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The miswak is a teeth-cleaning twig made from the Salvadora persica tree. The miswak's properties have been described as follows: "Apart from their antibacterial activity which may help control the formation and activity of dental plaque, they can be used effectively as a natural toothbrush for teeth cleaning. Such sticks are effective, inexpensive, common, available, and contain many medical properties".

The miswak or siwak is predominantly used in -inhabited areas. It is commonly used in the Arabian Peninsula, the Horn of Africa, , parts of the , the Indian subcontinent, and .

The oral hygiene practice using herbal sticks exists in many parts of the world since ancient time: , (mentioned by , , (mentioned in ), (mentioned in the Gospel of Buddhism), etc.


Denominations
The sticks made of Salvadora persica tree are called miswak, siwak or arak in ,Samer Lababidi. Salvadora Persica L : intérêt en hygiène bucco-dentaire. Sciences du Vivant q-bio. 2019. ffdumas-02130212ff koyoji in Japanese, qesam or qesem in , qisa in , mastic in , sotio or sothiou in of Senegal,Grappin G. et Kerharo J. — Note sur les Sotio (frotte-dents) vendus sur les marchés Dakarois. Commun. 6e journées Med. Dakar, 1969. siwahewal (plural siwakejé) in Northern Nigeria .

The term miswak should not be confused with the same term used in

(2008). 9789514110191, Heikki Palva. .
which in also refers to a completely different instrument made from walnut wood (, common walnut), both a toothbrush and a toothpick, also used to clean teeth and gums in , ,2020, Evaluation de l'activité fongicide et fongistatique des extraits de noyer commun (Juglans regia) (PDF) · GUERIANE, Ilhem; REZIG, Sara; SAIDI, Chahinez, Depot Institutionnel de l'UMBB/Université M'Hamed BOUGARA de BoumerdèsMaiza Khadra. PHARMACOPEE TRADITIONNELLE SAHARIENNE SAHARA ALGERIEN. Botanique. université Ben youcef Ben khedda, Alger, 2008. Français. ffNNT : ff. fftel-04105712ff ,L'aventure ibāḍite dans le Sud tunisien, VIIIe-XIIIe siècle effervescene d'une région méconnue · Volume 350, Virginie Prevost, 2008 and .Khaled Abdalla. Le potentiel de développement durable du tourisme de santé en Libye : son influence sur l’attraction des touristes européens : étude en géographie touristique. Géographie. Université Bourgogne Franche-Comté, 2017. Français. ffNNT : 2017UBFCH010ff. fftel-01754051ff


History
As far back as antiquity, people began to practice oral hygiene by using fibrous chewable sticks, such as siwak, as toothbrushes. The stick contains cleaners, disinfectants and even . It is recommended in the collection of medical knowledge of the surgeon (ca. 500 BC) , known as a pioneer of , which he practiced in particular with . Siwak is also mentioned in the ancient Indian book of the Laws of Manu (, ) around the . In the Islamic world, is said to have used it regularly, according to later Hadîth literature.


Science
The World Health Organization (WHO) recommended the use of the miswak in 1986, but in 2000, an international consensus report on concluded that further research was needed to document the effect of the miswak. Some of this further research has been done on a population of 203, and concluded, "that the periodontal status of miswak users in this Sudanese population is better than that of toothbrush users". Yet another comparative study conducted on a sampling of 480 Saudi Arabian adults found that "the level of need for periodontal care in the sample chosen is low when compared with the findings of similar studies undertaken in other countries. The frequent use of the 'Miswak' was associated with a lower need for treatment".


Miswak extract vs. oral disinfectants
Studies indicate that Salvadora persica extract exhibits low antimicrobial activity compared to other oral disinfectants and anti-plaque agents like and .

However, the benefits of triclosan were discounted by the United States Food and Drug Administration in 2016 and its safety is uncertain as a hygiene product ingredient. Chlorhexidine gluconate was also linked to serious allergic reactions, albeit rarely.


Chemical composition
Salvadorine and benzylisothiocyanate appear to be responsible for the antibacterial activity of Miswak. The plant also contains insoluble in high concentration, calcium, , and some of unclear function.


Religious prescriptions
The use of the miswak is frequently advocated in the (the traditions relating to the life of Prophet Muhammad). Situations where the miswak is recommended to be used include before or during (ablution), before going to the mosque, before entering one's house, before and after going on a journey, on Fridays, before sleeping and after waking up, when experiencing hunger or thirst and before entering any good gathering.

In addition to strengthening the , preventing and eliminating , the miswak is said to halt further decay that has already set in. Furthermore, it is reputed to create a fragrance in the mouth, eliminate , improve sensitivity of taste-buds and promote cleaner teeth.


Hadiths concerning the miswak
It is often mentioned that the Islamic prophet recommended the miswak's use. "Excellence of Miswak in Hadiths" at ziaetaiba.com. He is quoted in various extolling its virtues: "Miswak" at sunnah.com. "Siwak" at searchtruth.com.


Alternative forms
Modern uses of arāk wood in oral hygiene expands beyond miswak itself. Extracts containing its active components have been added to and . There is also a German patent for similar formulations for domesticated animals.


Further reading
  • Islamic Research on Miswak (Dr. Al Sahli)
  • Khan, Tehmeena, Toothbrush (Miswak), in Muhammad in History, Thought, and Culture: An Encyclopedia of the Prophet of God (2 vols.), Edited by C. Fitzpatrick and A. Walker, Santa Barbara, ABC-CLIO, 2014.


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