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Table 6 Method of siwak practice and adverse effect

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

References

Study type

Method

Practice (frequency and duration)

Adverse effect

Eid et al. [26, 31]

Cross sectional

Vertical

1–5 times/day

Higher mean CAL and REC on midbuccal surface

Darout et al. [30]

 

Not reported

At least once daily

Higher number of sextants with ≥ 4 mm CAL

Baeshen et al. [35]

RCT

Vertical and horizontal

2 times/day, 5 min

Traumatic lesion on gingival tissue

Al-Otaibi et al. [25, 34]

 

Not reported

5 times/day

Not reported

Bhambal et al. [37]

 

Not reported

2 times/day

Not reported

Patel et al. [38]

 

Not reported

3 times/day

Not reported

Malik et al. [36]

 

Not reported

2 times/day, 2–5 min

Not reported

Othman et al. [40]

 

Not reported

2 times/day, at least 2 min

Not reported

Rifaey et al. [39]

 

Not reported

2 times/day

Not reported

Karia and Kelleher [45]

Case report

Scrubbing motion on every tooth surface, horizontal on buccal and vertical on lingual

Not reported

Severe cervical tooth surface loss (buccal and lingual) and generalised gingival recession

Saleh et al. [5]

 

Not reported

Not reported

Gingival recession

  1. RCT, randomised controlled trial