The miswak (miswaak, siwak) is a natural toothbrush made from the twigs of the Salvadora persica tree, also known as the arak tree or the peelu tree. Other tree types that are used are the olive, walnut, and other trees with bitter roots. 2003 scientific study comparing the use of miswaak with ordinary toothbrushes concluded that the results clearly were in favor of the users who had been using the miswaak, provided they had been given proper instruction in how to brush using it.[1] The World Health Organization (WHO) recommended the use of the miswaak in 1986 and in 2000 an international consensus report on oral hygiene concluded that further research was needed to document the effect of the miswak.[2]
Recent research by Dr Otaybi from Saudi Arabia[3] opened a new area for research on the systemic effects of Miswak (Sewak) after discovering its great positive effect on the immune system. Dr. Rami Mohammed Diabi[4] who spent more than 17 years researching on Miswak effects on health and especially its anti-addiction effects on smokers (curative and preventive sides) had opened a great field of science and researches by his last research: "Miswak Medicine theory" or Sewak Puncture medicine[5] which led him to what is so called Beyond Sewak: World of Science and Research.[6] Miswak also is contributing in the fight against desertification,[7] thereby affecting our environment and global climate.
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