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Table 3 Clinical effect of siwak on periodontal health: cross sectional study

From: Clinical benefits and adverse effects of siwak (S. persica) use on periodontal health: a scoping review of literature

References

Study groups (n = sample size)

Siwak application

Periodontal parameter

Finding

Eid et al. [26]

TB (n = 94)

S (n = 68)

S&TB (n = 74)

Exclusive

Adjunctive

PI, GI, PPD, CAL, REC

Mean plaque score and gingivitis score was comparable with TB

Khawaja et. al. [33]

TB (n = 30)

S (n = 30)

Exclusive

PI, GI

 

Batwa et al. [27]

TB (n = 29)

S (n = 17)

Exclusive

PI

Mean plaque score was comparable with TB

Shetty et al. [28]

TB (n = 216)

S (n = 144)

S&TB (n = 168)

Exclusive

OHI-S, GI, PPD, REC

Mean plaque scores comparable with TB

Significant lower gingivitis score and probing pocket depth

Significant higher gingival recession

Al-Sinaidi [29]

TB (n = 74)

S (n = 113)

Exclusive

PI, BOP, PPD, CAL

Significant lower mean plaque score and bleeding score

Mean PPD and CAL were comparable with TB

Darout et al. [30]

TB (n = 104)

S (n = 109)

Exclusive

CPI: BOP, PPD, Calculus

Lower no. sextant of gingival bleeding, probing pocket depth ≥ 4 mm

Higher number of sextants with ≥ 4 mm CAL

Eid et. al [26, 31]

TB (n = 94)

S (n = 68)

S&TB (n = 74)

Adjunctive

PI, GI, PPD, CAL, REC

Significant higher mean PPD and CAL

Higher percentage sites with REC

Ramadan et al. [32]

TB (n = 78)

S (n = 36)

S&TB (n = 36)

Adjunctive

PI, PPD, CAL

Lower mean plaque score, PPD and CAL, than TB

  1. OHI-S, simplified oral hygiene index; PI, plaque index; GI, gingivitis index; BOP, bleeding on probing; PPD, probing pocket depth; CAL, clinical attachment loss; REC, gingival recession; S, siwak; TB, toothbrush