Antibacterial and Antimicrobial Effects of Xanthorrhizol in the Prevention of Dental Caries: A Systematic Review

Drug Des Devel Ther. 2021 Mar 11:15:1149-1156. doi: 10.2147/DDDT.S290021. eCollection 2021.

Abstract

Background: Xanthorrhizol is one of the numerous phytochemicals whose pharmacological benefits have been explored for its antibacterial and antimicrobial effects. In light of the role bacteria play for initiating tooth decay, this present systematic review assessed xanthorrhizol's effect against dental caries.

Methods: The electronic databases including Pubmed, Scopus and Embase were searched up to September 2020, Studies examining the antibacterial and antimicrobial effects of xanthorrhizol in the prevention and treatment of dental caries.

Results: Eleven studies met the criteria for final inclusion. Findings from these studies showed that xanthorrhizol showed significant inhibition of notable caries causing bacteria including Streptococcus mutans, Streptococcus sanguinis, Enterococcus faecalis and Bacillus cereus. Furthermore, there was no reported toxicity. However, it could not selectively target the growth of cariogenic bacteria.

Conclusion: So far, studies exploring the use of xanthorrhizol as a potential drug for the prevention and treatment of dental caries have shown promising outcomes. However, more work needs to be done especially in areas such as optimal dose or concentration, in addition, in vitro, in vivo and clinical studies and selective targeting of cariogenic bacteria has been performed.

Keywords: antibacterial; antimicrobial; dental caries; xanthorrhizol.

Publication types

  • Systematic Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacillus cereus / drug effects
  • Dental Caries / microbiology
  • Dental Caries / rehabilitation*
  • Enterococcus faecalis / drug effects
  • Humans
  • Microbial Sensitivity Tests
  • Phenols / pharmacology*
  • Streptococcus mutans / drug effects
  • Streptococcus sanguis / drug effects

Substances

  • Anti-Bacterial Agents
  • Phenols
  • xanthorrhizol