×
Home Current Archive Editorial board
News Contact
Review paper

Miswak: from tradition to paradigm

By
Edin Selimović ,
Edin Selimović
Emir Begagić ,
Emir Begagić
Hakija Bečulić ,
Hakija Bečulić
Muharem Adilović
Muharem Adilović

Islamic pedagogical faculty in Zenica

Abstract

This review paper explores the use of miswak, a teeth-cleaning twig made from the Salvadora persica plant, in maintaining oral hygiene and preventing oral diseases. Various aspects of miswak are analyzed, including its historical significance, chemical composition, pharmacological characteristics, and beneficial effects on oral health. The paper also investigates the Islamic perspective on oral hygiene and the use of miswak, as well as the socio-medical aspect of oral disease prevention. While there are studies that point out potential drawbacks of miswak usage, proper application and combination with conventional oral hygiene methods can result in good oral health. Considering its cost-effectiveness and the need for affordable oral hygiene methods, further research on the use of miswak is valuable and necessary. This paper provides an overview of modern and relevant scientific literature on miswak and its significance in maintaining oral health, highlighting its journey from tradition to paradigm. Keywords: miswak, oral health, social medicine.

References

1.
Nordin A, Bin Saim A, Ramli R, Abdul Hamid A, Mohd Nasri NW, Bt Hj Idrus R. Miswak and oral health: An evidence-based review. Saudi Journal of Biological Sciences. 2020;27(7):1801–10.
2.
Gazi MI, Davies TJ, AI‐Bagieh N, Cox SW. The immediate‐ and medium‐term effects of Meswak on the composition of mixed saliva. Journal of Clinical Periodontology. 1992;19(2):113–7.
3.
Haque MM, Alsareii SA. A review of the therapeutic effects of using miswak (Salvadora Persica) on oral health. Saudi Medical Journal. 2015;36(5):530–43.
4.
Hattab F. Meswak: the natural tooth brush. J Clin Dent. 8(5):125–9.
5.
Hollist N. The technique and use of chewing stick. Odonto stomatol Trop. 4(3):171–4.
6.
Hyson JM. History of the tooth brush. J Hist Dent. 51(2):73–80.
7.
Jashni YK, Emari F, Morris M, Allison P. Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review. BMC Oral Health. 23(1).
8.
Johnson NW. Hygiene and health: the value of antiplaque agents in promoting oral health. Int Dent J. 43(4 Suppl 1):375–86.
9.
Khoory T. The use of chewing sticks in preventive oral hygiene. Clin Prev Dent. 5:11–4.
10.
Kumar R, Mirza MA, Naseef PP, Kuruniyan MS, Zakir F, Aggarwal G. Exploring the Potential of Natural Product-Based Nanomedicine for Maintaining Oral Health. Molecules. 27(5):1725.
11.
Mohammad A, Turner J. In vitro evaluation of Saudi Arabian tooth brush tree (Salvadora persica. Odontostomatol Trop. 6(3):145–8.
12.
Muftić D. Maintaining cleanliness and protecting health as proclaimed by Korantexts and hadiths of Mohammed S.A.V.S. Med Arh. 51(1–2):41–3.
13.
Mulla M. Impact of Oral Diseases and Conditions on Oral Health-Related Quality of Life: A Narrative Review of Studies Conducted in the Kingdom of Saudi Arabia. Cureus. 2021;
14.
Muslim bin Hadždžadž, Sahihu-l-Muslim, islamski pedagoški fakultet u Zenici.
15.
Galletti GC, Chiavari G, Kahie YD. Pyrolysis/gas chromatography/ion‐trap mass spectrometry of the ‘tooth brush’ tree (Salvadora persica L.). Rapid Communications in Mass Spectrometry. 1993;7(7):651–5.
16.
Pulverer G. Allylisothiocyanate: a new broad spectrum antibiotic from nasturtium. German Med Monthly. 14:27–30.
17.
Ramli H, Mohd-Dom TN, Mohd-Said S. Clinical Benefits and Adverse Effects of Siwak (S. Persica) Use on Periodontal Health: a Scoping Review of Literature.
18.
Redzepagić S. Oral hygiene in the hadiths of the Holy Prophet, Mohammed S.A.V.S. Med Arh. 51(1–2):35–9.
19.
Sadhan RI, Almas K. “‘Miswak (chewing Stick): A Cultural And Scientific Heritage.’” Saudi Dental Journal. 11(2):80–8.
20.
Safiaghdam H, Oveissi V, Bahramsoltani R, Farzaei MH, Rahimi R. Medicinal plants for gingivitis: a review of clinical trials. Iran J Basic Med Sci. 21(10):978–91.
21.
Taylor R, Sullivan D, Reeves P, Kerr N, Sawyer A, Schwartzkoff E, et al. A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia. International Journal of Environmental Research and Public Health. 20(12):6139.
22.
Wattenberg LW. Inhibition of Carcinogenic Effects of Polycyclic Hydrocarbons by Benzyl Isothiocyanate and Related Compounds2. JNCI: Journal of the National Cancer Institute. 1977;58(2):395–8.
23.
Organization WH. Prevention of Oral Diseases. World Health Organization.
24.
Organization WH. Consensus statement on oral hygiene. Int Dent J. 50:139.
25.
Wu CD, Darout IA, Skaug N. Chewing sticks: timeless natural toothbrushes for oral cleansing. Journal of Periodontal Research. 2001;36(5):275–84.
26.
Zaatout N. Presence of non-oral bacteria in the oral cavity. Archives of Microbiology. 2021;203(6):2747–60.
27.
Zou J, Du Q, Ge L, Wang J, Wang X, Li Y, et al. Expert consensus on early childhood caries management. International Journal of Oral Science. 2022;14(1).
28.
Buhari M bin I, Sahihu-l-Buhari. Visoki saudijski komitet za pomoć BiH.
29.
Significance of chewing sticks (miswaks) in oral hygiene from a pharmacological view point. J Pak Med Assoc. 31:89–95.
30.
Al-Bagieh N. Anti-Herpes Simplex Virus type I activity of benzylisothiocyanate. Biomed Lett. 47:67–70.
31.
Al-Bagieh N, Weinberg E. Benzolisothiocyanate: a possible agent for controlling dental caries. Microbios Lett. 39:143–51.
32.
The effect of benzylisothiocyanate on epithelial changes induced by trauma and DMBA in the hamster tongue. SaudDent J. 4(1):4–10.
33.
Al-Lafi T, Ababneh H. The effect of the extract of the miswak (chewingsticks) used in Jordan and the Middle East on oral bacteria. IntDent J. 45:218–22.
34.
Almas K. Miswak (chewing stick) and its role in oral health. Postgraduate Dent. 3:214 218.
35.
Aljarbou F, Almobarak A, Binrayes A, Alamri HM. Salvadora persica’s Biological Properties and Applications in Different Dental Specialties: A Narrative Review. Evidence-Based Complementary and Alternative Medicine. 2022;2022:1–9.
36.
Aumeeruddy MZ, Zengin G, Mahomoodally MF. A review of the traditional and modern uses of Salvadora persica L. (Miswak): Toothbrush tree of Prophet Muhammad. Journal of Ethnopharmacology. 2018;213:409–44.
37.
Benson A, Barretto P. Effects of disulfiram, diethyldithiocarbamate, bisethylxanthogen, and benzylisothiocyanate on glutathione transfer a seactivity in mouse organs. Cancer Res. 45:4219–23.
38.
Benson AM, Hunkeler MJ, Talalay P. Increase of NAD(P)H:quinone reductase by dietary antioxidants: possible role in protection against carcinogenesis and toxicity. Proceedings of the National Academy of Sciences. 1980;77(9):5216–20.
39.
Bos G. The miswãk, an aspect of dental care in Islam. Medical History. 1993;37(1):68–79.
40.
Brandenburg D. Hygiene and medical science in Koran. Medical contributions to the history of Islamic people and culture. Med Welt. 21:986–96.
41.
Brandenburg D. Hygiene and medicine in the Koran. Medical contribution to the history of the Islamice thnicand cultural field. II Med Welt. 21:887–96.
42.
Abo Al-Samh D. In vitro study of the antimicrobial activity and toxicity of the miswak extract as an endodontic irrigation solution.
43.
Char D, Dogao A, Dogan M. SEM, XRF, and EMPA evaluation of Middle Eastern tooth brush “Salvadora persica.” J Elect Micro Tech. 5:145.
44.
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.
45.
Darmani H, Al-Hiyasat AS, Elbetieha AM, Alkofahi A. The effect of an extract of Salvadora persica (Meswak, chewing stick) on fertility of male and female mice. Phytomedicine. 2003;10(1):62–5.
46.
Dibello V, Lobbezoo F, Lozupone M, Sardone R, Ballini A, Berardino G, et al. Oral frailty indicators to target major adverse health-related outcomes in older age: a systematic review. GeroScience. 2023;45(2):663–706.
47.
Dorner W. Active substances from African and Asian natural tooth brushes. Chem Rundschau. 34:50.
48.
Duque C, Chrisostomo DA, Souza ACA, de Almeida Braga GP, dos Santos VR, Caiaffa KS, et al. Understanding the Predictive Potential of the Oral Microbiome in the Development and Progression of Early Childhood Caries. Current Pediatric Reviews. 2023;19(2):121–38.
49.
Eid M, Selim H, Al-Shammery A. The relationship between chewing sticks (Miswak) and periodontal health. Relationship to gingival recession. Quintessence Int. 22(1):61–4.
50.
Elvin-Lewis M. Plantsused for teeth cleaning throughout the world. J Prev Dent. 6:61–70.
51.
Elvin-Lewis M. The therapeutic potential of plantsused in dental folk medicine. Odontostomatol Trop. 5(3):107–17.
52.
Ezmirly S, El-Nasr M. Isolation of glucotropaeolin from Salvadora persica L. J Chem Soc Pak. 3:9–12.
53.
Ezmirly S, Cheng J, Wilson S. Saudi Arabian Medicinal Plants: Salvadora persica1 2. Planta Medica. 1979;35(02):191–2.
54.
Farooqi MIH, Srivastava JG. The Tooth - Brush Tree(Salvadora persica). Quarterly Journal of Crude Drug Research. 1968;8(4):1297–9.

Citation

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

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.