Effect of Zanthoxylum Zanthoxyloides Root on Quantity and Qualityof Saliva Secretion in Healthy Adults
DOI:
https://doi.org/10.71637/tnhj.v25i2.1045Keywords:
Zanthoxylum zanthoxyloides , Chewing stick, Saliva , Healthy adultsAbstract
Background: Zanthoxylum zanthoxyloides (fagara) root is a popular chewing stick reputed to increase saliva production. However, there is no report on the characteristics of the saliva it stimulated. The effect of fagara on the quality and quantity of saliva secretion in healthy adults was therefore studied.
Methods: The Large sample approximate method was used to determine the 24 Healthy adults (12 males and 12 females) included in the study. Sample collections were done in two visits. On day 1, basal saliva was collected before chewing sugarless gum for 2 minutes, the mouth was rinsed with water and another sample was collected as stimulated. The procedure was repeated at the second visit with fagara chewing stick substituting the sugarless gum. Volume, flow rate, pH, amylase activity, total protein, electrolytes, and oxidative stress biomarkers were determined in the saliva samples.
Results: Saliva production was increased by sugarless gum (29.84%) and fagara (584.98%) compared with basal. The increase produced by fagara was about 20 times higher than that of sugarless gum. Salivary flow rate also increased in similar pattern. Sugarless gum and fagara increased saliva pH while total protein was not different. Markers of oxidative were not affected while salivary amylase activities were significantly reduced after chewing fagara. Sodium and chloride levels increased while calcium and potassium were not different following fagara exposure.
Conclusion: Zanthoxylum zanthoxyloides increases saliva volume, flow rate and pH, reduces salivary amylase activity and altered electrolytes through mechanism that is beyond the mechanical stimulatory effect of chewing.
Downloads
References
1. Chen, Y. F., Yang, C. H., Chang, M. S., Ciou, Y. P., & Huang, Y. C. (2010). Foam properties and detergent abilities of the saponins from Camellia oleifera. International Journal of Molecular Sciences, 11(11), 4417–4425.
2. Kunatsa, Y., & Katerere, D. R. (2021). Checklist of African soapy saponin-rich plants for possible use in communities’ response to global pandemics. Plants, 10(5), 842.
3. Wu, C. D., Darout, I. A., & Skaug, N. (2001). Chewing sticks: timeless natural toothbrushes for oral cleansing. Journal of Periodontal Research, 36(5), 275–284.
4. Hooda, A., Rathee, M., & Singh, J. (2009). Chewing sticks in the era of toothbrush: A review. Internet Journal of Family Practice, 9(2), 1–6.
5. Femi-Oyewo, M. N., Adeleye, O. A., Babalola, C. O., Banjo, O. B., Adebowale, M. N., & Odeleye, F. O. (2021). In vitro evaluation of antimicrobial activity of Distemonanthus benthamianus chewing stick extract mouthwash. Istanbul Journal of Pharmacy, 51(1), 105–110.
6. Taha, R. R., Fawzi, E. M., & Ibrahim, S. H. (2022). Effect of Miswak versus standard preventive measures for caries control of young Egyptian adults: A randomized controlled clinical trial. International Journal of Oral Health Sciences, 14(3), 230–242.
7. Malik, A. S., Shaukat, M. S., Qureshi, A. A., & Abdur, R. (2014). Comparative effectiveness of chewing stick and toothbrush: A randomized clinical trial. North American Journal of Medical Sciences, 6(7), 333.
8. Olatunji, O. A. (1983). The Biology of Zanthoxylum Linn (Rutaceae) in Nigeria. In: Adebanjo E. & Odebiyi A. (Eds.), Antiinfective Agents of Higher Plants Origin, Proceedings of the Fifth International Symposium on Medicinal Plants (pp. 56–59). Nigeria.
9. Adesina, S. K. (2005). The Nigerian Zanthoxylum; Chemical and Biological Values. African Journal of Traditional, Complementary and Alternative Medicines, 2(3), 282–301.
10. Elujoba, A. A., Odeleye, O. M., & Ogunyemi, C. M. (2005). Traditional medicine development for medical and dental primary health care delivery system in Africa. African Journal of Traditional, Complementary and Alternative Medicines, 2, 46–61.
11. Odebiyi, O. O., & Sofowora, E. A. (1979). Antimicrobial alkaloids from a Nigerian chewing stick (Fagara zanthoxyloides). Planta Medica, 36(07), 204–207.
12. Shittu, A. O., Aliyu, A., David, M. S., Njinga, N. S., & Ishaq, H. I. (2019). Potential antibacterial activity of two important local chewing sticks Fagara zanthoxyloides and Distemonanthus benthamianus along with antioxidant capacities. Dhaka University Journal of Pharmaceutical Sciences, 18(2), 223–232.
13. Obontu, T. J., Oladipupo, M. M., & Olufunlayo, D. O. (2012). Assessment of fluoride content of selected chewing sticks used in Nigeria. Journal of Public Health Dentistry, 3(2), 1–8.
14. Emeke, U., Obontu, T. J., Olushola, I., & Akinyele, A. (2019). Salivary fluoride retention: A comparative analysis between fluoride-containing chewing sticks and a non-herbal fluoridated toothpaste. Journal of Contemporary Dental Practice, 20(3), 370–376.
15. Siyasinghe, N., & Sooriyarachchi, M. R. (2011). Guidelines for calculating sample size in 2x2 crossover trials: A simulation study. Journal of the National Science Foundation of Sri Lanka, 39(1), 77–89.
16. Bernfeld, P. (1955). Amylases, α and β. In: Methods in Enzymology (Vol. 1, pp. 149–158). Academic Press.
17. Hagège, D., Feutry, S., Krsnik-Rasol, M., Poder, D., & Menez, J. F. (1995). Estimation of free and bound MDA in plant extracts: comparison between spectrophotometric and HPLC methods. In: Plant Lipid Metabolism (pp. 259–261). Springer, Dordrecht.
18. Misra, H. P., & Fridovich, I. (1972). The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase. Journal of Biological Chemistry, 247(10), 3170–3175.
19. Góth, L. (1991). A simple method for determination of serum catalase activity and revision of reference range. Clinica Chimica Acta, 196(2–3), 143–151.
20. Pedersen, A. M. L., Sørensen, C. E., Proctor, G. B., & Carpenter, G. H. (2018). Salivary functions in mastication, taste and textural perception, swallowing and initial digestion. Oral Diseases, 24, 1399–1416.
21. Dodds, M. W. J., Haddou, M. B., & Day, J. E. L. (2023). The effect of gum chewing on xerostomia and salivary flow rate in elderly and medically compromised subjects: A systematic review and meta-analysis. BMC Oral Health, 23, 406.
22. Mosqueda-Taylor, A., Luna-Ortiz, K., Irigoyen-Camacho, M. E., Díaz-Franco, M. A., & Coll-Muñoz, A. M. (2004). Effect of pilocarpine hydrochloride on salivary production in previously irradiated head and neck cancer patients. Medicina Oral, 9(3), 204–211.
23. Urita, Y., Watanabe, T., Maeda, T., et al. (2009). Rebamipide and mosapride enhance pilocarpine-induced salivation. North American Journal of Medical Sciences, 1(3), 121–124.
24. Ogbe, B., Oviasiogie, F. E., & Ikhajiagbe, B. (2022). The antibacterial efficiency of dental powder, toothpastes, mouth rinses, charcoal, table salt and chewing sticks against Streptococcus and Lactobacillus acidophilus. African Journal of Health, Safety and Environment, 3(1), 108–124.
25. Polland, K. E., Higgins, F., & Orchardson, R. (2003). Salivary flow rate and pH during prolonged gum chewing in humans. Journal of Oral Rehabilitation, 30(9), 861–865.
26. Silva, R. P. J., Garcia, A. K. A., do Nascimento, L. A., Nakaya, T. G., & Fonseca, L. F. (2022). The effect of chewing gum on salivary pH and volume. Advances in Nursing and Health, 4, 40–53.
27. Poulton, T. J. (2012). Gum chewing during pre-anesthetic fasting. Paediatric Anaesthesia, 22(3), 288–296.
28. Pérez-Ros, P., Navarro-Flores, E., Julián-Rochina, I., Martínez-Arnau, F. M., & Cauli, O. (2021). Changes in salivary amylase and glucose in diabetes: A scoping review. Diagnostics (Basel), 11(3), 453.
29. De Felice, F., Tombolini, M., Musella, A., Marampon, F., Tombolini, V., & Musio, D. (2017). Radiation therapy and serum salivary amylase in head and neck cancer. Oncotarget, 8(52), 90496.
30. Kyei-Barffour, I., Kwarkoh, R. K. B., Arthur, O. D., et al. (2021). Alkaloidal extract from Zanthoxylum zanthoxyloides stimulates insulin secretion in normoglycemic and nicotinamide/streptozotocin-induced diabetic rats. Heliyon, 7(7), e07452.
31. Amah, C. C., Joshua, P. E., Ekpo, D. E., et al. (2022). Ethyl acetate fraction of Fagara zanthoxyloides root-bark possesses antidiabetic property against alloxan-induced diabetes and its complications in Wistar rat model. Journal of Ethnopharmacology, 293, 115259.
32. Acheampong, D. O., Baffour, I. K., Atsu Barku, V. Y., Addo, J. K., Essuman, M. A., & Boye, A. (2021). Zanthoxylum zanthoxyloides alkaloidal extract improves CCl₄-induced hepatocellular carcinoma-like phenotypes in rats. Evidence-Based Complementary and Alternative Medicine, 21, 3804379.
33. Rynjah, C. V., Devi, N. N., Khongthaw, N., Syiem, D., & Majaw, S. (2017). Evaluation of the antidiabetic property of aqueous leaves extract of Zanthoxylum armatum DC. using in vivo and in vitro approaches. Journal of Traditional and Complementary Medicine, 8(1), 134–140.
34. Alam, F., Saqib, Q. N. U., & Ashraf, M. (2018). Zanthoxylum armatum DC extracts from fruit, bark and leaf induce hypolipidemic and hypoglycemic effects in mice—in vivo and in vitro study. BMC Complementary and Alternative Medicine, 18(1), 68.
35. Abräo-Saad, W., Gutierrez, L. I., Vendramini, R. C., Freiria de Oliveira, A. H., de Arruda Camargo, L. A., & Garcia, G. (2005). Effect of Pilocarpine and Angiotensin II on salivary flow, total protein and electrolyte concentrations of saliva. International Journal of Pharmacology, 1, 190–194.
36. López-Solís, R., Puente, M., Durán, V., Morales-Bozo, I., Kemmerling, U., Pardo, R., & Wenk, C. (2001). Characterization of mouse salivary polypeptide secretion after oral administration of pilocarpine. Revista Chilena de Historia Natural, 74(1), 195–201.
37. Dawes, C., & Kubieniec, K. (2004). The effects of prolonged gum chewing on salivary flow rate and composition. Archives of Oral Biology, 49(8), 665–669.

Published
Issue
Section
License
Copyright (c) 2025 Shehu-Tijani Shittu, Nmesoma Ugwuani, Seyyid Shittu, Shakeerah Gbadebo, Taye Lasisi

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.