Abstract:Descriptive studies have explored the relationship between toothbrushing with miswak stick and development of periodontal/gingival recession, but relevant periodontal/gingival recession data for the multidirectional power Miswak are lacking. The aim of this study is to descriptive the effect of brushing with either a multidirectional Miswak or manual toothbrush defect or periodontal/gingival recession on anterior/labial surface of gum at miswak user of 30-60 years old.