20.500.13084/7576

18. Benítez R, Sarria R, Gallo J, Pérez N, Helmer J. Obtención y rendimiento del extracto etanólico de dos plantas medicinales [Internet]. Revista Facultad De Ciencias Básicas 57. 2020 [acceso: 14/05/2025]; 15(1):31-38. Disponible en: https://revistas.unimilitar.edu.co/index.php/rfcb/article/view/3597/3606

19. Montero M, Vayas L, Avilés D, Pazmiño P, Erazo V. Evaluación de dos métodos para medir la sensibilidad de inhibición de crecimiento de la cepa certificada de Staphylococcus aureus subsp. aureus [Internet]. Rev investig Vet. 2018 [acceso: 14/05/2025];29(4):1543-7. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S160991172018000400052

20. World Medical Association. Declaration of Helsinki – Ethical principles for medical research involving human subjects. WMA; 2024. [acceso: 14/05/2025]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/

21. El-Sherbiny G, Alluqmani A, Elsehemy I, Kalaba M. Antibacterial, antioxidant, cytotoxicity, and phytochemical screening of Moringa oleifera leaves [Internet]. Sci Rep. 2024;14(1):30485. DOI: 10.1038/s41598-024-80700-y

22. Nugraha A, Triwardhani A, Sitalaksmi R, Ramadhani N, Luthfi M, Ulfa N, et al. Phytochemical, antioxidant, and antibacterial activity of Moringa oleifera nanosuspension against peri-implantitis bacteria: An in vitro study [Internet]. J Oral Biol Craniofac Res. 2023;13(6):720-6. DOI: 10.1016/j.jobcr.2023.09.004

23. Bhaskaswar D, Mahajan A, Bhaskarwar A, Chavan S, Pande S. Evaluation and comparison of antimicrobial efficacy of leaves and roots extract of Moringa Oleifera plant against periodontal pathogens - An invitro study [Internet]. JCHR. 2025 [acceso: 14/05/2025];15(3):135-43. Disponible en: https://jchr.org/index.php/JCHR/article/view/8148

24. Sumirtati S, Ramadany S, Handayani H, Achmad H. Assessment of the anti-inflammatory activities of the MoringaLeaf extract in periodontitis cases through IL-6 Cytokine analysis in wistar (Rattus novergicus) [Internet]. Open Access Maced J Med Sci. 2022 [acceso: 14/05/2025];10(D):124-30. Disponible en: https://oamjms.eu/index.php/mjms/article/view/8381/6945

Published

2026-05-16

How to Cite

1.
Rivera Paima JC, Reátegui Navarro MA, Vargas Cornejo HM, Jiménez Prado CA, Guillen Galarza MF. In vitro antibacterial effect of Moringa oleifera on bacteria associated with caries and periodontal disease. Rev. cuba. med. mil [Internet]. 2026 May 16 [cited 2026 May 17];55(2):e026077052. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/77052