Nigella sativa derived Nano Bioactive Antimicrobial as a Next Generation Intracanal Medicament for Resistant Endodontic Pathogens
Keywords:
Nigella sativa, Enterococcus faecalis, thymoquinone, antibacterial activityAbstract
This study investigated the antimicrobial efficacy of thymoquinone, the active component of Nigella sativa, against Enterococcus faecalis (ATCC 29212) and compared it with calcium hydroxide. Thymoquinone dissolved in 10% DMSO was evaluated using MIC, MBC, and anti-adherence assays. It showed strong activity, with an MIC of 1.6 µg/ml and an MBC of 3.2 µg/ml. Sub-MIC concentrations also reduced bacterial adherence. These findings suggest thymoquinone is a promising alternative or adjunctive intracanal medicament to calcium hydroxide, supporting further investigation through clinical studies.
References
Gijo J, K PK, S SG, Surya K, Bala KR. Enterococcus faecalis, a nightmare to endodontists: A systematic review. Afr J Microbiol Res. 2015 Apr 1;9(13):898–908.
Ahamed S, Raju VG, Krishnamurthy M, Kumar VN, Selvendran KE. Antimicrobial Efficacy of Herbal Root Canal Irrigants and 3% Sodium Hypochlorite against Enterococcus faecalis: An In-vitro Study. J Pharm Res Int. 2021 Nov 5;74–8.
Meire MA, van der Waal S V. A critical analysis of research methods and experimental models to study intracanal medicaments. Int Endod J. 2022 Apr 16;55(S2):330–45.
Dako T, Pop M, Fulop J, Kantor J, Monea M. The Use of Calcium Hydroxide as an Intracanal Medicament in the Treatment of Large Periapical Lesions. A Review. Acta Medica Transilvanica. 2020 Jun 1;25(2):58–60.
Momenijavid M, Salimizand H, Korani A, Dianat O, Nouri B, Ramazanzadeh R, et al. Effect of calcium hydroxide on morphology and physicochemical properties of Enterococcus faecalis biofilm. Sci Rep. 2022 May 9;12(1):7595.
Radeva EN, Tsanova DM. Efficacy of different endodontic irrigation protocols in calcium hydroxide removal. Journal of IMAB - Annual Proceeding (Scientific Papers). 2016 Oct 31;22(4):1355–9.
Seguel N, Quezada-Aguiluz M, González-Rocha G, Bello-Toledo H, Sánchez-Sanhueza G. Antibiotic Resistance of Enterococcus faecalis from Persistent Endodontic Infections. International journal of odontostomatology. 2020 Sep;14(3):448–56.
Elashiry MM, Bergeron BE, Tay FR. Enterococcus faecalis in secondary apical periodontitis: Mechanisms of bacterial survival and disease persistence. Microb Pathog. 2023 Oct;183:106337.
Hussein H, Kishen A. Antibiofilm and Immune Response of Engineered Bioactive Nanoparticles for Endodontic Disinfection. J Clin Med. 2020 Mar 9;9(3):730.
Kumar A, Singh D, Rehman H, Sharma NR, Mohan A. Antibacterial, Antioxidant, Cytoxicity and Qualitative Phyto-Chemical Evaluation of Seed Extracts of Nigella sativa and Its Silver Nanoparticles. Int J Pharm Sci Res [Internet]. 2019;10(11):4922. Available from: http://dx.doi.org/10.13040/IJPSR.0975-8232.10
Dajani Loyola-Chicago EZ, Dajani Borgess Health N. Overview of the preclinical pharmacological properties of Nigella sativa (Black seeds): A complementary drug with historical and clinical significance [Internet]. Article in Journal of Physiology and Pharmacology: an official journal of the Polish Physiological Society. 2016. Available from: www.jpp.krakow.pl.
Chandwani, N., Maurya, N., Nikhade, P., & Chandwani, J. (2022). Comparative evaluation of antimicrobial efficacy of calcium hydroxide, triple antibiotic paste, and bromelain against Enterococcus faecalis: An in vitro study. Journal of Conservative Dentistry, 25(1), 63.
Dako, T., Pop, M., Fulop, J., Kantor, J., & Monea, M. (2020). The use of calcium hydroxide as an intracanal medicament in the treatment of large periapical lesions: A review. Acta Medica Transilvanica, 25(2), 58–60.
Mashayekhi-Sardoo, H., Rezaee, R., & Karimi, G. (2020). Nigella sativa (Black seed) safety: An overview. Asian Biomedicine, 14(4), 127–137.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Mohamed Khirul Nizzuan A.H, Mohamed Zohdi N, Hasnah Begum Said Gulam Khan, Jaafar

This work is licensed under a Creative Commons Attribution 4.0 International License.