Cognitive abilities and toothbrushing amongst orphans: a kinship in disguise

Authors

  • Sakshi Tibdewal Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India
  • Rini Gangwal Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India
  • Gaurav Mishra Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India
  • Niharika Vyas Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India
  • Sakshi Kendre Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India
  • Anushka Pawar Department of Pediatric and Preventive Dentistry Modern Dental College and Research Centre Indore, MP, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20264187

Keywords:

Sustained attention, Working memory, OHI-S, Children, Cognitive skills, Oral hygiene

Abstract

Background: Oral hygiene practices in children are influenced by their cognitive abilities, particularly sustained attention and working memory. To understand whether these cognitive functions affect oral hygiene outcomes over time may help design better preventive programs in orphanage. To evaluate the correlation between sustained attention, working memory, and oral hygiene status using the oral hygiene index–simplified in children in orphanage.

Method: A cross-sectional observational study was conducted among typically developing children in orphanage aged 9–12 years. Baseline oral hygiene status was recorded by OHI-S index after using disclosing agent at baseline. Sustained attention and working memory were assessed using standardized neurocognitive tools like Stroop test and Corsi block test respectively. All participants received uniform toothbrushing instructions and a standardized brushing kit including toothbrush and toothpaste. Again OHI-S index is assessed after brushing. Data were analyzed using appropriate statistical tests with a significance level of p<0.05.

Results: The sustained attention, working memory, and toothbrushing efficacy increased significantly with age, and an association of sustained attention and working memory was seen with toothbrushing efficacy, irrespective of the child’s age, which was reported using Spearman’s coefficient (p=0.000).

Conclusion: Both sustained attention and working memory significantly increased with age, and were significantly associated with higher toothbrushing efficacy in orphans.

References

Valm AM. The structure of dental plaque microbial communities in the transition from health to dental caries and periodontal disease. J Mol Biol 2019;431:2957 69.

Deinzer R, Ebel S, Blättermann H. Toothbrushing: to the best of one’s abilities is possibly not good enough. BMC Oral Heal. 2018;18:167.

Winnier JJ, Naik SS, Sharma R, Patil D, Gore P, Tandel S. Impact of sustained attention and working memory on toothbrushing efficacy in typically developing children: A cross sectional study. J Indian Soc Pedod Prev Dent. 2025;43:523 9.

Thavarajah R, Kumar M, Mohandoss AA, Vernon LT. Drilling deeper into tooth brushing skills: Is proactive interference an under recognized factor in oral hygiene behavior change. Curr Oral Health Rep. 2015;2:123 8.

Maeneja R, Rato J, Ferreira IS. How is the digital age shaping young minds? A rapid systematic review of executive functions in children and adolescents with exposure to ICT. Children (Basel). 2025;12:555.

Mota Veloso I, Ramos Jorge ML, Homem MA, Pordeus IA, Paiva SM, Oliveira-Ferreira F. Dental caries in schoolchildren: Influence of inattention, hyperactivity and executive functions. Braz Oral Res. 2018;32:52.

Akbeyaz Şivet E, Sezer B, Atmaca N. Evaluation of the effect of dental caries, oral hygiene, and treatment need on oral health-related quality of life among Turkish orphan children and adolescents. BMC Oral Health. 2025;25:134.

Morooka T, Ogino T, Takeuchi A, Hanafusa K, Oka M, Ohtsuka Y. Relationships between the color-word matching Stroop task and the Go/NoGo task: toward multifaceted assessment of attention and inhibition abilities of children. Acta Med Okayama. 2012;66(5):377–86.

Arce T, McMullen K. The Corsi block tapping test: Evaluating methodological practices with an eye towards modern digital frameworks. Comput Human Behav Rep. 2021;4:100099.

Kazeminia M, Abdi A, Shohaimi S, Jalali R, Vaisi Raygani A, Salari N, et al. Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: A systematic review and meta-analysis. Head Face Med. 2020;16:22.

Aliakbari E, Gray‐Burrows KA, Vinall‐Collier KA. Home‐based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review. Int J Paed Dent. 2018;31(1):37-79.

Clikeman MS, Ellison PA. Child neuropsychology: assessment and interventions for neurodevelopmental disorders. 2nd ed. USA: Springer. 2007:105.

Arango-Lasprilla JC, Rivera D, Nicholls E, Aguayo A, James-Valenzuela JA, Arango-Lasprilla F, et al. Stroop Color-Word Interference Test: Normative data for Spanish-speaking pediatric population. Neuro Rehabilitation. 2017;41(3):605-16.

Scarpina F and Tagini S. The Stroop Color and Word Test Front. Psychol. 2017;8:557.

Kamalabadi YM, Sedigh SS, Abbaslou M. The relationship between DMFT index and cognitive impairment: A descriptive cross-sectional study. J Family Med Prim Care. 2020;9:4317-22.

Brunetti R, Del Gatto C and Delogu F. Corsi: implementation and testing of the Corsi block-tapping task for digital tablets. Front. Psychol. 2014;5:939.

Kessels RP, van Zandvoort MJ, Postma A, Kappelle LJ, de Haan EH. The Corsi Block-Tapping Task: standardization and normative data. Appl Neuropsychol. 2000;7(4):252-8.

Downloads

Published

2026-10-31

How to Cite

Tibdewal, S., Gangwal, R., Mishra, G., Vyas, N., Kendre, S., & Pawar, A. (2026). Cognitive abilities and toothbrushing amongst orphans: a kinship in disguise. International Journal of Research in Medical Sciences, 14(11), 5260–5264. https://doi.org/10.18203/2320-6012.ijrms20264187

Issue

Section

Original Research Articles