Salvadora persica: Nature's Gift for Periodontal Health

Mohamed Mekhemar, Mathias Geib, Manoj Kumar, Radha, Yasmine Hassan, Christof Dörfer, Mohamed Mekhemar, Mathias Geib, Manoj Kumar, Radha, Yasmine Hassan, Christof Dörfer

Abstract

Salvadora persica (SP) extract, displays very valuable biotherapeutic capacities such as antimicrobial, antioxidant, antiparasitic and anti-inflammatory effects. Numerous investigations have studied the pharmacologic actions of SP in oral disease therapies but its promising outcomes in periodontal health and treatment are not yet entirely described. The current study has been planned to analyze the reported effects of SP as a support to periodontal therapy to indorse regeneration and healing. In consort with clinical trials, in vitro investigations show the advantageous outcomes of SP adjunctive to periodontal treatment. Yet, comprehensive supplementary preclinical and clinical investigations at molecular and cellular levels are indispensable to reveal the exact therapeutic mechanisms of SP and its elements for periodontal health and therapy.

Keywords: Salvadora persica; adjunctive periodontal therapy; anti-inflammatory agents; antioxidants; herbal medicine; oral health; periodontal disease; periodontitis.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Chemical structures of important phytoconstituents present in the Salvadora persica extract.
Figure 2
Figure 2
Mode of action of Salvadora persica as an adjunctive periodontal chemotherapeutic in periodontal disease. Abbreviations: IL-1β: interleukin 1b, IL-6: interleukin 6, IL-8: interleukin 8, TNF-α: tumor-necrosis-factor-α, IFN: interferon, NOS: nitric oxide synthase, TGF-β1: transforming growth factor-β1.

References

    1. Al-Attass S.A., Zahran F.M., Turkistany S.A. Nigella sativa and its active constituent thymoquinone in oral health. Saudi Med. J. 2016;37:235–244. doi: 10.15537/smj.2016.3.13006.
    1. WHO . Traditional Medicine Strategy, 2014–2023. World Health Organization; Geneva, Switzerland: 2013. p. 76.
    1. Sabbagh H.J., AlGhamdi K.S., Mujalled H.T., Bagher S.M. The effect of brushing with Salvadora persica (miswak) sticks on salivary Streptococcus mutans and plaque levels in children: A clinical trial. BMC Complement. Med. Ther. 2020;20:53. doi: 10.1186/s12906-020-2847-3.
    1. Khatak M., Khatak S., Siddqui A.A., Vasudeva N., Aggarwal A., Aggarwal P. Salvadora persica. Pharmacogn. Rev. 2010;4:209–214. doi: 10.4103/0973-7847.70920.
    1. Mansour H., Alsamadany H., Al-Hasawi Z.M. Genetic diversity and genetic structure of Salvadora persica L., rare plant species in Rabigh province, Saudi Arabia: Implications for conservation. J. Taibah Univ. Sci. 2020;14:881–888. doi: 10.1080/16583655.2020.1787640.
    1. Abhary M., Al-Hazmi A.-A. Antibacterial activity of Miswak (Salvadora persica L.) extracts on oral hygiene. J. Taibah Univ. Sci. 2016;10:513–520. doi: 10.1016/j.jtusci.2015.09.007.
    1. Haque M.M., Alsareii S.A. A review of the therapeutic effects of using miswak (Salvadora persica) on oral health. Saudi Med. J. 2015;36:530–543. doi: 10.15537/smj.2015.5.10785.
    1. Al Bratty M., Makeen H.A., Alhazmi H.A., Syame S.M., Abdalla A.N., Homeida H.E., Sultana S., Ahsan W., Khalid A. Phytochemical, Cytotoxic, and Antimicrobial Evaluation of the Fruits of Miswak Plant. J. Chem. 2020;2020:4521951. doi: 10.1155/2020/4521951.
    1. Mohamed S.A., Khan J.A. Antioxidant capacity of chewing stick miswak Salvadora persica. BMC Complement. Altern. Med. 2013;13:40. doi: 10.1186/1472-6882-13-40.
    1. Eid Abdelmagyd H.A., Ram Shetty D.S., Musa Musleh Al-Ahmari D.M. Herbal medicine as adjunct in periodontal therapies—A review of clinical trials in past decade. J. Oral Biol. Craniofac. Res. 2019;9:212–217. doi: 10.1016/j.jobcr.2019.05.001.
    1. Gasner N.S., Schure R.S. Periodontal Disease. StatPearls Publishing LLC.; Treasure Island, FL, USA: 2020.
    1. Fischer R.G., Lira Junior R., Retamal-Valdes B., Figueiredo L.C.D., Malheiros Z., Stewart B., Feres M. Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis. Braz. Oral Res. 2020;34 doi: 10.1590/1807-3107bor-2020.vol34.0026.
    1. Herrera D., Matesanz P., Martín C., Oud V., Feres M., Teughels W. Adjunctive effect of locally delivered antimicrobials in periodontitis therapy: A systematic review and meta-analysis. J. Clin. Periodontol. 2020;47:239–256. doi: 10.1111/jcpe.13230.
    1. Heta S., Robo I. The Side Effects of the Most Commonly Used Group of Antibiotics in Periodontal Treatments. Med. Sci. 2018;6:6. doi: 10.3390/medsci6010006.
    1. Zhao H., Hu J., Zhao L. Adjunctive subgingival application of Chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis: A systematic review and meta-analysis. BMC Oral Health. 2020;20:34. doi: 10.1186/s12903-020-1021-0.
    1. De Moraes Mello Boccolini P., Siqueira Boccolini C. Prevalence of complementary and alternative medicine (CAM) use in Brazil. BMC Complement. Med. Ther. 2020;20:51. doi: 10.1186/s12906-020-2842-8.
    1. Yimer E.M., Tuem K.B., Karim A., Ur-Rehman N., Anwar F. Nigella sativa L. (Black Cumin): A Promising Natural Remedy for Wide Range of Illnesses. Evid. Based Complement. Alternat. Med. 2019;2019:1528635. doi: 10.1155/2019/1528635.
    1. Papapanou P.N., Sanz M., Buduneli N., Dietrich T., Feres M., Fine D.H., Flemmig T.F., Garcia R., Giannobile W.V., Graziani F., et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J. Periodontol. 2018;89:S173–S182. doi: 10.1002/JPER.17-0721.
    1. Tonetti M.S., Jepsen S., Jin L., Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. J. Clin. Periodontol. 2017;44:456–462. doi: 10.1111/jcpe.12732.
    1. Kassebaum N.J., Bernabé E., Dahiya M., Bhandari B., Murray C.J., Marcenes W. Global burden of severe periodontitis in 1990–2010: A systematic review and meta-regression. J. Dent. Res. 2014;93:1045–1053. doi: 10.1177/0022034514552491.
    1. Billings M., Holtfreter B., Papapanou P.N., Mitnik G.L., Kocher T., Dye B.A. Age-dependent distribution of periodontitis in two countries: Findings from NHANES 2009 to 2014 and SHIP-TREND 2008 to 2012. J. Clin. Periodontol. 2018;45(Suppl. S20):S130–S148. doi: 10.1111/jcpe.12944.
    1. James S. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789–1858. doi: 10.1016/S0140-6736(18)32279-7.
    1. Sanz M., Marco del Castillo A., Jepsen S., Gonzalez-Juanatey J.R., D’Aiuto F., Bouchard P., Chapple I., Dietrich T., Gotsman I., Graziani F., et al. Periodontitis and cardiovascular diseases: Consensus report. J. Clin. Periodontol. 2020;47:268–288. doi: 10.1111/jcpe.13189.
    1. Sanz M., Ceriello A., Buysschaert M., Chapple I., Demmer R.T., Graziani F., Herrera D., Jepsen S., Lione L., Madianos P., et al. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J. Clin. Periodontol. 2018;45:138–149. doi: 10.1111/jcpe.12808.
    1. Komine-Aizawa S., Aizawa S., Hayakawa S. Periodontal diseases and adverse pregnancy outcomes. J. Obstet. Gynaecol. Res. 2019;45:5–12. doi: 10.1111/jog.13782.
    1. Righolt A.J., Jevdjevic M., Marcenes W., Listl S. Global-, Regional-, and Country-Level Economic Impacts of Dental Diseases in 2015. J. Dent. Res. 2018;97:501–507. doi: 10.1177/0022034517750572.
    1. Tariq M., Iqbal Z., Ali J., Baboota S., Talegaonkar S., Ahmad Z., Sahni J.K. Treatment modalities and evaluation models for periodontitis. Int. J. Pharm. Investig. 2012;2:106–122. doi: 10.4103/2230-973x.104394.
    1. Graziani F., Karapetsa D., Alonso B., Herrera D. Nonsurgical and surgical treatment of periodontitis: How many options for one disease? Periodontology. 2017;75:152–188. doi: 10.1111/prd.12201.
    1. Patil V., Mali R., Mali A. Systemic anti-microbial agents used in periodontal therapy. J. Indian Soc. Periodontol. 2013;17:162–168. doi: 10.4103/0972-124X.113063.
    1. Puri K., Puri N. Local drug delivery agents as adjuncts to endodontic and periodontal therapy. J. Med. Life. 2013;6:414–419.
    1. Mekhemar M., Hassan Y., Dörfer C. Nigella sativa and Thymoquinone: A Natural Blessing for Periodontal Therapy. Antioxidants. 2020;9:1260. doi: 10.3390/antiox9121260.
    1. Chiniforush N., Pourhajibagher M., Parker S., Benedicenti S., Bahador A., Sălăgean T., Bordea I.R. The Effect of Antimicrobial Photodynamic Therapy Using Chlorophyllin–Phycocyanin Mixture on Enterococcus faecalis: The Influence of Different Light Sources. Appl. Sci. 2020;10:4290. doi: 10.3390/app10124290.
    1. Silva N., Abusleme L., Bravo D., Dutzan N., Garcia-Sesnich J., Vernal R., Hernández M., Gamonal J. Host response mechanisms in periodontal diseases. J. Appl. Oral Sci. 2015;23:329–355. doi: 10.1590/1678-775720140259.
    1. Gulati M., Anand V., Govila V., Jain N. Host modulation therapy: An indispensable part of perioceutics. J. Indian Soc. Periodontol. 2014;18:282–288. doi: 10.4103/0972-124X.134559.
    1. Spasovski S., Belazelkoska Z., Popovska M., Atanasovska-Stojanovska A., Radojkova-Nikolovska V., Muratovska I., Toseska-Spasova N., Dzipunova B., Nikolovski B. Clinical Therapeutic Effects of the Application of Doxycycline in the Treatment of Periodontal Disease. Open Access Maced. J. Med. Sci. 2016;4:152–157. doi: 10.3889/oamjms.2016.021.
    1. Polak D., Martin C., Sanz-Sánchez I., Beyth N., Shapira L. Are anti-inflammatory agents effective in treating gingivitis as solo or adjunct therapies? A systematic review. J. Clin. Periodontol. 2015;42:S139–S151. doi: 10.1111/jcpe.12340.
    1. Raja S., Byakod G., Pudakalkatti P. Growth Factors in Periodontal Regeneration. J. Adv. Oral Res. 2014;5:1–5. doi: 10.1111/j.1601-5037.2009.00380.x.
    1. Seshima F., Aoki H., Takeuchi T., Suzuki E., Irokawa D., Makino-Oi A., Sugito H., Tomita S., Saito A. Periodontal regenerative therapy with enamel matrix derivative in the treatment of intrabony defects: A prospective 2-year study. BMC Res. Notes. 2017;10:256. doi: 10.1186/s13104-017-2572-2.
    1. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. Periodontology. 2018;76:85–96. doi: 10.1111/prd.12147.
    1. Van der Weijden G.A. Use of antimicrobial agents in periodontology. Ned. Tijdschr. Tandheelkd. 2019;126:533–539. doi: 10.5177/ntvt.2019.10.19064.
    1. Souto M.L.S., Rovai E.S., Ganhito J.A., Holzhausen M., Chambrone L., Pannuti C.M. Efficacy of systemic antibiotics in nonsurgical periodontal therapy for diabetic subjects: A systematic review and meta-analysis. Int. Dent. J. 2018;68:207–220. doi: 10.1111/idj.12384.
    1. Feres M., Figueiredo L.C., Soares G.M., Faveri M. Systemic antibiotics in the treatment of periodontitis. Periodontol. 2015;67:131–186. doi: 10.1111/prd.12075.
    1. De Oliveira S.M., Torres T.C., Pereira S.L., Mota O.M., Carlos M.X. Effect of a dentifrice containing Aloe vera on plaque and gingivitis control. A double-blind clinical study in humans. J. Appl. Oral Sci. 2008;16:293–296. doi: 10.1590/S1678-77572008000400012.
    1. Solderer A., Kaufmann M., Hofer D., Wiedemeier D., Attin T., Schmidlin P.R. Efficacy of chlorhexidine rinses after periodontal or implant surgery: A systematic review. Clin. Oral Investig. 2019;23:21–32. doi: 10.1007/s00784-018-2761-y.
    1. Amjed S., Junaid K., Jafar J., Amjad T., Maqsood W., Mukhtar N., Tariq K., Sharif M., Awan S.J., Ansari F. Detection of antibacterial activities of Miswak, Kalonji and Aloe vera against oral pathogens & anti-proliferative activity against cancer cell line. BMC Complement. Altern. Med. 2017;17:265. doi: 10.1186/s12906-017-1778-0.
    1. Nordin A., Bin Saim A., Ramli R., Abdul Hamid A., Mohd Nasri N.W., Bt Hj Idrus R. Miswak and oral health: An evidence-based review. Saudi J. Biol. Sci. 2020;27:1801–1810. doi: 10.1016/j.sjbs.2020.05.020.
    1. Aumeeruddy M.Z., Zengin G., Mahomoodally M.F. A review of the traditional and modern uses of Salvadora persica L. (Miswak): Toothbrush tree of Prophet Muhammad. J. Ethnopharmacol. 2018;213:409–444. doi: 10.1016/j.jep.2017.11.030.
    1. Kumar D., Sharma P.K. Traditional Use, Phytochemicals and Pharmacological Activity of Salvadora persica: A Review. Curr. Nutr. Food Sci. 2021;17:302–309. doi: 10.2174/1573401316999200807205224.
    1. Hyson J.M., Jr. History of the toothbrush. J. Hist. Dent. 2003;51:73–80.
    1. Aboul-Enein B.H. The miswak (Salvadora persica L.) chewing stick: Cultural implications in oral health promotion. Saudi J. Dental. Res. 2014;5:9–13. doi: 10.1016/j.ksujds.2013.06.002.
    1. Faruk E.M., Nafea O.E., Fouad H., Ebrahim U.F.A., Hasan R.A.A. Possible healing effects of Salvadora persica extract (MISWAK) and laser therapy in a rabbit model of a caustic-induced tongue ulcers: Histological, immunohistochemical and biochemical study. J. Mol. Histol. 2020;51:341–352. doi: 10.1007/s10735-020-09884-7.
    1. Al-Ayed M.S., Asaad A.M., Qureshi M.A., Attia H.G., AlMarrani A.H. Antibacterial Activity of Salvadora persica L. (Miswak) Extracts against Multidrug Resistant Bacterial Clinical Isolates. Evid. Based Complement. Alternat. Med. 2016;2016:7083964. doi: 10.1155/2016/7083964.
    1. Farag M.A., Shakour Z.T., Lübken T., Frolov A., Wessjohann L.A., Mahrous E. Unraveling the metabolome composition and its implication for Salvadora persica L. use as dental brush via a multiplex approach of NMR and LC–MS metabolomics. J. Pharm. Biomed. Anal. 2021;193:113727. doi: 10.1016/j.jpba.2020.113727.
    1. Farag M., Abdel-Mageed W.M., Basudan O., El-Gamal A. Persicaline, A New Antioxidant Sulphur-Containing Imidazoline Alkaloid from Salvadora persica Roots. Molecules. 2018;23:483. doi: 10.3390/molecules23020483.
    1. Akhtar J., Siddique K.M., Bi S., Mujeeb M. A review on phytochemical and pharmacological investigations of miswak (Salvadora persica Linn) J. Pharm. Bioallied Sci. 2011;3:113–117. doi: 10.4103/0975-7406.76488.
    1. Ohtani K., Kasai R., Yamasaki K., Tanaka O., Kamel M.S., Assaf M.H., El-Shanawani M.A., Ali A.A. Lignan glycosides from stems of Salvadora persica. Phytochemistry. 1992;31:2469–2471. doi: 10.1016/0031-9422(92)83301-E.
    1. Alali F., Hudaib M., Aburjai T., Khairallah K., Al-Hadidi N. GC-MS Analysis and Antimicrobial Activity of the Essential Oil from the Stem of the Jordanian Toothbrush Tree Salvadora persica. Pharm. Biol. 2005;42:577–580. doi: 10.1080/13880200490901834.
    1. Khalil A.T. Benzylamides fromSalvadora persica. Arch. Pharmacal. Res. 2006;29:952. doi: 10.1007/BF02969277.
    1. Ahmad H., Rajagopal K. Salvadora persica L. (Meswak) in dental hygiene. Saudi J. Dent. Res. 2014;5:130–134. doi: 10.1016/j.sjdr.2014.02.002.
    1. Abeer Y.I., Souad E.E.-G. Safety Profile of Meswak Root Extract on Liver, Kidney, Sexual Hormones and Hematological Parameters of Rats. Not. Sci. Biol. 2012;4 doi: 10.15835/nsb417263.
    1. Darmani H., Al-Hiyasat A.S., Elbetieha A.M., Alkofahi A. The effect of an extract of Salvadora persica (Meswak, chewing stick) on fertility of male and female mice. Phytomedicine. 2003;10:63–65. doi: 10.1078/094471103321648683.
    1. Tabatabaei F.S., Moezizadeh M., Javand F. Effects of extracts of Salvadora persica on proliferation and viability of human dental pulp stem cells. J. Conserv. Dent. 2015;18:315–320. doi: 10.4103/0972-0707.159740.
    1. Balto H.A.G., Halawany H.S., Jacob V., Abraham N.B. The efficacy of Salvadora persica extracts in preserving the viability of human foreskin fibroblasts. Saudi Dent. J. 2015;27:137–140. doi: 10.1016/j.sdentj.2015.01.001.
    1. Ahmad M., Imran H., Yaqeen Z., Rehman Z., Rahman A., Fatima N., Sohail T. Pharmacological profile of Salvadora persica. Pak. J. Pharm. Sci. 2011;24:323–330.
    1. Marchesan J.T., Girnary M.S., Moss K., Monaghan E.T., Egnatz G.J., Jiao Y., Zhang S., Beck J., Swanson K.V. Role of inflammasomes in the pathogenesis of periodontal disease and therapeutics. Periodontology. 2020;82:93–114. doi: 10.1111/prd.12269.
    1. Ibrahim M.M., Al Sahli A.A.A., Alaraidh I.A., Al-Homaidan A.A., Mostafa E.M., El-Gaaly G.A. Assessment of antioxidant activities in roots of Miswak (Salvadora persica) plants grown at two different locations in Saudi Arabia. Saudi J. Biol. Sci. 2015;22:168–175. doi: 10.1016/j.sjbs.2014.11.019.
    1. Lebda M.A., El-Far A.H., Noreldin A.E., Elewa Y.H.A., Al Jaouni S.K., Mousa S.A. Protective Effects of Miswak (Salvadora persica) against Experimentally Induced Gastric Ulcers in Rats. Oxid. Med. Cell. Longev. 2018;2018:6703296. doi: 10.1155/2018/6703296.
    1. Mariod A.A., Matthäus B., Hussein I.H. Chemical Characterization of the Seed and Antioxidant Activity of Various Parts of Salvadora persica. J. Am. Oil Chem. Soc. 2009;86:857–865. doi: 10.1007/s11746-009-1422-3.
    1. Nomani M., Hosseini M.J., Vazirian M., Nomani A., Monsef-Esfahani H.R. Evaluation of anti-inflammatory effect of Salvadora persica in IBD-induced rat. Res. J. Pharmacogn. 2017;4:27.
    1. Al-Quraishy S., Thagfan F.A., Al-Shaebi E.M., Qasem M., Abdel-Gaber R., Dkhil M.A.M. Salvadora persica protects mouse intestine from eimeriosis. Rev. Bras. Parasitol. Vet. 2019;28:605–612. doi: 10.1590/s1984-29612019068.
    1. Sardari F., Kazemi Arababadi M., Heiranizade M., Mosadeghi M. Anti-inflammatory and cytotoxicity effects of Salvadora persica (meswak) extracts on jurkat t-cells. J. Microbiol. Biotechnol. Food Sci. 2015;4:379–382. doi: 10.15414/jmbfs.2015.4.5.379-382.
    1. Mohamed S.A., Almulaiky Y.Q., Ahmed Y.M., Al-Bar O.A.M., Ibrahim I.H. Purification and characterization of α-Amylase from Miswak Salvadora persica. BMC Complement. Altern. Med. 2014;14:119. doi: 10.1186/1472-6882-14-119.
    1. Azzopardi E., Lloyd C., Teixeira S.R., Conlan R.S., Whitaker I.S. Clinical applications of amylase: Novel perspectives. Surgery. 2016;160:26–37. doi: 10.1016/j.surg.2016.01.005.
    1. Panossian A., Seo E.-J., Efferth T. Effects of anti-inflammatory and adaptogenic herbal extracts on gene expression of eicosanoids signaling pathways in isolated brain cells. Phytomedicine. 2019;60:152881. doi: 10.1016/j.phymed.2019.152881.
    1. Abdulbaqi H.R., Himratul-Aznita W.H., Baharuddin N.A. Evaluation of Salvadora persica L. and green tea anti-plaque effect: A randomized controlled crossover clinical trial. BMC Complement. Altern. Med. 2016;16:493. doi: 10.1186/s12906-016-1487-0.
    1. Patel P.V., Shruthi S., Kumar S. Clinical effect of miswak as an adjunct to tooth brushing on gingivitis. J. Indian Soc. Periodontol. 2012;16:84–88. doi: 10.4103/0972-124X.94611.
    1. Aspalli S., Shetty V.S., Devarathnamma M.V., Nagappa G., Archana D., Parab P. Evaluation of antiplaque and antigingivitis effect of herbal mouthwash in treatment of plaque induced gingivitis: A randomized, clinical trial. J. Indian Soc. Periodontol. 2014;18:48–52. doi: 10.4103/0972-124X.128208.
    1. Bahrololoomi Z., Sadat-Hashemi A., Hassan-Akhavan-Karbassi M., Khaksar Y. Evaluating the additive effect of Persica and chlorhexidine mouthwashes on oral health status of children receiving chemotherapy for their hematomalignancy: A randomized clinical trial. J. Clin. Exp. Dent. 2020;12:e574–e580. doi: 10.4317/jced.56104.
    1. Bhate D., Jain S., Kale R., Muglikar S. The comparative effects of 0.12% chlorhexidine and herbal oral rinse on dental plaque-induced gingivitis: A randomized clinical trial. J. Indian Soc. Periodontol. 2015;19:393–395. doi: 10.4103/0972-124X.153478.
    1. Gupta P., Agarwal N., Anup N., Manujunath B.C., Bhalla A. Evaluating the anti-plaque efficacy of meswak (Salvadora persica) containing dentifrice: A triple blind controlled trial. J. Pharm. Bioallied Sci. 2012;4:282–285. doi: 10.4103/0975-7406.103238.
    1. Manjiri Abhay Deshmukh A.S.D. Gundabaktha Karibasappa, Mahesh Ravindra Khairnar, Rahul Gaybarao Naik, Harish Chaitram Jadhav. Comparative Evaluation of the Efficacy of Probiotic, Herbal and Chlorhexidine Mouthwash on Gingival Health: A Randomized Clinical Trial. J. Clin. Diagn. Res. 2017;11:ZC13–ZC16. doi: 10.7860/jcdr/2017/23891.9462.
    1. Prasad K.A., John S., Deepika V., Dwijendra K.S., Reddy B.R., Chincholi S. Anti-Plaque Efficacy of Herbal and 0.2% Chlorhexidine Gluconate Mouthwash: A Comparative Study. J. Int. Oral Health. 2015;7:98–102.
    1. Rezaei S., Rezaei K., Mahboubi M., Jarahzadeh M., Momeni E., Bagherinasab M., Targhi M., Memarzadeh M. Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit. J. Indian Soc. Periodontol. 2016;20:404–408. doi: 10.4103/0972-124X.194269.
    1. Saha S., Mohammad S., Saha S., Samadi F. Efficiency of traditional chewing stick (miswak) as an oral hygiene aid among Muslim school children in Lucknow: A cross-sectional study. J. Oral Biol. Craniofac. Res. 2012;2:176–180. doi: 10.1016/j.jobcr.2012.10.009.
    1. Tadikonda A., Pentapati K.C., Urala A.S., Acharya S. Anti-plaque and anti-gingivitis effect of Papain, Bromelain, Miswak and Neem containing dentifrice: A randomized controlled trial. J. Clin. Exp. Dent. 2017;9:e649–e653. doi: 10.4317/jced.53593.
    1. Varma S.R., Sherif H., Serafi A., Fanas S.A., Desai V., Abuhijleh E., Al Radaidah A. The Antiplaque Efficacy of Two Herbal-Based Toothpastes: A Clinical Intervention. J. Int. Soc. Prev. Community Dent. 2018;8:21–27. doi: 10.4103/jispcd.JISPCD_411_17.
    1. Albabtain R., Azeem M., Wondimu Z., Lindberg T., Borg-Karlson A.K., Gustafsson A. Investigations of a Possible Chemical Effect of Salvadora persica Chewing Sticks. Evid. Based Complement. Alternat. Med. 2017;2017:2576548. doi: 10.1155/2017/2576548.
    1. Sekar S., Jacob S., Suthanthiran T., Dhasthaheer S., Vikraman S., Kaliappan K. Characterization and formulation of miswak film for the treatment of chronic periodontitis: An in vitro study. J. Pharm. Bioallied Sci. 2020;12:199–203. doi: 10.4103/jpbs.JPBS_59_20.
    1. Butera A., Gallo S., Maiorani C., Molino D., Chiesa A., Preda C., Esposito F., Scribante A. Probiotic Alternative to Chlorhexidine in Periodontal Therapy: Evaluation of Clinical and Microbiological Parameters. Microorganisms. 2020;9:69. doi: 10.3390/microorganisms9010069.
    1. Lang N.P., Bartold P.M. Periodontal health. J. Periodontol. 2018;89:S9–S16. doi: 10.1002/JPER.16-0517.
    1. Al-sieni A.I. The antibacterial activity of traditionally used Salvadora persica L. (miswak) and Commiphora gileadensis (palsam) in Saudi Arabia. Afr. J. Tradit. Complement. Altern. Med. 2014;11:23–27. doi: 10.4314/ajtcam.v11i1.3.
    1. Saquib S.A., AlQahtani N.A., Ahmad I., Kader M.A., Al Shahrani S.S., Asiri E.A. Evaluation and Comparison of Antibacterial Efficacy of Herbal Extracts in Combination with Antibiotics on Periodontal pathobionts: An in vitro Microbiological Study. Antibiotics. 2019;8:89. doi: 10.3390/antibiotics8030089.
    1. Pathan M., Bhat K., Joshi V. Comparative evaluation of the efficacy of a herbal mouthwash and chlorhexidine mouthwash on select periodontal pathogens: An in vitro and ex vivo study. J. Indian Soc. Periodontol. 2017;21:270–275. doi: 10.4103/jisp.jisp_382_16.
    1. Salman Siddeeqh A.P., Maji J., Vidya P. Estimation of Antimicrobial Properties of Aqueous and Alcoholic Extracts of Salvadora Persica (Miswak) on Oral Microbial Pathogens—An Invitro Study. J. Clin. Diagn. Res. 2016;10:FC13–FC16. doi: 10.7860/JCDR/2016/22213.8524.
    1. Jelvehgaran Esfahani Z., Kadkhoda Z., Eshraghi S.S., Salehi Surmaghi M.H. Antibacterial effect of an herbal product persica on porphyromonas gingivalis and aggregatibacter actinomycetemcomitans: An in-vitro study. J. Dent. 2014;11:464–472.
    1. Sofrata A., Santangelo E.M., Azeem M., Borg-Karlson A.-K., Gustafsson A., Pütsep K. Benzyl Isothiocyanate, a Major Component from the Roots of Salvadora Persica Is Highly Active against Gram-Negative Bacteria. PLoS ONE. 2011;6:e23045. doi: 10.1371/journal.pone.0023045.
    1. Tonetti M.S., Greenwell H., Kornman K.S. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J. Periodontol. 2018;89(Suppl. S1):S159–S172. doi: 10.1002/JPER.18-0006.
    1. Socransky S.S., Haffajee A.D., Cugini M.A., Smith C., Kent R.L., Jr. Microbial complexes in subgingival plaque. J. Clin. Periodontol. 1998;25:134–144. doi: 10.1111/j.1600-051X.1998.tb02419.x.
    1. Willis J.R., Gabaldón T. The Human Oral Microbiome in Health and Disease: From Sequences to Ecosystems. Microorganisms. 2020;8:308. doi: 10.3390/microorganisms8020308.
    1. Griffen A.L., Beall C.J., Campbell J.H., Firestone N.D., Kumar P.S., Yang Z.K., Podar M., Leys E.J. Distinct and complex bacterial profiles in human periodontitis and health revealed by 16S pyrosequencing. Isme J. 2012;6:1176–1185. doi: 10.1038/ismej.2011.191.
    1. Costalonga M., Herzberg M.C. The oral microbiome and the immunobiology of periodontal disease and caries. Immunol. Lett. 2014;162:22–38. doi: 10.1016/j.imlet.2014.08.017.
    1. Vartoukian S.R., Palmer R.M., Wade W.G. Diversity and morphology of members of the phylum "synergistetes" in periodontal health and disease. Appl. Environ. Microbiol. 2009;75:3777–3786. doi: 10.1128/AEM.02763-08.
    1. Matarazzo F., Ribeiro A.C., Feres M., Faveri M., Mayer M.P. Diversity and quantitative analysis of Archaea in aggressive periodontitis and periodontally healthy subjects. J. Clin. Periodontol. 2011;38:621–627. doi: 10.1111/j.1600-051X.2011.01734.x.
    1. Lepp P.W., Brinig M.M., Ouverney C.C., Palm K., Armitage G.C., Relman D.A. Methanogenic Archaea and human periodontal disease. Proc. Natl. Acad. Sci. USA. 2004;101:6176–6181. doi: 10.1073/pnas.0308766101.
    1. Ardila C.M., Bedoya-García J.A. Antimicrobial resistance of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia in periodontitis patients. J. Glob. Antimicrob. Resist. 2020;22:215–218. doi: 10.1016/j.jgar.2020.02.024.
    1. Khalil M.A., El-Sabbagh M.S., El Naggar E.B., El-Erian R.H. Antibacterial activity of Salvadora persica against oral pathogenic bacterial isolates. Niger. J. Clin. Pract. 2019;22:1378–1387. doi: 10.4103/njcp.njcp_413_14.
    1. Arshad H., Sami M.A., Sadaf S., Hassan U. Salvadora persica mediated synthesis of silver nanoparticles and their antimicrobial efficacy. Sci. Rep. 2021;11:5996. doi: 10.1038/s41598-021-85584-w.
    1. Khan M., Alkhathlan H.Z., Khan S.T. Antibiotic and Antibiofilm Activities of Salvadora persica L. Essential Oils against Streptococcus mutans: A Detailed Comparative Study with Chlorhexidine Digluconate. Pathogens. 2020;9:66. doi: 10.3390/pathogens9010066.
    1. Sukkarwalla A., Ali S.M., Lundberg P., Tanwir F. Efficacy of miswak on oral pathogens. Dent. Res. J. 2013;10:314–320. doi: 10.4103/1735-3327.115138.
    1. Mouwakeh A., Telbisz Á., Spengler G., Mohácsi-Farkas C., Kiskó G. Antibacterial and Resistance Modifying Activities of Nigella sativa Essential Oil and its Active Compounds Against Listeria monocytogenes. In Vivo. 2018;32:737–743. doi: 10.21873/invivo.11302.
    1. Rafiei M., Kiani F., Sayehmiri F., Sayehmiri K., Sheikhi A., Zamanian Azodi M. Study of Porphyromonas gingivalis in periodontal diseases: A systematic review and meta-analysis. Med. J. Islam. Repub. Iran. 2017;31:62. doi: 10.14196/mjiri.31.62.
    1. Auer G.K., Weibel D.B. Bacterial Cell Mechanics. Biochemistry. 2017;56:3710–3724. doi: 10.1021/acs.biochem.7b00346.
    1. Sculean A., Chapple I.L., Giannobile W.V. Wound models for periodontal and bone regeneration: The role of biologic research. Periodontology. 2015;68:7–20. doi: 10.1111/prd.12091.
    1. Sowmya S., Mony U., Jayachandran P., Reshma S., Kumar R.A., Arzate H., Nair S.V., Jayakumar R. Tri-Layered Nanocomposite Hydrogel Scaffold for the Concurrent Regeneration of Cementum, Periodontal Ligament, and Alveolar Bone. Adv. Healthc. Mater. 2017;6 doi: 10.1002/adhm.201601251.
    1. Liu J., Ruan J., Weir M.D., Ren K., Schneider A., Wang P., Oates T.W., Chang X., Xu H.H.K. Periodontal Bone-Ligament-Cementum Regeneration via Scaffolds and Stem Cells. Cells. 2019;8:537. doi: 10.3390/cells8060537.
    1. Iwasaki K., Akazawa K., Nagata M., Komaki M., Peng Y., Umeda M., Watabe T., Morita I. Angiogenic Effects of Secreted Factors from Periodontal Ligament Stem Cells. Dent. J. 2021;9:9. doi: 10.3390/dj9010009.
    1. Vaquette C., Pilipchuk S.P., Bartold P.M., Hutmacher D.W., Giannobile W.V., Ivanovski S. Tissue Engineered Constructs for Periodontal Regeneration: Current Status and Future Perspectives. Adv. Healthc. Mater. 2018;7:e1800457. doi: 10.1002/adhm.201800457.
    1. Bartold P.M., Shi S., Gronthos S. Stem cells and periodontal regeneration. Periodontol. 2006;40:164–172. doi: 10.1111/j.1600-0757.2005.00139.x.
    1. Xu X.-Y., Li X., Wang J., He X.-T., Sun H.-H., Chen F.-M. Concise Review: Periodontal Tissue Regeneration Using Stem Cells: Strategies and Translational Considerations. Stem Cells Transl. Med. 2019;8:392–403. doi: 10.1002/sctm.18-0181.
    1. Udalamaththa V.L., Jayasinghe C.D., Udagama P.V. Potential role of herbal remedies in stem cell therapy: Proliferation and differentiation of human mesenchymal stromal cells. Stem Cell. Res. Ther. 2016;7:110. doi: 10.1186/s13287-016-0366-4.
    1. Johnson T.C., Siegel D. Directing Stem Cell Fate: The Synthetic Natural Product Connection. Chem. Rev. 2017;117:12052–12086. doi: 10.1021/acs.chemrev.7b00015.
    1. Fouda A.-M., Youssef A.R. Antiosteoporotic activity of Salvadora persica sticks extract in an estrogen deficient model of osteoporosis. Osteoporos. Sarcopenia. 2017;3:132–137. doi: 10.1016/j.afos.2017.07.002.
    1. Khunkar S., Hariri I., Alsayed E., Linjawi A., Khunkar S., Islam S., Bakhsh T.A., Nakashima S. Inhibitory effect of Salvadora persica extract (Miswak) on collagen degradation in demineralized dentin: In vitro study. J. Dent. Sci. 2021;16:208–213. doi: 10.1016/j.jds.2020.05.025.
    1. Xu X., Zheng L., Yuan Q., Zhen G., Crane J.L., Zhou X., Cao X. Transforming growth factor-β in stem cells and tissue homeostasis. Bone Res. 2018;6:2. doi: 10.1038/s41413-017-0005-4.
    1. Checchi V., Maravic T., Bellini P., Generali L., Consolo U., Breschi L., Mazzoni A. The Role of Matrix Metalloproteinases in Periodontal Disease. Int. J. Environ. Res. Public Health. 2020;17:4923. doi: 10.3390/ijerph17144923.

Source: PubMed

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