This product is locally produced in Ghana The use of the chewing stick helps mechanically to remove plaque from the accessible parts of the teeth. It may contain some alkaloid which may reduce acidity of the mouth and help prevent tooth decay. In the least, the saliva produced while chewing the stick is good for the teeth. Thus, in the absence of the toothbrush, the chewing stick is encouraged.
The tooth brush is not effective in removing plaque and food particles from between the teeth. This is because the spaces between the teeth are too small. Dental floss can be used adequately to get between the teeth. Dental floss consists of an untwisted thread made from fine, short, silk or synthetic fibres that is frequently waxed. The floss is held between the finger and passed up-and-down and back-and-forth between the teeth of the teeth in order to remove plaque. Daily flossing is recommended