Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 25175

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  • 7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251

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    J Appl Oral ci. 37

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    ABTACT

    canning lectron Microscopic study ofPiper betle. leaves extract effect against Streptococcusmutans ACC 2515

    Zubaidah aji Abdul AIM, Nalina TAIAJA2

    1- Bc ons, h, epartment of ral Biology, ental chool, niversity of Malaya, uala umpur, Malaysia.

    2- Bc ons, Mc, h, C niversity, ental chool, niversity of Malaya, uala umpur, Malaysia.

    Corresponding address: ubaidah j Abd ahim (h - epartment of ral Biology, aculty of entistry - niversity of Malaya, 50603 - uala umpur -

    Malaysia - hone: 603-964851 - ax: 603-964536 - e-mail address: [email protected]

    5HFHLYHG-XQH0RGLFDWLRQ1RYHPEHU$FFHSWHG0DUFK

    ntroduction: revious studies have shown that Piper betle . leaves extract inhibitsthe adherence ofStreptococcus mutans to glass surface, suggesting its potential rolein controlling dental plaque development. bjectives: n this study, the effect of thePiper betle . extract towards S. mutans with/without sucrose) using scanning electronPLFURVFRS\ 6(0 DQGRQSDUWLDOO\SXULHG FHOODVVRFLDWHGJOXFRV\OWUDQVIHUDVHDFWLYLW\were determined. Material and Methods: S. mutans were allowed to adhere to glass beadssuspended in different Brain eart nfusion broths without sucrose; with sucrose; withoutsucrose containing the extract 2 mg m-1 and 4 mg m-1); with sucrose containing theextract 2 mg m-1 and 4 mg m-1)]. ositive control was .12% chlorhexidine. he glassbeads were later processed for M viewing. Cell surface area and appearance and, cellpopulation ofS. mutans adhering to the glass beads were determined upon viewing usingthe M. he glucosyltransferase activity with/without extract) was also determined.ne- and two-way ANA were used accordingly. esults: t was found that sucroseincreased adherence and cell surface area ofS. mutans p

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    ther plant extracts like that of Syzygium

    aromat icum21 , Polygonum cusp idatum 2,

    Andrographis paniculata, Cassia alata, Chinese

    black tea, uava, Harrisonia perforata1, ropolis

    ype 3 and cacao bean18 also have an antiadherence

    effect. he adhering property could contribute to

    the virulence activity of the bacteria11,12. he ability

    to adhere to oral surfaces so successfully is one of

    the factors that afford these bacteria a critical role

    in the formation of dental plaque which, eventually

    lead to oral diseases such as caries, gingivitis and

    periodontitis1,13,15. n previous studies, it has been

    reported that the crude aqueous extract of Piper

    betle . leaves exhibit antivirulence and antibacterial

    activities towards S. mutans1. t was suggested

    that the antimicrobial activity is attributed to the

    hydroxychavicol component of the extract25.

    Streptococcus mutans has been implicated

    as one of the primary causative agents of dentalcaries in human and experimental animals,19.

    he bacteria after the initial colonization of the

    pellicle will attach strongly to the tooth surface

    by the extracellular polysaccharides ). hese

    extracellular polysaccharides are synthesized by

    the S. mutans in the presence of sucrose via the

    enzymatic action of one or more glucosyltransferases

    s). activity may represent the virulence

    factor of mutans Streptococciand can be used as

    an index for determining the antivirulence activity

    of the extract. he presence of -isoforms B, C

    and as seen under electron microscopy within alllayers of the in situ formed pelliclePD\DIUPWKHLU

    VLJQLFDQWUROHLQSODTXHGHYHORSPHQW7KHUHVXOWV

    obtained from previous work1 have indicated the

    Piper betle . extract affects the adhering capacity

    ofS. mutans via inhibition of the activity and

    hence the extracellular polysaccharide formation.

    his conclusion was based on biochemical and

    microbiological studies. he objectives of this study

    were to use scanning electron microscopy M)

    to demonstrate visually the effect of the aqueous

    extract of Piper betle . leaves in the presence

    and absence of sucrose on the cell adherence, cell

    growth and extracellular polysaccharide formation

    ofS. mutans and to relate the effect of the extract

    on the activity with bacterial adherence.

    MATEIA AN MET

    Preparation of crude aqueous extract of the

    leaves ofPiper betle

    he leaves ofPiper betle . were obtained from

    one source in Mentakab, ahang. Crude aqueous

    extract of the leaves was prepared according to

    Nalina and ahim1 2). Before use the dried

    pellets were weighed, dissolved and diluted to therequired concentrations using deionized distilled

    ZDWHU7KLVLVIROORZHGE\OWUDWLRQXVLQJm

    Q\ORQV\ULQJHOWHUV0LOLSRUHLOOHULFD0$6$

    which is for sterilization process2.

    Preparation of bacterial suspension

    Streptococcus mutans ACC 2515 American

    ype Culture Collection ACC), Manassas, A

    2188, A] suspension was prepared according

    to Nalina and ahim1 2). he bacterial stock

    which was kept frozen in glycerol at -C before

    use was thawed at room temperature to revive the

    bacteria. he thawed stock was then dispersed in

    3 m Brain eart nfusion B) broth xoid,

    ampshire, ngland) before incubating it at 3C

    for 18-2 h. he number of bacterial cells in the

    suspension used in the study was standardized by

    adjusting the absorbance of the bacterial suspension

    spectrophotometrically 55 nm

    ) to .144. his

    absorbance is equivalent to 1 cells m-1 23. o

    ensure that only pure culture of the stock are usedin the study, the revived bacteria were consistently

    tested for purity by culturing them on B plates

    containing 5% blood.

    EM analysis on the adherence capacity and

    growth ofS. mutans

    M analysis was done to determine a) the effect

    of sucrose on the growth and adherence capacity

    of S. mutans to glass surface and b) the effect

    ofPiper betle . leaves extract on the adherence

    capacity and growth of S. mutans on the glasssurface in the presence and absence of sucrose.

    he adherence capacity was determined from the

    bacterial cell population adhering to the surface

    of glass beads and the growth from the size and

    dividing appearance of the bacterial cells. he

    extracellular surface appearance of bacterial cells

    as viewed by M was also noted.

    a) ffect of sucrose on the growth and adherence

    capacity ofS. mutans to glass surface

    7KHDVVD\ZDVEDVHGRQDPRGLFDWLRQRIWKH

    method developed by oshima, et al.18 2).

    3 m of Brain eart nfusion B) broth xoid)

    containing 1% w/v) sucrose B) was pipetted

    into a vial containing sterile glass beads diameter:

    3 mm) Merck, armstadt, ermany). his was

    followed by the addition of bacterial cell suspension

    containing S. mutans equivalent to x1 cells m-

    1). he mixture was then incubated at 3C in an

    inclined position at an angle of 3 degrees for 18 h.

    his time duration allows the bacterial cells to be in

    the stationary phase. After the 18 h incubation, the

    glass beads were then washed with sterile deionized

    water and transferred into 1 m of glutaraldehyde

    igma Aldrich Co., t. ouis, M, A) 4%) to[WKHFHOOVDQGOHIWRYHUQLJKWDW&IRUWKH6(0

    analysis. M was used to view and record the cell

    canning lectron Microscopic study ofPiper betle . leaves extract effect against Streptococcus mutans ATCC 27

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    population, cell growth and extracellular surface

    appearance ofS. mutans. he assay was carried

    out in triplicate.

    or blank control, the assay was repeated using

    B without bacterial inoculation. he blank control

    was to validate that the assay is devoid of bacterial

    contamination. or negative control, the experiment

    was repeated using B broth without sucrose.

    b) ffect ofPiper betle . leaves extract on the

    adherence capacity and growth ofS. mutans on the

    glass surface in the i) absence and ii) presence of

    1% sucrose

    he assay procedure in a) was repeated with the

    addition of the Piper betle extract at the respective

    concentrations 2 mg. m-1 and 4 mg. m-1) to the

    inoculated B broth. n the determination of i) the

    effect of plant extract in the absence of sucrose, the

    B broth devoid of sucrose was used and ii) the

    effect of plant extract in the presence of sucrose,the B broth containing 1% sucrose was used.

    terile deionized distilled water and .12%

    chlorhexidine were used in place of the plant extract

    for negative and positive controls respectively and

    the assays were also carried out using the B

    broth with or without sucrose. he beads from the

    experiments were also processed for the M study.

    All of the above assays were carried out in triplicates.

    here were 9 beads to be viewed under M for each

    experiment with the respective broths.

    Preparation of the glass beads for EManalysis

    7KHJODVVEHDGVWKDWKDGEHHQ[HGRYHUQLJKWLQ

    glutaraldehyde were then processed for M analysis

    according to the following steps. irst, the glass

    beads were washed with sodium cacodylate igma

    $OGULFK&REXIIHU0DWS+DQGWKHQ[HG

    in 2% w/v) osmium tetroxide Merck) in the buffer

    solution overnight. he next day, the beads were

    gently washed in distilled water twice for 15 min and

    then dehydrated in an ascending series of ethanol

    B aboratories upplies; nternational,

    utterworth, eicestershire, ) concentrations

    1, 2, 3, 4, 5, , , 8, 9 and 95%) for

    15 min for each step. ollowing this, the beads were

    further dehydrated in 1% ethanol twice for 15

    min and subsequently in ethanol:acetone mixture

    DVIROORZVUVWO\HWKDQRODFHWRQHIRUPLQ

    then ethanol:acetone 1:1) for 15 min and followed

    by ethanol:acetone B) 1:3) for 15 min. inally,

    the beads were treated 3 times with pure acetone

    for 15 min.

    he beads were then processed for critical

    point drying for about 2 h. nce the beads were

    completely dry, they were mounted onto metal

    stubs with double sided tape and then coated with

    gold. hree beads from each assay were then used

    for viewing using a scanning electron microscope

    hillips, indhoven, Netherlands).

    etermination of the number of bacterial

    cells adhering to the glass surface

    he number of cells adhering to the glass surfaceon a 1 m2 area of the glass bead viewed at a

    PDJQLFDWLRQRI[ZDVFDOFXODWHGDQGWKHWRWDO

    number of cells was determined from an area of 1

    mm2 of the glass surface. he area with high density

    of bacteria cells was used in the calculation of the

    number of cells igure 1). n total, 9 beads from

    3 different assays per experiment were processed

    and analyzed.

    etermination of bacteria cell surface area

    7KH EHDGVZHUHYLHZHGDWD PDJQLFDWLRQ RI

    [$WWKLVPDJQLFDWLRQWKHVLHRIWKHFHOOLVPDJQLHGDQGWKXVPHDVXUHPHQWLVHDVLO\GRQH

    he size of the individual adhered bacterial cell was

    measured according its length ) and width ) in

    PDQGH[SUHVVHGDVWKHPHDQVXUIDFHDUHD>6'

    [6'@LQP2 of the total number of adhered cells

    from 9 beads used in the determinations.

    etermination of the appearance of the

    extracellular surface

    his was carried out by comparison with the

    appearance of the extracellular surface ofS. mutans

    adhering to hydroxyapatite beads28.

    igure iagram showing the calculation for the number of bacterial cells on 100 Pm2 area in a total area of 1 mm2 of

    the glass surface. The area with high density of bacteria cells was used in the calculation of the number of cells in Table 1

    AIM ZA, TAIAJA N

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    Preparation of partially purified cell-

    associated T ofS. mutans

    Crude was isolated from S. mutans ACC

    2515 strain in the research laboratory, ral

    Biology epartment, niversity of Malaya using the

    method described by oshima, et al.18 2) with

    VOLJKWPRGLFDWLRQ1,21. he crude enzyme was then

    VXEHFWHG WRSDUWLDOSXULFDWLRQE\XOWUDOWUDWLRQ

    Macrosep mega membrane - mw cut off=3 kd;

    all ife cience, xton, A, A). he crude enzyme

    ZDV WKHQ FHQWULIXJHGXVLQJ WKHFHQWULIXJDOOWHU

    Macrosep mega membrane; all ife cience) at

    5, g for 2 min to remove residual cells and the

    supernatant collected was then referred as partially

    SXULHGFUXGHHQ\PH7KHSDUWLDOO\SXULHGFUXGH

    enzyme was kept in the freezer -2C) to be used

    for further analyses.

    etermination the effect of the extractWRZDUGV SDUWLDOO\ SXULHG FHOODVVRFLDWHG

    T (CA) activities

    he reaction mixture used in the determination

    RIWKHSDUWLDOO\SXULHGFHOODVVRFLDWHG*7DFWLYLW\

    was adapted from the method described by Mukasa,

    et al.14DQGPRGLHGWRVXLWWKHH[SHULPHQW

    carried out in this study. he reaction mixture

    consists of .1% of thimerosal igma Aldrich Co.),

    1.4 g of sucrose, 34.3 mg of exogenous dextran

    CN Biomedicals, Aurora, , A) and mixed in

    1 m of 5 mM sodium phosphate igma Chemical

    Co.) buffer p .5). 1 m of the partiallySXULHGFHOODVVRFLDWHG*7ZDVSLSHWWHGLQWRWKH

    UHDFWLRQPL[WXUHWR JLYHDQDOYROXPHRIP

    he mixture was then incubated at 3C. After 18

    h to allow the enzyme to catalyze the formation

    RIJOXFDQVXIFLHQWIRUTXDQWLFDWLRQRIJOXFRVH

    the reaction was terminated by placing the tube

    in a boiling water bath for 5 min. After 5 min, the

    mixture was centrifuged igma 32, sterode,

    ermany) at 2, g for 1 min. he pellet obtained

    after centrifugation was collected and used in the

    determination of water-insoluble ) extracellular

    polysaccharide content while the supernatant was

    discarded.

    he pellet was washed 3 times each with 5 m

    of distilled water and then uniformly suspended in

    1 m of distilled water by agitation. 5 m of the

    extracellular polysaccharide suspension was

    then pipetted into a clean test tube and assayed

    for glucose content.

    he experiment was repeated by adding the plant

    extract at the respective concentrations 4. mg

    m-1) to the enzyme reaction mixtures. Comparison

    ZDVPDGHEHWZHHQWKHDFWLYLWLHVRISDUWLDOO\SXULHG

    CA treated with plant extract and that without

    the treatment. he activity of the enzyme in thepresence of .12% chlorhexidine igma Aldrich

    Co.) was also determined using the same procedure.

    etermination of glucose content of the

    I glucan

    he determination of glucose was carried out

    according to the method by ubois, et al.4 195).

    o 5 m of the glucan suspension, 5 m of

    deionized distilled water was added and this was

    followed by the addition of 5 m of phenol igma

    Aldrich Co.) 8% w/v). he mixture was vortexed

    and subsequently 2 m of concentrated sulfuric

    acid M Chemicals, ssex, ) was added to

    the mixture. his mixture was then allowed to

    stand for 1 min at room temperature before its

    optical density at 49 nm was measured. or the

    standards, a range of volumes 1 m) of the

    stock glucose igma Aldrich Co.) solution 1 mg m-

    1ZDVSUHSDUHGWRJLYHDUDQJHRIQDOFRQFHQWUDWLRQ

    from to 1 mg m-1. or the blank control, 1 m

    of deionized distilled water was used instead. he

    determinations were carried out in triplicates.he glucose content determined corresponds to

    the amount of extracellular polysaccharide formed

    E\WKHSDUWLDOO\SXULHG*7ZLWKLQWKHVSHFLFWLPH

    which was then used in the calculation of the

    activity. he enzyme activity is expressed as mol

    glucose in the extracellular polysaccharide produced

    per min mole glucose min-1)21.

    tatistical analysis

    Normality tests for all the data obtained were

    carried out using the hapiro-ilks analysis. he

    data for the comparison of the cell populationand cell growth in the respective experiments

    were analyzed using a two-way ANA. or the

    FRPSDULVRQRIWKHSDUWLDOO\SXULHG&$*DFWLYLWLHV

    between the different experiments, a one-way

    ANA was used.

    ET

    Effect of sucrose on the adherence capacity

    and growth ofS. mutans on glass surface

    igure 2 shows M micrographs 1,x

    magnification) for blank control B without

    bacterial inoculation), negative control inoculated

    B without sucrose) and test inoculated B

    with sucrose) based on M viewing at. hese

    images provide qualitative observations of the

    cell population which was used to determine the

    adherence capacity ofS. mutans to glass surface.

    t was shown that there were no cells adhering

    to the glass surface in blank control B without

    bacterial inoculation) igure 2A). his indicates

    that the experimental procedures are assured of the

    exclusion of bacterial contamination. he number of

    cells adhering to the glass surface when grown in the

    absence of sucrose was less igure 2B) comparedto that in the presence of 1% sucrose as shown in

    igure 2C. t was observed more cells were adhering

    canning lectron Microscopic study ofPiper betle . leaves extract effect against Streptococcus mutans ATCC 27

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    to the glass surface and they are in aggregates. he

    extracellular surface of the cells appeared to have

    DOD\HURIXII\DSSHDUDQFHVSUHDGLQJDFURVVWKH

    surface of the glass bead igure 2C).

    he quantitative measurement of the bacterial

    cell population was carried out during the M

    YLHZLQJDW[PDJQLFDWLRQWZDVIRXQGWKDW

    the number of cells adhering to the glass surface

    increases in the presence of sucrose and the

    increase was -fold higher than that in the absence

    p

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    Effect of the Piper betle . leaves extract on

    the growth ofS. mutans with and without

    sucrose

    he cell surface area of the bacterial cells grown

    in the presence of the extract, with and without

    sucrose based on the M viewing at 1,x

    PDJQLFDWLRQ LVVKRZQLQ7DEOH W ZDV IRXQG

    that the bacterial cells grown in the presence of 2

    mg m-1 of the extract without sucrose exhibited

    FHOOVXUIDFHDUHDWKDWLVQRWVLJQLFDQWO\GLIIHUHQW

    Cell surface area (m2)

    xperiments Absence of sucrose resence of sucrose

    Negative control (without the CA 0.2090.018a,b 0.280.026a

    2 mg m-1 CA 0.2160.016b,x 0.2440.018d,x

    4 mg m-1 CA 0.1460.010c,y 0.1450.009e,y

    ositive control (0.12% chlorhexidine nd nd

    The number of cells adhered to the glass beads 100 m 2 was expressed as the mean standard deviation from nine

    determinations

    a p

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    from those grown in the absence of the extract.

    ncreasing the concentration of the extract to 4

    mg m-1 decreases the cell surface area by 3%

    p

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    was expressed as mol glucose content of the

    extracellular polysaccharide perminute and was

    found to decrease in the presence of the extract.

    he inhibitory effect was found to be concentration

    GHSHQGHQWDQGZDV PRUH VLJQLFDQWDW KLJKHU

    concentrations of the extract. At .5 mg m-1 of

    WKHH[WUDFWWKHSDUWLDOO\SXULHG&$*DFWLYLW\ZDV

    reduced by 29% p

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    t was thought that the reduced adherence is

    attributed to extracellular polysaccharide not being

    IRUPHGHIFLHQWO\ZKLFK LVGXH WRUHGXFHG*7

    activity in the presence of the extract.

    n this study, it was shown that there are

    bacteria though few in number adhering to the

    glass surface despite the undetectable activity

    in the presence of 4 mg m-1 of the extract. n the

    presence of .12% chlorhexidine there were no

    bacterial cells adhering to the glass surface and at

    that concentration, the activity corresponds

    to that of 2.5 mg m-1 of the extract and, cell

    adherence was observed in the presence of the later.

    his suggests that is not involved and that other

    factors such as hydrophobic and ionic interactions

    maybe involved in the adherence or attachment of

    bacteria to the tooth surfaces which, is in agreement

    with what had been reported in previous work11,12.

    owever, it has been shown that the cell surfacehydrophobicity of S. mutans is reduced in the

    presence of the plant extract1. he crude Piper

    betle OHDYHVH[WUDFWPD\ KDYH LQXHQFHG WKH

    adhesion between the cell surface of the bacteria

    and the host surface via ionic interaction which

    could be responsible for the adherence effect

    demonstrated at 4 mg m-1 extract concentration.

    t was also shown that the Piper betle . leaves

    H[WUDFWKDVDQLQXHQFHRQWKHFHOOVXUIDFHDUHD

    size) of the bacterial cells. he presence of sucrose

    appears not to have effect on the cell surface area

    of bacterial cells in the presence of the 4 mg m-1

    extract as with or without sucrose, the bacterial

    cells appear to attain similar cell surface area. his

    indicates that bacteria grown in the presence of

    the extract could experience environmental stress,

    ZKLFKFRXOG LQXHQFH LWVDELOLW\ WRXVHQXWULHQWV

    HIFLHQWO\DQGWKHUHE\VORZVGRZQLWVJURZWK5,29. t

    has been reported that the aqueous Piper betle .

    extract exhibited similar effect towards other oral

    bacteria for example, S. sanguinis, S. mitis and

    Actinomyces sp.5.

    CNCN

    he M analysis provided visual qualitative)

    and quantitative evidence that the Piper betle

    . leaves extract has a reducing effect on cell

    adhesion, cell growth and extracellular appearance

    ofS. mutans. he effect of the Piper betle . leaves

    extract on the activity and adherence capacity

    ofS. mutans suggests the involvement of other

    factors in the adherence of bacterial cells to the

    glass surface.

    ACNEEMENT

    his project was supported by research grants

    ote and A) provided by the Malaysian

    government. he authors would like to acknowledge

    Ms ubaidah Abu assan of the lectron Microscopy

    nit, Medicine chool, niversity of Malaya for their

    assistance in the electron microscopy procedure.

    EEENCE

    ODF&$OODQRUG6LOVRQ00FDELROPVSHFLF

    surface properties and protein expression in oral Streptococcus

    sanguis. Arch ral Biol. 24;49:295-34.

    2- Cury A, rancisco B, el Bel Cury AA, abchoury C. In situ

    study of sucrose exposure, mutans streptococciin dental plaque

    and dental caries. Braz ent . 21;12:11-4.

    3- uarte , oo , Bowen , ayacibara M, Cury A, kegaki

    M, et al. ffect of a novel type of propolis and its chemical fractions

    on glucosyltransferases and on growth and adherence ofmutans

    streptococci. Biol harm Bull. 23;2:52-31.

    4- ubois M, illes , amilton , ebers A, mith . A

    colorimetric method for determination of sugars and related

    substances. Anal Chem. 195;28:35-.

    5- athilah A, usoff M, ahim A. he effect ofPsidium guajavaand Piper betle extracts on the morphology of dental plaque

    bacteria. ak Med ci. 29;25:928-33.

    - amada , lade . Biology, immunology and cariogenicity

    ofStreptococcus mutans. Microbiol eview. 198;44:331-84.

    - annig C, uggeri A, Al-hayer B, chmitz , pitzmller B,

    eimling , et al. lectron microscopic detection and activity of

    glucosyltransferase B, C and in the in situ formed pellicle. Arch

    ral Biol. 28;53:13-1.

    8- arjalainen , arjalainen M, derling . ffect of sucrose

    ULQVHVRQ WKHRUDOPLFURRUDDQG RQVDOLYDU\VXFUDVHDFWLYLW\

    Caries es. 1993;2:38-42.

    9- irtikar , Basu B. ndian Medicinal lants. Allahabad: alit

    Mohan Basu ublications; 1933. v. , p.2128.

    1- imsong , Benjavongkulchai , uvatanasuchati . nhibitory

    effect of some herbal extracts on adherence of Streptococcusmutans. thnopharmacol. 24;92:281-9.

    0DUVK''HQWDOSODTXHDVDPLFURELDOELROP&DULHVHV

    24;38:24-11.

    12- Marsh , Martin M. ral Microbiology. 5th ed. hiladelphia:

    Churchill ivingstone; lsevier td; 29.

    13- Matsumoto M, Minami , asaki , obue , amada ,

    oshima . nhibitory effects of oolong tea extract on caries

    inducing properties of mutans streptococci. Caries es.

    1999;33:441-5.

    14- Mukasa , himamura A, sumor . ffect of salts on water-

    insoluble glucan formation by glucosyltransferase ofStreptococcus

    mutans. nfect mmun. 199;23:54-.

    15- Murchison , arrimore , Curtiss 3 rd. solation and

    characterization ofStreptococcus mutans mutants defective in

    adherence and aggregation. nfect mmun. 1981;34:144-55.1- Nalina , ahim . he crude aqueous extract ofPiper betle

    . and its antibacterial effect towards Streptococcus mutans. Amer

    Biotech Biochem. 2;3:1-5.

    1- Nalina , ahim . he effect ofPiper betle . leaf extract

    on the virulence activity ofStreptococcus mutans. ak Biol ci.

    2;9:14-5.

    18- oshima , saka , asaki , sawa , asuda , Matsumura

    M, et al. Caries inhibitory activity of cacao bean husk extract in

    in vitro and animal experiments. Arch ral Biol. 2,45:39-45.

    19- oshima , oshida , amada . etection of caries-inducing

    microorganisms in hyposalivated rats without infection ofmutans

    streptococci. Microbiol mmunol. 1994;38:39-45.

    2- rabu , nanamani A, adulla . uaijaverin a plant

    DYRQRLG DVSRWHQWLDO DQWLSODTXHDJHQW DJDLQVWStreptococcus

    mutans. Appl Microbiol. 2;11:48-95.21- ahim , han B. Comparative studies on the effect of crude

    aqueous CA) and solvent CM) extracts of clove on the cariogenic

    properties ofStreptococcus mutans. ral ci. 2;48:11-23.

    AIM ZA, TAIAJA N

    2;9(2):3746

  • 7/27/2019 Scanning Electron Microscopic study of Piper betle L. leaves extract effect against Streptococcus mutans ATCC 251

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    22- amji N, amji N, yer , Chandrasekharan . henolic

    antibacterials from Piper betle in the prevention of halitosis.

    thnopharmacol. 22;83:149-52.

    23- azak A, ahim, . he anti-adherence effect of Piper

    betle . and sidium guajava extracts on the adhesion of early

    settlers in dental plaque to saliva-coated glass surfaces. ral

    ci. 23;45:21-.

    24- epp , llnen , ausen . Streptococcus mutans counts

    obtained by a dip-slide method in relation to caries frequency,

    VXFURVHLQWDHDQGRZUDWHRIVDOLYD&DULHVHV

    25- harma , han A, Ali , Ali , umar M, umar A, et al.

    (YDOXDWLRQRIWKHDQWLPLFURELDODQWLR[LGDQWDQGDQWLLQDPPDWRU\

    activities of hydoxychavicol for its potential use as an oral care

    agent. Antimicrob Agents Chemother. 29;53:21-22.

    2- mith , audicinia , ufi . earning guides for

    microbiology laboratory. New ork: ohn iley ons; 1985.

    2- ong , ang C, Chang , an , i , eon . In vitro

    effects of a fraction separated from Polygonum cuspidatum root

    RQWKHYLDELOLW\LQVXVSHQVLRQDQGELROPVDQGELROPIRUPDWLRQ

    ofmutans streptococci. thnopharmacol. 2;112:419-25.

    28- taat , angley , oyle . Streptococcus mutans

    adherence: presumptive evidence for protein-mediated

    attachment followed by glucan-dependent cellular accumulation.

    nfect mmun. 198;2:5-81.

    29- ao , anzer M, MacAlister . Bicarbonate and potassium

    regulation of the shape of treptococcus mutans NCC 1449.

    . Bacteriol. 198;19:2543-

    3- an Nordini , azak A, ahim . he role of sucrose

    LQWKHGHYHORSPHQWRIRUDOELROPLQDVLPXODWHGPRXWKV\VWHP

    nline . Biol ci. 2;:51-5.

    31- he ealth of ndia. A dictionary of ndian raw materials

    and industrial products. New elhi: ublications and nformation

    'LUHFWRUDWH&RXQFLORI6FLHQWLFDQGQGXVWULDOHVHDUFK

    v. 8.

    HQ=7DHU+(XUQH$QXHQFHRIUS$RQFULWLFDO

    virulence attributes of Streptococcus mutans. Bacteriol.

    2;188:2983-92.

    canning lectron Microscopic study ofPiper betle . leaves extract effect against Streptococcus mutans ATCC 27

    2;9(2):3746