Therapeutic effects of Salvadora persica (Miswak) on patients with mild to moderate gingivitis.

  • Kawa F. Dizaye College of Medicine - Hawler Medical University, Erbil, Iraq.
  • Zainab Yalman Othman Department of Oral and Maxillofacial Surgery- (M.Sc. Student)- Hawler Medical University, Erbil, Iraq.
Keywords: Salvadora persica, gingivitis, gingival index, debris index

Abstract

Background and Objectives: Miswak is the public name of Salvadora persica, which is beneficial for dental treatments and can thus be used to treat gingivitis. This study compares the therapeutic effects of miswak (S. persica), toothbrush, S. persica mouthwash, and chlorhexidine mouthwash on patients with mild to moderate gingivitis by estimating gingival index and (debris) plaque index.
Patients and Methods: The study is a selective sampling, cross-sectional, clinical comparative study of 50 systemically healthy patients in Erbil city. The patients were divided randomly into five groups, with each group having 10 patients. Group 1 used S. persica chewing stick only; group 2 used toothbrush only; group 3 used both S. persica and toothbrush, group 4 used S. persica mouthwash and toothbrush; while group 5 used chlorhexidine mouthwash and tooth-brush. The patients’ mouths were examined, recording clinical indices before and after four weeks from the administration of treatments.
Results: There is significant improvement observed between groups 3 and 1 and groups 3 and 2 regarding gingival index. Moreover, there is significant improvement in debris (plaque) index between groups 2 and 3 and groups 2 and 1.
Conclusion: The gingival index indicates that using S. persica and toothbrush together is better than using S. persica or toothbrush alone. Meanwhile, the debris index shows that using S. persica alone or using it with toothbrush is more effective than using toothbrush alone.

References

Halawany HS. A review on miswak (Salvadora persica) and its effect on various aspects of oral health. The Saudi Dental Journal. 2012 Apr;24(2):63–9.

Al Subait AA, Alousaimi M, Geeverghese A, Ali A, El Metwally A. Oral health knowledge, attitude and behavior among students of age 10–18years old attending Jenadriyah festival Riyadh; a cross-sectional study. The Saudi Journal for Dental Re-search. 2016 Jan;7(1):45–50.

Abhary M, Al-Hazmi A-A. Antibacterial activity of Miswak ( Salvadora persica L.) extracts on oral hygiene. Journal of Taibah University for Science. 2016 Oct;10(4):513–20.

Dutta S, Shaikh A. The active chemical constitu-ent and biological activity of Salvadora persica (Miswak). Int J Curr Pharmaceut Rev Res. 2012;3(1).

Ahmad H, Rajagopal K. Salvadora persica L. (Meswak) in dental hygiene. The Saudi Journal for Dental Research. 2014 Jul;5(2):130–4.

Al-Bayati FA, Sulaiman KD. In vitro antimicrobial activity of Salvadora persica L. extracts against some isolated oral pathogens in Iraq. Turkish Journal of Biology. 2008;32(1):57–62.

Bhat PK, Kumar A, Sarkar S. Assessment of imme-diate antimicrobial effect of miswak extract and toothbrush on cariogenic bacteria-a clinical study. Journal of Advanced Oral Research. 2012;3(1):25–29.

Sharma V, Ramawat KG. Salinity-induced modu-lation of growth and antioxidant activity in the callus cultures of miswak (Salvadora persica). 3 Biotech. 2013 Feb;3(1):11–7.

Ajmal M. Significance of chewing-sticks (Miswaks) in oral hygiene from a pharmacologi-cal viewpoint. 2006;

Balto H, Al-Sanie I, Al-Beshri S, Aldrees A. Effectiveness of Salvadora persica extracts against common oral pathogens. The Saudi Den-tal Journal. 2017 Jan;29(1):1–6.

Cai L. Compounds from Syzygium aromati-cum Possessing Growth Inhibitory Activity Against Oral Pathogens. J Nat Prod. 1996 Jan 1;59(10):987–90.

Onywere G, Gyles P, Lewin J, Bandoo T, Mundell K, Bailey D, et al. A Jamaican Study: Invi-tro Comparison of the Effects of Lantana camara, Gouania lupuloides and Commercial Mouthwash-es on Oral Microorganisms. American Journal of Public Health Research. 2016;6.

Mahanani ES, Samuel SV. Miswak (salvadora persica) as a cleansing teeth. Mutiara Medika: Jurnal Kedokteran dan Kesehatan. 2016;7(1):38–42.

Poureslami HR, Makarem A, Mojab F. Para-clinical effects of miswak extract on dental plaque. Dental Research Journal. 2008;4(2):106–110.

Dahiya P, Kamal R, Luthra R, Mishra R, Saini G. Miswak: A periodontist′s perspective. Journal of Ayurveda and Integrative Medicine. 2012;3(4):184.

Eldarrat A, Alkhabuli J, Malik A. The Preva-lence of Self-Reported Halitosis and Oral Hygiene Practices among Libyan Students and Office Workers. Libyan Journal of Medicine. 2008 Jan;3(4):170–6.

Hussain SF, AL-Bayaty FH, Abdul Rahim NR, Abdulla MA. Comparison of Antibacterial Effect of New Herbal Mouth (Miswak) Wash With Different commercial Mouth Washes on Dental Biofilm From Orthodontic Ligatures–In Vitro Study. In: The Open Conference Proceedings Journal. 2013.

Sadhan RIA, Almas K. Miswak (chewing Stick): A Cultural And Scientific Heritage. :9.

Make Natural Mouthwash with a Miswak Tree Root (Salvadora perssica). 3 Easy Ways! - YouTube.pdf.

Bessa Rebelo MA, de Queiroz AC. Gingival Indices: State of Art. In: Panagakos F, editor. Gin-gival Diseases - Their Aetiology, Prevention and Treatment [Internet]. InTech; 2011 [cited 2019 Jun 27]. Available from: http://www.intechopen.com/books/gingival-diseases-their-aetiology-prevention-and-treatment/gingival-indices-state-of-art

Löe H, Silness J. Periodontal Disease in Preg-nancy I. Prevalence and Severity: Acta Odontolog-ica Scandinavica: 21, 6. 1963;21(6):533–51.

Greene JG, Vermillion JR. The Simplified Oral Hygiene Index. The Journal of the American Dental Association. 1964 Jan 1;68(1):7–13.

Windmuller J, Araujo Mendes R, de Car-valho Stroppa S, Barbosa da Silva JY. Evaluation of oral hygiene index, monitoring and oral hygiene instruction in visually impaired people. RSBO Re-vista Sul-Brasileira de Odontologia. 2014;11(2).

Gardner JW, Stewart WH, General S. Oral Hygiene in Adults. 1966;

Patel P, Shruthi S, Kumar S. Clinical effect of miswak as an adjunct to tooth brushing on gingivi-tis. Journal of Indian Society of Periodontology. 2012;16(1):84.

Shah AF, Yousuf A, Sidiq M, Baba IA, Suhail Majid Jan. Comparative Evaluation of Convention-al Toothbrushing with Traditional Miswak for Oral Hygiene Maintainence in a Socially Disadvantaged Young Muslim Population. Annals of International medical and Dental Research [Internet]. 2016 Oct 17 [cited 2019 Jun 24];2(6). Available from: http://aimdrjournal.com/pdf/vol2Issue6/DE8_OA_Aasim.pdf

Poureslami H. The Effects of Plant Extracts on Dental Plaque and Caries. In: Li M-Y, editor. Contemporary Approach to Dental Caries [Internet]. InTech; 2012 [cited 2019 May 6]. Avail-able from: contemporary-approach-to-dental-caries/early-childhood-caries

Azodo C, Agbor M. Assessment of chewing stick (miswak) use in a Muslim community in Cameroon. European Journal of General Dentis-try. 2013;2(1):50.

al-Otaibi M. The miswak (chewing stick) and oral health. Studies on oral hygiene practices of urban Saudi Arabians. Swed Dent J Suppl. 2004;(167):2–75.

Batwa M, Bergström J, Batwa S, Meshari F. Al-Otaibi. The effectiveness of chewing stick mi-swak on plaque removal. Saudi Dent J. 2006;18:125–33.

Kaur S, Jalil RA, Akmar SL. The Immediate Term Effect Of Chewing Commercially Available Meswak (Salvadora Persica) On Levels Of Calcium, Chloride, Phosphate And Thiocyanate In Whole Saliva. Annals of Dentistry University of Malaya. 2004 Dec 31;11(1):51–9.

Khalessi AM, Pack ARC, Thomson WM, Tompkins GR. An in vivo study of the plaque con-trol efficacy of Persica: a commercially available herbal mouthwash containing extracts of Salva-dora persica. Int Dent J. 2004 Oct;54(5):279–83.

Almas K, Skaug N, Ahmad I. An in vitro anti-microbial comparison of miswak extract with commercially available non-alcohol mouthrinses. Int J Dent Hyg. 2005 Feb;3(1):18–24.

Published
2020-12-06
How to Cite
Dizaye, K., & Othman, Z. (2020). Therapeutic effects of Salvadora persica (Miswak) on patients with mild to moderate gingivitis. Erbil Dental Journal (EDJ), 3(2), 119-125. https://doi.org/10.15218/edj.2020.17
Section
Original Articles