“…Additional biologically relevant studies may be able to provide even more evidence for the use of neem in dentistry in combination with, or as an alternative to, antimicrobials already used in the field. Of note, several studies have already suggested that neem extracts have similar levels of activity as chlorhexidine or hypochlorite (typical components of oral washes) against plaque, gingivitis, and pain in vivo ( Jalaluddin et al, 2017 ; Hosny et al, 2021 ) and against biofilm-forming bacteria (e.g., Streptococcus viridans, Porphyromonas gingivalis, and S. aureus ) and C. albicans in vitro or ex vivo ( Joy Sinha et al, 2015 ; Anand et al, 2016 ; Kankariya et al, 2016 ; Heyman et al, 2017 ; Andonissamy et al, 2019 ; Bansal et al, 2019 ; Tasanarong et al, 2021 ). Another human pathogen that causes plaque and other biofilm-related diseases in the body, E. faecalis , is also just as susceptible to various neem extracts as it is to chlorhexidine in vitro ( Chandrappa et al, 2015 ; Mustafa, 2016 ; Bhardwaj et al, 2017 ; Joy Sinha et al, 2017 ).…”