Miswak is a traditional chewing stick prepared from the roots, twigs, and stem of Salvadora persica and has been used as a natural method for tooth cleaning in many parts of the world for thousands of years. A number of scientific studies have demonstrated that the miswak (Salvadora persica) possesses antibacterial, anti-fungal, anti-viral, anti-cariogenic,
and anti-plaque properties. Several studies have also claimed that miswak has anti-oxidant, analgesic, and anti-inflammatory effects. The use of a miswak has an immediate effect on the composition of saliva. Several clinical studies have confirmed
that the mechanical and chemical cleansing efficacy of miswak chewing sticks are equal and at times greater than that of the toothbrush. The present article provides a review of the various therapeutic effects of Salvadora persica on oral health, which will help to elucidate the significance and importance of this indigenous oral hygiene tool.
Oral health is an integral part of overall health. Poor oral health is associated with many systemic diseases. The oral cavity is the major portal of entry, source, and site of many diseases affecting the general health status. Well-being and quality of life, which is measured along functional, psychosocial, and economic dimensions, is related to oral health. Poor oral and craniofacial health affects diet, nutrition, sleep, psychological status, social interaction, school, and work.