Muhammadiyah Medical Journal
Vol. 7 No. 2 (2026): Muhammadiyah Medical Journal (MMJ)

Salvadora persica (Miswak) Extract and Streptococcus mutans: Solvent Ranking and Dose-Response In Vitro

Laifa Annisa Hendarmin (Department of Medical Biology, Faculty of Medicine, UIN Syarif Hidayatullah Jakarta, Banten, Indonesia)
Yuliati (Department of Microbiology, Faculty of Medicine, UIN Syarif Hidayatullah Jakarta, Banten, Indonesia)
Diana Budiandani (Daan Mogot Hospital, Banten, Indonesia)
Abe Umaro (Department of Pediatric, Fatmawati Hospital, Jakarta, Indonesia)
Endah A.T Wulandari (Cipto Mangunkusumo Hospital, Jakarta, Indonesia)
Nurin Nadzifatil Fitriyah (Department of Medical Biology, Faculty of Medicine, UIN Syarif Hidayatullah Jakarta, Banten, Indonesia)



Article Info

Publish Date
03 Oct 2026

Abstract

Background: Miswak (Salvadora persica) is a traditional oral-hygiene tool whose extracts contain phytochemicals with potential antibacterial activity. Streptococcus mutans is a key cariogenic bacterium implicated in dental caries. Purpose: To screen the in vitro antibacterial activity of sequential S. persica solvent extracts against S. mutans using an agar disc diffusion assay. Methods: Dried S. persica was sequentially macerated with n-hexane, ethyl acetate, and 96% ethanol. Concentrated extracts were tested against a S.mutans clinical isolate maintained at the Microbiology Laboratory of the Faculty of Medicine, UIN Syarif Hidayatulah Jakarta, standardized to 0.5 McFarland. For solvent comparison, 6-mm sterile discs were loaded with 100% (v/v) extract in their respective solvents. For dose–response testing, the 96% ethanolic extract was tested at 25%, 50%, 75%, and 100% (v/v in 96% ethanol). Neat solvents served as negative controls and amoxicillin (10 µg) as the positive control. Plates were incubated for 24 h at 37 °C, inhibition zones (mm) were measured, and between-group differences were analyzed using one-way ANOVA with Tukey post hoc tests (α = 0.05). Results:  The 96% ethanolic extract produced larger inhibition zones than the ethyl acetate and n-hexane fractions, while all extracts produced smaller zones than amoxicillin. For the 96% ethanolic extract, mean inhibition zones increased from 11.67±0.58 mm (25%) to 16.00±2.65 mm (100%), showing a positive concentration–response by linear regression (R² = 0.95; slope = 0.056 mm per % (v/v), ≈1.40 mm per 25% increase), and all concentrations produced significantly larger zones than the 96% ethanol solvent control (p ≤ 0.05). Conclusion: Salvadora persica extracts demonstrated measurable inhibition of S. mutans in an agar disc diffusion screening assay, with the 96% ethanolic extract showing the largest zones under the conditions tested.

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Journal Info

Abbrev

MMJ

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Nursing Public Health

Description

Muhammadiyah Medical Journal (MMJ) Faculty of Medicine and Health is an international journal based on scientific research. The journal is published 2 (two) times in 1 year, March and September. Muhammadiyah Medical Journal Faculty of Medicine and Health invites the lecturers, practitioners and ...