\documentclass[twocolumn,twoside]{article}
\makeatletter\if@twocolumn\PassOptionsToPackage{switch}{lineno}\else\fi\makeatother

\usepackage{amsfonts,amssymb,amsbsy,latexsym,amsmath,tabulary,graphicx,times,xcolor}

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Following additional macros are required to function some 
% functions which are not available in the class used.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
\usepackage{url,multirow,morefloats,floatflt,cancel,tfrupee}
\makeatletter


\AtBeginDocument{\@ifpackageloaded{textcomp}{}{\usepackage{textcomp}}}
\makeatother
\usepackage{colortbl}
\usepackage{xcolor}
\usepackage{pifont}
\usepackage[nointegrals]{wasysym}
\urlstyle{rm}
\makeatletter

%%%For Table column width calculation.
\def\mcWidth#1{\csname TY@F#1\endcsname+\tabcolsep}

%%Hacking center and right align for table
\def\cAlignHack{\rightskip\@flushglue\leftskip\@flushglue\parindent\z@\parfillskip\z@skip}
\def\rAlignHack{\rightskip\z@skip\leftskip\@flushglue \parindent\z@\parfillskip\z@skip}

%Etal definition in references
\@ifundefined{etal}{\def\etal{\textit{et~al}}}{}


%\if@twocolumn\usepackage{dblfloatfix}\fi
\usepackage{ifxetex}
\ifxetex\else\if@twocolumn\@ifpackageloaded{stfloats}{}{\usepackage{dblfloatfix}}\fi\fi

\AtBeginDocument{
\expandafter\ifx\csname eqalign\endcsname\relax
\def\eqalign#1{\null\vcenter{\def\\{\cr}\openup\jot\m@th
  \ialign{\strut$\displaystyle{##}$\hfil&$\displaystyle{{}##}$\hfil
      \crcr#1\crcr}}\,}
\fi
}

%For fixing hardfail when unicode letters appear inside table with endfloat
\AtBeginDocument{%
  \@ifpackageloaded{endfloat}%
   {\renewcommand\efloat@iwrite[1]{\immediate\expandafter\protected@write\csname efloat@post#1\endcsname{}}}{\newif\ifefloat@tables}%
}%

\def\BreakURLText#1{\@tfor\brk@tempa:=#1\do{\brk@tempa\hskip0pt}}
\let\lt=<
\let\gt=>
\def\processVert{\ifmmode|\else\textbar\fi}
\let\processvert\processVert

\@ifundefined{subparagraph}{
\def\subparagraph{\@startsection{paragraph}{5}{2\parindent}{0ex plus 0.1ex minus 0.1ex}%
{0ex}{\normalfont\small\itshape}}%
}{}

% These are now gobbled, so won't appear in the PDF.
\newcommand\role[1]{\unskip}
\newcommand\aucollab[1]{\unskip}
  
\@ifundefined{tsGraphicsScaleX}{\gdef\tsGraphicsScaleX{1}}{}
\@ifundefined{tsGraphicsScaleY}{\gdef\tsGraphicsScaleY{.9}}{}
% To automatically resize figures to fit inside the text area
\def\checkGraphicsWidth{\ifdim\Gin@nat@width>\linewidth
	\tsGraphicsScaleX\linewidth\else\Gin@nat@width\fi}

\def\checkGraphicsHeight{\ifdim\Gin@nat@height>.9\textheight
	\tsGraphicsScaleY\textheight\else\Gin@nat@height\fi}

\def\fixFloatSize#1{}%\@ifundefined{processdelayedfloats}{\setbox0=\hbox{\includegraphics{#1}}\ifnum\wd0<\columnwidth\relax\renewenvironment{figure*}{\begin{figure}}{\end{figure}}\fi}{}}
\let\ts@includegraphics\includegraphics

\def\inlinegraphic[#1]#2{{\edef\@tempa{#1}\edef\baseline@shift{\ifx\@tempa\@empty0\else#1\fi}\edef\tempZ{\the\numexpr(\numexpr(\baseline@shift*\f@size/100))}\protect\raisebox{\tempZ pt}{\ts@includegraphics{#2}}}}

%\renewcommand{\includegraphics}[1]{\ts@includegraphics[width=\checkGraphicsWidth]{#1}}
\AtBeginDocument{\def\includegraphics{\@ifnextchar[{\ts@includegraphics}{\ts@includegraphics[width=\checkGraphicsWidth,height=\checkGraphicsHeight,keepaspectratio]}}}

\DeclareMathAlphabet{\mathpzc}{OT1}{pzc}{m}{it}

\def\URL#1#2{\@ifundefined{href}{#2}{\href{#1}{#2}}}

%%For url break
\def\UrlOrds{\do\*\do\-\do\~\do\'\do\"\do\-}%
\g@addto@macro{\UrlBreaks}{\UrlOrds}



\edef\fntEncoding{\f@encoding}
\def\EUoneEnc{EU1}
\makeatother
\def\floatpagefraction{0.8} 
\def\dblfloatpagefraction{0.8}
\def\style#1#2{#2}
\def\xxxguillemotleft{\fontencoding{T1}\selectfont\guillemotleft}
\def\xxxguillemotright{\fontencoding{T1}\selectfont\guillemotright}

\newif\ifmultipleabstract\multipleabstractfalse%
\newenvironment{typesetAbstractGroup}{}{}%

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\usepackage[authoryear]{natbib}



\newif\ifnokeywords\nokeywordsfalse

\makeatletter\input{size10-pointfive.clo}\makeatother%
\definecolor{kwdboxcolor}{RGB}{242,242,242}
\usepackage[hidelinks,colorlinks=true,allcolors=blue]{hyperref}
\linespread{1}                 
\def\floatpagefraction{0.8}

\usepackage[paperheight=11.69in,paperwidth=8.26in,top=1in,bottom=1in,left=1in,right=.75in,headsep=24pt]{geometry}

\usepackage{multirow-custom}

\makeatletter

\def\hlinewd#1{%
  \noalign{\ifnum0=`}\fi\hrule \@height #1%
  \futurelet\reserved@a\@xhline}
\def\tbltoprule{\hlinewd{1pt}\\[-14pt]}
\def\tblbottomrule{\noalign{\vspace*{6pt}}\hline\noalign{\vspace*{2pt}}}
\def\tblmidrule{\hline\noalign{\vspace*{2pt}}}



\let\@articleType\@empty
\let\@journalDoi\@empty
\let\@journalVolume\@empty
\let\@journalIssue\@empty
\let\@crossMarkLink\@empty
\let\@receivedDate\@empty
\let\@acceptedDate\@empty
\let\@revisedDate\@empty
\let\@publishedDate\@empty
\let\@copyrightYear\@empty
\let\@firstPage\@empty
\def\articleType#1{\gdef\@articleType{#1}}
\def\journalDoi#1{\gdef\@journalDoi{#1}}
\def\crossMarkLink#1{\gdef\@crossMarkLink{#1}}
\def\receivedDate#1{\gdef\@receivedDate{#1}}
\def\acceptedDate#1{\gdef\@acceptedDate{#1}}
\def\revisedDate#1{\gdef\@revisedDate{#1}}
\def\publishedDate#1{\gdef\@publishedDate{#1}}
\def\copyrightYear#1{\gdef\@copyrightYear{#1}}
\def\journalVolume#1{\gdef\@journalVolume{#1}}
\def\journalIssue#1{\gdef\@journalIssue{#1}}
\def\firstPage#1{\gdef\@firstPage{#1}}
\let\@issuelogo\@empty%
\let\@issuelogoex\@empty%
\def\issuelogo#1{\gdef\@issuelogo{#1}}
\def\issuelogoex#1{\gdef\@issuelogoex{#1}}


\def\author#1{%
  \gdef\@author{%
    \hskip-\dimexpr(\tabcolsep)\hskip5pt%
    \parbox{\dimexpr\textwidth-1pt}%
    {\fontsize{11}{13}\selectfont\raggedright #1}%
  }%
}


\usepackage{pharmascope-abs}
\usepackage{caption}
\usepackage{lastpage}
\usepackage{fancyhdr}
\usepackage[noindentafter,explicit]{titlesec}
\usepackage{fontspec}

\setmainfont[%
BoldFont=cambriab.ttf,%
ItalicFont=CAMBRIAI.TTF,%
BoldItalicFont=CAMBRIAZ.TTF]{Cambria.ttf}
\lefthyphenmin = 3

\def\title#1{%
  \gdef\@title{%
      \vspace*{-40pt}%
       \ifx\@articleType\@empty\else{\fontsize{10}{12}\scshape\selectfont\hspace{8pt}\@articleType\hfill\mbox{}\par\vspace{2pt}}\fi%
       \minipage{\linewidth}
         \hrulefill\\[-0.7pt]%%{\includegraphics[width=75pt,height=50pt]{ijrps_logo.png}}\hfill
         \mbox{~}\hspace{5pt}\parbox{.1\linewidth}{\IfFileExists{images/\@issuelogo.\@issuelogoex}{\includegraphics[width=79pt,height=61pt]{images/\@issuelogo.\@issuelogoex}}{\includegraphics[width=75pt,height=50pt]{ijrps_logo.png}}}\hfill
         \fcolorbox{kwdboxcolor}{kwdboxcolor}{\parbox{.792\linewidth}{%
          \begin{center}\fontsize{17}{17}\selectfont\scshape\vskip-7pt International Journal of Research in Pharmaceutical Sciences\hfill\end{center}%
          \vspace*{-10pt}\hspace*{4pt}{\fontsize{8}{9}\selectfont Published by JK Welfare \& Pharmascope Foundation\hfill  Journal Home Page: \href{www.ijrps.com}{\color{blue}\underline{\smash{www.ijrps.com}}}}\hspace*{4pt}\mbox{}}}%
       \par\vspace*{-1pt}\rule{\linewidth}{1.3pt}%
       \endminipage%
    \par\vspace*{9.2pt}\parbox{.98\linewidth}{\linespread{.9}\raggedright\fontsize{14}{17}\selectfont #1}%
    \vspace*{-8pt}%
  }
}


\setlength{\parindent}{0pt}
\setlength{\parskip}{0.4pc plus 1pt minus 1pt}

\def\abbrvJournalTitle{Int. J. Res. Pharm. Sci.}

\fancypagestyle{headings}{%
  \renewcommand{\headrulewidth}{0pt}%
  \renewcommand{\footrulewidth}{0.3pt}
  \fancyhf{}%
  \fancyhead[R]{%
    \fontsize{9.12}{11}\selectfont\RunningAuthor,\ \abbrvJournalTitle,\ \ifx\@journalVolume\@empty X\else\@journalVolume\fi%
    \ifx\@journalIssue\@empty\else(\@journalIssue)\fi%
    ,\ \ifx\@firstPage\@empty 1\else\@firstPage\fi-\pageref*{LastPage}%
  }%
  \fancyfoot[LO,RE]{\fontsize{9.12}{11}\selectfont\textcopyright\ International Journal of Research in Pharmaceutical Sciences}%
  \fancyfoot[RO,LE]{\fontsize{9.12}{11}\selectfont\thepage}
}\pagestyle{headings}

                                                         
\fancypagestyle{plain}{%
  \renewcommand{\headrulewidth}{0pt}%
  \renewcommand{\footrulewidth}{0.3pt}%
  \fancyhf{}%
  \fancyhead[R]{%
    \fontsize{9.12}{11}\selectfont\RunningAuthor,\ \abbrvJournalTitle,\ \ifx\@journalVolume\@empty X\else\@journalVolume\fi%
    \ifx\@journalIssue\@empty\else(\@journalIssue)\fi%
    ,\ \ifx\@firstPage\@empty 1\else\@firstPage\fi-\pageref*{LastPage}%
  }%
  \fancyfoot[LO,RE]{\fontsize{9.12}{11}\selectfont\textcopyright\ International Journal of Research in Pharmaceutical Sciences}%
  \fancyfoot[RO,LE]{\fontsize{9.12}{11}\selectfont\thepage}
  \ifx\@firstPage\@empty\else\setcounter{page}{\@firstPage}\fi
}


\def\NormalBaseline{\def\baselinestretch{1.1}}
\usepackage{textcase}
\setcounter{secnumdepth}{0}

\titleformat{\section}[block]{\bfseries\boldmath\NormalBaseline\filright\fontsize{10.5}{13}\selectfont}
{\thesection}
{6pt}
{\MakeTextUppercase{#1}}
[]
\titleformat{\subsection}[block]{\bfseries\boldmath\NormalBaseline\filright\fontsize{10.5}{12}\selectfont}
{\thesubsection}
{6pt}
{#1}
[]
\titleformat{\subsubsection}[block]{\NormalBaseline\filright\fontsize{10.5}{12}\selectfont}
{\thesubsubsection}
{6pt}
{#1}
[]
\titleformat{\paragraph}[block]{\NormalBaseline\filright\fontsize{10.5}{10}\selectfont}
{\theparagraph}
{6pt}
{#1}
[]
\titleformat{\subparagraph}[block]{\NormalBaseline\filright\fontsize{10.5}{12}\selectfont}
{\thesubparagraph}
{6pt}
{#1}
[]

\titlespacing{\section}{0pt}{.5\baselineskip}{.5\baselineskip}  
\titlespacing{\subsection}{0pt}{.5\baselineskip}{.5\baselineskip}  
\titlespacing{\subsubsection}{0pt}{.5\baselineskip}{.5\baselineskip}  
\titlespacing{\paragraph}{0pt}{.5\baselineskip}{.5\baselineskip}  
\titlespacing{\subparagraph}{0pt}{.5\baselineskip}{.5\baselineskip}

\captionsetup[figure]{skip=1.4pt,font=bf,labelsep=colon,justification=raggedright,singlelinecheck=false}
\captionsetup[table]{skip=1.4pt,font=bf,labelsep=colon,justification=raggedright,singlelinecheck=false}

\def\bibyear#1{#1}
%\def\bibjtitle#1{#1}   %%Publisher request
\def\bibauand{}
\setlength\bibsep{3pt}
\setlength\bibhang{8pt}

\makeatother
\date{}


\begin{document}


\def\RunningAuthor{Gaurav Sawarkar et al.}
\firstPage{1673}
\articleType{Review Article}
\receivedDate{09 Oct 2020}
\acceptedDate{09 Nov 2020}
\revisedDate{06 Nov 2020}
\journalVolume{2020, 11 (SPL)}
\journalIssue{1}
\journalDoi{ijrps.v11iSPL1.4047}
\copyrightYear{2020}
\def\authorCount{4}
\def\affCount{3}

\def\journalTitle{International Journal of Research in Pharmaceutical Sciences}

\title{A concise review of oil pulling as a precautionary measure in COVID-19 pandemic}
\author{Twinkal~Mahakale\textsuperscript{1},  
            Gaurav~Sawarkar\textsuperscript{*}\textsuperscript{1},  
            Vaishali~Kuchewar\textsuperscript{2}, 
            Pramod~Khobragade\textsuperscript{3}~\\[5pt]{\textsuperscript{1}Department of Rachana Sharir, Mahatma Gandhi Ayurved College Hospital and Research Centre, Datta Meghe Institute of Medical Science (Deemed to be University), Wardha, Maharashtra, India}~\\{\textsuperscript{2}Department of Kaychikitsa, Mahatma Gandhi Ayurved College Hospital and Research Centre, Datta Meghe Institute of Medical Science (Deemed to be University), Wardha, Maharashtra, India}~\\{\textsuperscript{3}Department of Dravyaguan, Datta Meghe Ayurved Medical College Hospital and Research Centre, Wanadongri, Nagpur, Maharashtra, India}}

\begin{abstract}
COVID-19 pandemic situations generate myths that create doubt in society that things have to follow due to some misunderstanding and inadequate shreds of evidence ancient medicine lacking behind despite tremendous potential. Various modalities are in force to prevent a pandemic situation; the Dept of AYUSH is playing a very vital role in this condition. The dept. of AYUSH, Govt. of India giving rise to funding to various research institutes, private organizations, and deemed universities. Simultaneously, to combat pandemic situation AYUSH department focusing on Yoga, Pranayama, consumption of immunomodulatory drugs, herbal medicines, diet regimen and release protocol for COVID-19 mild, moderate and severe conditions. In Ayurveda the \textit{Kriyakalpa} have mentioned: the therapeutic procedures used to cure the disease and practicably act with prescribed guidelines for specific disorders related to the eyes and ear. The \textit{Gandush} (oil pulling), one of the types of \textit{Kriyakalpa}, also can be useful to prevent airborne infections. This procedure helps for the oral cavity's excellent health, which can avoid diseases through the air, increasing the immunity power of surrounding organs and avoiding favorable conditions to get infected. It is readily responsive to clear nasal and oral route and decrease \textit{Kapha Dosha.} This is a very cost effective and easily adoptable procedure having a negligible diet regime and precautionary measures.
\end{abstract}\def\keywordstitle{Keywords}

\begin{keywords}Gandush,\newline Oil Pulling,\newline COVID-19,\newline Oral Cavity
\end{keywords}
\twocolumn[ \maketitle {\printKwdAbsBox}]
\makeatletter{\raggedright\textsuperscript{*}Corresponding Author\par Name:\ Gaurav~Sawarkar~\\ Phone:\ 8956977899~\\  Email:\ drsawarkar.gaurav@gmail.com
        \par}\vspace*{-11pt}\hrulefill\par{\fontsize{12}{14}\selectfont ISSN: 0975-7538}\par% 
        \textsc{DOI:}\ \href{https://doi.org/10.26452/\@journalDoi}{\textcolor{blue}{\underline{\smash{https://doi.org/10.26452/\@journalDoi}}}}\par%
        \vspace*{-11pt}\hrulefill\\{\fontsize{9.12}{10.12}\selectfont Production and Hosted by}\par{IJRPS |~\href{www.ijrps.com}{www.ijrps.com}}\par%
        \vspace*{-2pt}{\fontsize{9.12}{10.12}\selectfont\textcopyright\ \@copyrightYear\ $|$ All rights reserved.}\par%
        \vspace*{-11pt}\rule{\linewidth}{1.2pt}
        \makeatother
        
    
\section{Introduction}
\textit{Ayurveda} is an ancient medical science gift from Old sages. It is not only a system of medicine in the sense of curing disease. Several types of modes are in force to prevent a pandemic situation like Yoga Pranayama, consumption of immunomodulatory drugs \unskip~\citep{957179:20988992,957179:20988980}, antiviral herbal drugs \unskip~\citep{957179:20988990}, take care of health with proper diet \unskip~\citep{957179:20988975} is one of the crucial factors which directly affect the individual health. It is also a way of life that teaches us how to maintain and protect health. \textit{Kawal} and \textit{Gandush} (oil pulling) are incorporated in \textit{Kriyakalpa} by Sharangdhara \unskip~\citep{957179:20988982}. `\textit{Kriya'} mean therapeutic procedures used to cure the disease and `\textit{Kalpa'} means practicable, manner of acting a prescribed rule mean \textit{kriya Kalpa} specific formulation used for therapy in \textit{Ayurveda} in mainly \textit{Shalakyatantra}\unskip~\citep{957179:20988994}. Oral health and essential in COVID-19, \textit{Kawal}, and \textit{Gandush}, maintain the strength of all kinds of organ present above the suprasternal notch \unskip~\citep{957179:20988993}. Its humble attempt to review oil pulling therapy in the context of oral hygiene\textbf{\space }as a precautionary measure in the COVID-19 pandemic.

\textbf{Mode of transmission}

The virus is transmitted to direct contact with an infected person's respiratory droplet through coughing and sneezing. An individual can also be affected by touching a surface contaminated with the virus and touching their face, eye, nose mouth \unskip~\citep{957179:20988987}. COVID-19 may survive on the surface for several hours, but simple disinfectants can kill the virus. COVID-19 get affect through the nose, mouth, eyes \unskip~\citep{957179:20988984}. Airborne transmission via aerosols are particles under 100 \ensuremath{\mu }m in diameter, minute size and suspension in the air may ease direct contraction of the virus. Aerosols may be formed during various surgical and dental procedures or formed as droplet nuclei while talking, coughing, and sneezing by an infected patient. Aerosolized SARS-CoV-2 remains viable in the aerosols for three hours and on different surfaces for 4{\textendash}72 h, so a better way to avoid unnecessary contact with other things and avoid sharing toilets risk transmission of the virus \unskip~\citep{957179:20988978}.

\textbf{Importance of oil pulling}

The\textit{ Kriyakalpa }is mainly used in\textit{ urdhwagata roga }(Diseases above suprasternal notch) \unskip~\citep{957179:20988993}. It increases the immunity power of surrounding organs and avoids favorable conditions to get infected. It is readily responsive to clear nasal and oral route and decrease \textit{Kapha Dosha.} According to Dosha, various types of drugs can be used and cure diseases related to the respiratory tract.\textit{\space }Oil gargling or holding in the oral cavity is advantageous to the strength of jaws, voice, the softness of face skin, upgrade the functioning of sense organs. Get relief from the dryness of throat, cracked lips as well as teeth disorders \unskip~\citep{957179:20988977}. Recent researches revealed the connection of saliva with systemic health. The non-invasive nature and effortless collection of salivary fluid may be the choice for diagnostic and critical health surveillance determinations. Saliva and related oral fluids help to maintain the functions in the oral cavity. The juices reduce oral biomass and facilitate mechanical cleaning of teeth with an optimal pH, which efficiently enables verbal tasks and comprises an array of antimicrobial components. Saliva is not just an ultra filtrate of plasma, but it contains the complete collection of proteins, hormones, antibodies, and other molecular compounds that can easily measure through routine blood tests \unskip~\citep{957179:20988981}.

\textbf{Mechanism of oil pulling}

The oral cavity is continuously flushing saliva and facilitates the flow of the food debris to keep clean the mouth. Salivary secretions are comparably slow down during sleep; that's why the bacterial growth increases in the mouth resulted in the foul smell of breath in the morning. Salivary enzymes are carried out lyses of so many bacteria that prevent the microbial population's excessive growth in the oral cavity. Because of this phenomenon, researchers suggested salivary fluid analysis to predicts or to diagnose or to avoid health-related issues and overcome future unwanted illnesses. The variety of molecules freely travel through the cells and can have assessed in the salivary ducts, which can be analyzed in the assay of salivary fluid. These small molecules are hormones, a chemical indicator of health, various types of enzymes, toxins \unskip~\citep{957179:20988981}. It is hypothesized that the tongue, a sense organ, is connected with vital organs like the lungs, heart, intestine, kidney. Oil pulling helps to excrete toxic metals through saliva, where salivary enzymes absorb blood toxins like chemical, bacterial, and environmental and expelled through the tongue \unskip~\citep{957179:20988991}. It is a simple mechanism that works in oleation therapy \unskip~\citep{957179:20988995}.

\textbf{Drugs used for oil pulling}

The various drugs are used for oil pulling like milk, cow urine, olive oil, mango pulp, gooseberry extract, sunflower oil, sesame oil, coconut oil, medicinal decoctions, etc. Specifically, oils work on pulling techniques of bacteria, viruses, and protozoa. Traditionally sesame oil is frequently used for oil pulling \unskip~\citep{957179:20988989,957179:20988991}.
    
\section{Discussion}
In COVID- 19, the disease having cardinal symptoms as like \textit{Vatasleshmak Jwar}. They are fever (\textit{Jwar}), cold (\textit{Pratishya}), cough (\textit{Kasa}), etc. and having related causative factors. In this case, the \textit{Vatasleshmak Jwar} treatment can help manage the corona disease to some extend \unskip~\citep{957179:20988976}. The lung is the main vital organ affected in the disease, composed of blood and its frothing part, playing an essential role in maintaining the body's water level \unskip~\citep{957179:20988983}. Oil pulling is a form of retention of fluid in the mouth for a specific period till the occurrence of lacrimation and nasal discharge. After that, the patient is advised to spit out. Regular use of oil pulling facilitates strength to voice, jaws, face and better taste perception, strong and healthy teeth, and protect the oral cavity from other diseases. The medicated liquid or oil's active ingredients and chemical constituents stimulate the chemo receptors and mechano receptors and produce the salivary nuclei in the brain stem. As a result, the parasympathetic nervous system activates and increases impulses through motor fibers in facial and glossopharyngeal nerves. All the process forcefully increases the output of salivary secretion, which predominantly watery. That helps to dislodge the metabolic toxins, food debris, depositions, and microorganisms present in the oral cavity, mixed with retained medicated liquid or oil, and removed from the oral cavity \unskip~\citep{957179:20988988}.

The saliva helps digest the food, protects teeth from various infections, and controls microbes in the oral cavity. If saliva doesn't make secret, the oral cavity becomes dry and which will be very prone to any infection \unskip~\citep{957179:20988979}. The oil pulling is useful for dryness of the mouth. It facilitates to get the oral cavity moister \unskip~\citep{957179:20988985}. Oil pulling develops antioxidant elements for damaging the bacterial cell wall, attract them and pulled into the area of oil, the site gets increased due to emulsification processes during oil pulling \unskip~\citep{957179:20988991}. This procedure helps prevent airborne disease by ceasing the growth of pathogenic and non-pathogenic organisms in the oral cavity. Researchers found the effect of oil pulling on halitosis and its microorganisms as effective as chlorhexidine \unskip~\citep{957179:20988986}. On review of various research studies, it is observed that regular and correct use of oil pulling helps keep oral hygiene well. Still, enough research studies are not detected, which can conclude the promising effect of oil pulling on microbes. Beholding the benefits of oil pulling, the regular and judicial practice provides a healthy oral cavity setting. It increases the immunity of besides organs, which ultimately plays a precautionary role in the present COVID-19 pandemic situation.
    
\section{Conclusion}
Oil pulling therapy is a straightforward and cost-effective treatment that provides a healthy oral cavity and easy to accept due to its less follow-up regime and precautions. Regular use of oil pulling can prevent airborne diseases up to some extent and take apart to combat COVID-19 situation.
\section*{Acknowledgement}I am very grateful to Datta Meghe Institute of Medical Sciences (Deemed to be University) to provide research support and financial assistance for the publication.

\textbf{Funding Support}

The authors declare that they have no funding support for this study.

\textbf{Conflict of Interest}

The authors declare that they have no conflict of interest for this study.
    

\bibliographystyle{pharmascope_apa-custom}

\bibliography{\jobname}
\end{document}
