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Siwak is a chewing stick used as an oral hygiene aid associated with Muslim communities across the globe since more than 1500years ago. Used either exclusively or in conjunction with a regular toothbrush, there is evidence supporting its clinical effectiveness in plaque control, but adverse effects on periodontal health remains inconclusive. This study aims to systematically review the wide range of data and literatures related to siwak practice and its effect on periodontal health. The review was conducted based on scoping review tech