Question · asked by 1 review

Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse: Plaque

Population
Medically healthy individuals (adults and children, 6-60 years)
Intervention
Salvadora persica (miswak) mouthrinse
Comparison
Chlorhexidine mouthrinse
Outcome
Plaque

When usual mechanical plaque control continued, Salvadora persica and chlorhexidine did not differ significantly for plaque; not GRADE-rated.

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 8 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Did not refrain from mechanical plaque control
When usual mechanical plaque control continued, Salvadora persica and chlorhexidine did not differ significantly for plaque; not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.17 [-0.08, 0.42]11 studies · 594 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Duration of mouthwash use: >=3 weeks
For use of 3 weeks or longer, Salvadora persica and chlorhexidine did not differ significantly for plaque reduction; not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.24 [-0.11, 0.60]7 studies · 420 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity)
Salvadora persica rinse was slightly less effective than chlorhexidine at reducing plaque (favours chlorhexidine); certainty not GRADE-rated (Shekelle grade Ia).
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.19 [0.01, 0.37]18 studies · 902 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Refrained from mechanical plaque control
When mechanical plaque control was withheld, chlorhexidine outperformed Salvadora persica for plaque reduction; not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.22 [0.05, 0.39]7 studies · 308 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Study quality: moderate-quality studies
In moderate-quality studies the plaque difference between Salvadora persica and chlorhexidine was not statistically significant; not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.19 [-0.11, 0.50]10 studies · 616 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Duration of mouthwash use: <3 weeks
For use shorter than 3 weeks chlorhexidine outperformed Salvadora persica for plaque reduction; not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.15 [0.01, 0.29]11 studies · 482 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine 0.12% mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Chlorhexidine concentration: 0.12%
Salvadora persica was less effective than 0.12% chlorhexidine at reducing plaque (favours chlorhexidine); not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.52 [0.35, 0.69]5 studies · 396 participantsGRADE not reported
Salvadora persica (miswak) mouthrinse vs Chlorhexidine mouthrinse
Post-intervention mean plaque score · Medically healthy individuals (adults and children, 6-60 years) · Post-intervention, In vivo clinical trial (human oral cavity), Study quality: high-quality studies
In high-quality studies Salvadora persica was less effective than chlorhexidine at reducing plaque (favours chlorhexidine); not GRADE-rated.
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of… (2019) All outcomes
MD 0.19 [0.06, 0.31]8 studies · 286 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
The antiplaque/anticariogenic efficacy of Salvadora persica (Miswak) mouthrinse in comparison to that of chlorhexidine: a systematic…
2019 All outcomes
December 2018 (articles published up to December 2018)23Critically Low / Critically Low

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.