Disinfection of dental chair water using aqueous chlorine dioxide

Li Lin Wei*, Chan Chih Hu, Chu Wei Hsu, Chun Wei Pen, Li Yu Chen, Yu Chun Yu, James R. Carey, Hao Chang Yin, Shan Shue Wang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Chlorine dioxide is a safe, environmentally friendly disinfecting agent. In this study, aqueous chlorine dioxide (ACD) was used to improve the water quality of dental chairs. However, chlorine dioxide is readily released from ACD solutions under open atmosphere conditions. Described herein is a water purification and disinfection system using ACD. The system was designed, fabricated, and integrated into an existing dental chair water system. This system is referred to as an ACD dental chair. Because ClO2 readily degasses from ACD, there needs to be a way to maintain and measure the ACD solution in real time. In our studies, we found that pH and oxidation-reduction potential (ORP) change as a function of chlorine dioxide concentration and are easily controlled and measured. The dosing of the ACD was designed to begin at 800 mV and stop dosing at 810 mV in the ACD dental chair. Through use of this continuous monitoring and automatic dosing system, the water ORP was controlled between 800 and 860 mV. This range is the effective concentration of chlorine dioxide that is without chlorine-like odor and microorganism growth. The ACD dental chair controlled the total bacterial count to <5 CFU/mL and the chlorite concentration was less than 0.0004 mg/L, meeting legal standards of Taiwan, the USA, and China. In addition to the application of ACD in dental chairs, it may also be used in closed water systems for food, cosmetics, beverages, and other industries.

Original languageEnglish
Article number3442
JournalWater (Switzerland)
Issue number23
Publication statusPublished - 2021 Dec 1


  • Automatic monitoring and management
  • Chlorine dioxide
  • Hygiene
  • ORP

ASJC Scopus subject areas

  • Water Science and Technology
  • Geography, Planning and Development
  • Aquatic Science
  • Biochemistry


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