Comparison of the antibacterial activity of six medicinal plants, sodium hypochlorite, and chlorhexidine against enterococcus faecalis (In vitro study)

Enterococcus faecalis is a gram-positive, facultative anaerobic bacterium recognized for its resistance to various antimicrobial agents. This organism is associated with the failure of endodontic treatments, even when potent antimicrobial irrigants are employed. Numerous medicinal plants have demonstrated antimicrobial properties that could be potentially effective against this bacterium. To evaluate the antibacterial properties of six medicinal plants in comparison to sodium hypochlorite and chlorhexidine against E. faecalis. Antibacterial susceptibility tests against E. faecalis (ATCC 29212) were performed for 200 mg/ml ethanolic extracts of Acacia Senegal, Capparis decidua, Capparis micracantha, Acacia nilotica/ Adansonia, Dobera glabra, and Moringa oleifera by Agar Disc Diffusion method. Chlorhexidine 0.2% and Sodium hypochlorite 1% were used as positive controls, and ethanol 20% as a negative control. The diameters of the inhibition zones were measured. Acacia nilotica/adansonii leaves showed the largest inhibition zone diameter against E. faecalis. It displayed a significantly greater inhibitory effect against E. faecalis than Acacia Senegal (p-value =0.005), Capparis decidua (p-value =0.02), Capparis micracantha branches (p-value =0.000), Dobera glabra leaves (p-value =0.008), and Moringa olifera leaves (p-value =0.000). Acacia nilotica leaves displayed a similar inhibition zone diameter against E. faecalis as chlorhexidine gluconate 0.2%, but it showed no statistical significance. Acacia nilotica leaves (L) and pods (P), as well as Dobera glabra branches (B), displayed a larger inhibition zone diameter against E. faecalis than Sodium hypochlorite 1%, but with no statistical significance. The leaves of Acacia nilotica exhibit the most potent antibacterial properties against E. faecalis when compared to other plants parts. They outperform the antibacterial effectiveness of 1% sodium hypochlorite and demonstrate a similar antibacterial impact to that of 0.2% chlorhexidine. Therefore, Acacia nilotica leaves could serve as an ideal irrigant potentially substituting the chemical options.