To compare the smear layer removal ability and mineral content of root canal dentine after initial irrigation with NaOCl and final irrigation with MTAD, QMix, and 17% EDTA. Forty extracted human maxillary incisors before root canal preparation and irrigation with NaOCl were randomly divided into four groups (n = 10) according to the type of final irrigants used: MTAD, QMix, 17% EDTA, and control (sterile distilled water). Scanning electron microscopy (SEM) was used to assess the presence of smear layer. SEM energy‐dispersive X‐ray spectroscopy was used to quantify dentin mineral composition in MTAD, QMix, 17% EDTA group, and in no‐treatment samples (no‐treatment group; n = 10). Among the various chelating agents, there were no significant differences in the smear layer removal in the middle and coronal thirds (p > .05). In the apical third, QMix removed significantly more smear layer than 17% EDTA (p < .05), but similarly to MTAD (p > .05). Final irrigation with MTAD resulted in a significant increase in the carbon (C) value compared to EDTA (p < .001). There was no significant difference in the mineral composition between the MTAD and the QMix group, although the values of the mineral elements were significantly altered in the MTAD group. QMix had smear layer removal capability similar to MTAD but better than EDTA in the apical third. MTAD yielded the most pronounced effect on mineral component of root dentin; however, differences were significant only for C level compared to 17% EDTA.

Th e main objective of endodontic treatment is to remove vital and necrotic remnants of pulp tissue and microorganisms and their toxic products from the root canal. During chemo-mechanical endodontic preparation, a smear layer is formed on the wall of the canals. Due to an inability to

Introduction. The aim of this study was to translate the Child Oral Impact on Daily Performance index into Serbian language and to evaluate its reliability in practice. Material and Methods. Following internationally established methods, adaptation of the Child Oral Impact on Daily Performance index for children and adolescents in the Serbian speaking areas consisted of three steps: forward translation of the Child Oral Impact on Daily Performance index, backward translation, and a pilot study. Results. A pilot study included 42 participants (21 males and 21 females), mean age of 12.0 ± 1.01 years. All items showed a corrected item-total correlation coefficient above >0.20 and the standardized Cronbach's alpha coefficient was 0.80. All correlation coefficient values were positive. The prevalence of oral health impact measured by the Child Oral Impact on Daily Performance index was relatively high and 54.8% of the participants reported at least one oral impact on the daily performance in the last 3 months. The most common activities affected were eating (38.1%) and cleaning the teeth (16.7%). Conclusion. The Serbian version of the Child Oral Impact on Daily Performance index is suitable for use in everyday practice and it provides useful information in the evaluation of oral health-related quality of life. The prevalence of oral impacts was high with the most prevalent impact referring to eating. Further clinical research, including larger number of participants, is required for exact verification of the Child Oral Impact on Daily Performance index.

The aim of this study was to determine whether p-chloroaniline (PCA) is formed in the reactions of sodium hypochlorite (NaOCl) with final rinse chlorhexidine (CHX), QMix (combination of ethylenediaminetetraacetic acid (EDTA), CHX and detergent) and EDTA/CHX solutions by thin-layer chromatography (TLC), proton nuclear magnetic resonance ( 1 H NMR) and infrared (IR) spectroscopy. Commercially available 5.25% NaOCl solution was mixed with 2% CHX and QMix in 1:1 (v/v) ratio at room temperature. Furthermore, 2% CHX was associated with 17% EDTA under the same experimental conditions. The obtained solutions were evaluated qualitatively for color changing, precipitate and/or bubble formation and analyzed by TLC chromatography. The association products were investigated by spectroscopic ( 1 H NMR and IR) methods in order to determine whether they contain PCA. It was found that interactions between NaOCl/CHX and CHX/EDTA led to forming of brown and white precipitate. When NaOCl was mixed with QMix, an orange-brown precipitate was formed. PCA was not detected as a product of the reactions between NaOCl and final rinse solutions of CHX, QMix and EDTA/CHX association.

Introduction/Objective This study was aimed at evaluating dentin permeability after irrigation with sodium hypochlorite (NaOCl) and final rinse with chlorhexidine (CHX), ethylenediamine tetraacetic acid (EDTA) + CHX, and new combination products: QMiX or MTAD. Methods Roots of 60 maxillary incisors were randomly divided into five groups (n = 12) before instrumentation and irrigation with NaOCl according to the final irrigation regimen: CHX (2% CHX), EDTA + CHX (17% EDTA + 2% CHX), QMiX, MTAD, and control group (distilled water). After final irrigation, ten roots of each group were horizontally sectioned and dye penetration was evaluated in the coronal, middle, and apical thirds. Remaining samples were subjected to scanning electron microscopy. Data were analyzed with ANOVA/Tukey's test. Results Less dye penetration was found in CHX group compared with control as well as with QMiX and MTAD group in all thirds (p < 0.05). A significant difference between the control and EDTA + CHX, QMiX or MTAD group was observed only in the apical root third (p < 0.05). Conclusion Dentin permeability was significantly reduced after final irrigation with CHX, but not after use of other final irrigation solutions, except in the apical third of the root canal.

Background:The aim of this study was to investigate the amount of precipitates formed on the surface of root dentin after irrigation with sodium hypochlorite (NaOCl) and final chlorhexidine irrigation (CHX), ethylenediaminetetraacetic acid (EDTA) + CHX, and new combined solutions: QMiX or MTAD. Methods: By using the method of random sampling the roots of 90 front maxillary human teeth were divided into five groups on the basis of the final irrigation protocol. The amount of precipitates is determined in the coronal, middle and apical thirds by using the by scanning electron microscopy (SEM).Results: SEM analysis demonstrated a significantly higher amount of precipitate was formed in the CHX group compared to the MTAD group in the coronary (p <0.05) that is QMiX group in the middle third (p <0.05). In the apical third, a significantly higher amount of precipitates was found in the CHX group compared to the MTAD group and the QMiX group (p <0.05). Conclusion:Obtained results show that after irrigation with NaOCl and final irrigation with CHX more precipitate is formed than after the irrigation with NaOCl and final irrigation with MTAD and QMIX.

Background The clinical measures are not sufficient to assess oral health because they don’t tell us anything about functional and psychosocial aspects of oral health and do not reflect person’s concerns and subjectively perceived symptoms. This study aimed to investigate the validity, reliability and responsiveness of the child Oral Impacts on Daily Performances (C-OIDP) index among Bosnian 12-14 years old schoolchildren. Methods The study population comprised 203 primary schoolchildren aged 12-14 years attending three schools in the eastern part of Bosnia and Herzegovina. Data were collected through: a clinical oral examination, oral health questionnaire and C-OIDP questionnaire. The validity and reliability of the C-OIDP were tested on a sample of 203 school-going children while responsiveness of the C-OIDP was assessed on 42 randomly chosen participants requiring a dental treatment. Results In terms of reliability, Cronbach’s alpha coefficient and the intraclass correlation coefficient were 0.86 and 0.85, respectively. Regarding the testing of construct validity, the C-OIDP score was increased as children’s self-reported oral health changed from excellent to very bad and from very satisfied to dissatisfied. There was a significant improvement in C-OIDP post-treatment score compared with C-OIDP pre-treatment score. Overall, 63.4% of participants reported at least one oral impact in the last 3 months. The most affected performances were “eating” (38.4%) and “speaking” (25.1%). Conclusion The Bosnian version of the C-OIDP showed satisfactory validity, reliability and responsiveness and can be used as an appropriate OHRQoL measure for further epidemiological researches.

Background: The clinical measures are not sufficient to assess oral health because they don’t tell us anything about functional and psychosocial aspects of oral health and do not reflect person’s concerns and subjectively perceived symptoms. This study aimed to investigate the validity, reliability and responsiveness to change of the child Oral Impacts on Daily Performances (C-OIDP) index in a Bosnian 12-14 schoolchildren. Methods: The study population comprised 203 primary schoolchildren aged 12-14 years attending three schools in the eastern part of Bosnia and Herzegovina. Data were collected through: a clinical oral examination, oral health questionnaire and C-OIDP questionnaire. The validity and reliability of the C-OIDP were tested on a sample of 203 school-going children while responsiveness to change of the C-OIDP was assessed on 42 randomly chosen participants requiring a dental treatment. Results: In terms of reliability, Cronbach’s alpha coefficient and the intraclass correlation coefficient were 0.86 and 0.85, respectively. Regarding the testing of construct validity, the C-OIDP score was increased as children’s self-reported oral health changed from excellent to very bad and from very satisfied to dissatisfied. There was a significant improvement in C-OIDP post-treatment score compared with C-OIDP pre-treatment score. Overall, 63.4% of participants reported at least one oral impact in the last 3 months. The most affected performances were “eating” (38.4%) and “speaking” (25.1%). Conclusion: The Bosnian version of the C-OIDP showed satisfactory validity, reliability and responsiveness to change and can be used as an appropriate OHRQoL measure for further epidemiological researches.