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chlorine dioxide

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Description

chlorine dioxide: equal or superior to chlorine when used as wastewater disinfectant [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID24870
CHEBI ID29415
CHEBI ID52357
CHEBI ID37750
MeSH IDM0084108

Synonyms (61)

Synonym
dioxido-lambda(5)-chloranyl
CHEBI:29415
[clo2](.)
dioxidochlorine(.)
o2cl(.)
10049-04-4
(oclo)(.)
ccris 9130
epa pesticide chemical code 020503
caswell no. 179a
einecs 233-162-8
hsdb 517
chlorine oxide (clo2)
chlorine dioxide
chlorosyloxidanyl
chlorine dioxide, hydrate
ec 233-162-8
unii-8061yms4rm
8061yms4rm ,
purite
DTXSID5023958 ,
e926
chlorine oxide?
DB12453
skin n clean
pure o2-s f
joyden plus
purogene
chlorine oxides
bluemax pre-post
jiajia gaseous air disinfectant
virus zero-f
virus kill sanitizer
chlorine dioxide (mart.)
ko-c100
clo2(.)
chlorine dioxide sustained release granules
10049-04-470377-94-5(hydrate)
doxido de cloro
gladiator super dry
usepa/opp pesticide code: 020503
provtect hand sanitizer
chlorine dioxide hydrate, (frozen)
chebi:52357
sfp inc. nvo-2 topical navel dip
joyden
chlorine dioxide disinfectant
m.c. (morningcalm) v zero
dmine pentose medi plus
chlorine(iv)oxide
chlorine dioxide air disinfectant
chebi:37750
anthium dioxide
sani-health sanitizer
sfp inc. vo-2 sanitizing teat dip
chlorine dioxide(clo2)
dtxcid803958
pure o2 s
nobda disinfectant
bluemax premium eu
tbosen emergency sterilization card

Research Excerpts

Overview

Chlorine dioxide (ClO2) is a disinfectant gas with strong antifungal, antibacterial, and antiviral activities. It is a convenient, fast, and effective disinfection technique for COVID-19-contaminated airway endoscopes. Chlorina dioxide complex™ is a new molecule to dermatology that is a unique, non-toxic, broad spectrum anti-microbial and keratolytic compound.

ExcerptReferenceRelevance
"Chlorine dioxide is a safe and effective disinfectant, even at concentrations as low as 20 to 30 mg/L."( A systematic review on chlorine dioxide as a disinfectant.
Al-Worafi, YM; Choo, CY; Jefri, UHNM; Kalusalingam, A; Kassab, YW; Khan, A; Lee, KS; Liew, KB; Lim, YC; Ming, LC, 2022
)
1.75
"Chlorine dioxide is a convenient, fast, and effective disinfection technique for COVID-19-contaminated airway endoscopes."( Efficacy of chlorin dioxide wipes in disinfecting airway devices contaminated with Covid-19.
Abdelfattah, A; Albaharna, H; Almualim, M; Almubiereek, H; Bukhamsin, R; Buohliqah, L, 2023
)
2.35
"Chlorine dioxide (ClO2) is a disinfectant gas with strong antifungal, antibacterial, and antiviral activities. "( Antimicrobial efficiency of chlorine dioxide and its potential use as anti-SARS-CoV-2 agent: mechanisms of action and interactions with gut microbiota.
Jiménez-Fernández, M; Juárez-Trujillo, N; Peredo-Lovillo, A; Romero-Luna, HE, 2023
)
2.65
"Chlorine dioxide (ClO₂) gas is an effective method, but decontamination often requires a ClO₂ gas generator with a specialized air-tight exposure chamber."( Low-cost, Small-scale Decontamination of Laboratory Equipment by Using Chlorine Dioxide Gas.
Beck, B; Fong, D; Leszczynski, JK; Manuel, CA; McGrath, A; Mitchell, CM; Schurr, MJ, 2019
)
1.47
"Chlorine dioxide complex™ is a new molecule to dermatology that is a unique, non-toxic, broad spectrum anti-microbial and keratolytic compound. "( Chlorine Dioxide Complex Cleanser: A New Agent With Rapid Efficacy for Keratosis Pilaris.
Fichtel, J; Zirwas, MJ, 2018
)
3.37
"Chlorine dioxide is a potential fumigant to control phosphine-resistant strains of the five stored-product insect species."( Toxicity of Chlorine Dioxide Gas to Phosphine-Susceptible and -Resistant Adults of Five Stored-Product Insect Species: Influence of Temperature and Food During Gas Exposure.
E, X; Li, B; Subramanyam, B, 2018
)
1.58
"Chlorine dioxide is a commonly used water disinfectant. "( An unusual case of reversible acute kidney injury due to chlorine dioxide poisoning.
Bathina, G; Burri, S; Ch, R; Deshpande, P; Enganti, R; Prasad Ch, R; Prayaga, A; Uppin, M; Yadla, M, 2013
)
2.08
"Chlorine dioxide appears to be a safe biologically acceptable antiseptic wound irrigant that does not appear to interfere with cosmetic outcomes."( Activated chlorine dioxide solution can be used as a biocompatible antiseptic wound irrigant.
Bertsch, K; Jay, GD; Reinert, SE; Valente, JH; Zabbo, CP, 2014
)
1.53
"Chlorine dioxide (ClO2) is a widely used chemical employed for this purpose."( Influence of drinking water treatments on chlorine dioxide consumption and chlorite/chlorate formation.
Biasibetti, M; Collivignarelli, C; Gialdini, F; Sorlini, S, 2014
)
1.39
"Chlorine dioxide (ClO2) gas is a strong oxidizer and is used as a decontaminating agent in food processing plants."( Inactivation Kinetics and Mechanism of a Human Norovirus Surrogate on Stainless Steel Coupons via Chlorine Dioxide Gas.
DiCaprio, E; Kaur, S; Li, J; Linton, R; Lou, F; Morgan, M; Yeap, JW, 2016
)
1.37
"Chlorine dioxide (ClO2) gas is a novel and effective fumigation agent with strong oxidization ability and a broad biocidal spectrum. "( Kinetics of Inactivation of Bacillus subtilis subsp. niger Spores and Staphylococcus albus on Paper by Chlorine Dioxide Gas in an Enclosed Space.
Hao, L; Qi, J; Wang, T; Wu, J; Yi, Y; Zhang, Z, 2016
)
2.09
"Chlorine dioxide (ClO2) is a strong oxidant that possesses an antimicrobial activity. "( A study of the properties of chlorine dioxide gas as a fumigant.
Hayashi, T; Ito, Y; Matsuura, A; Shirasaki, Y; Uekusa, M, 2016
)
2.17
"Chlorine dioxide is a hypochlorite alternative disinfectant agent. "( Chlorine dioxide reaction with selected amino acids in water.
Alvaro, M; Garcia, H; Navalon, S, 2009
)
3.24
"Chlorine dioxide (ClO2) is a strong oxidizing agent that can be applied in solution as well as in the gaseous state. "( Effects of food composition on the inactivation of foodborne microorganisms by chlorine dioxide.
Cucu, T; De Bruyne, J; De Meulenaer, B; Devlieghere, F; Kerkaert, B; Ragaert, P; Van Camp, J; Vandekinderen, I, 2009
)
2.02
"Chlorine dioxide is an alternative treatment to kill spores of Alicyclobacillus spp."( Mitigation of Alicyclobacillus spp. spores on food contact surfaces with aqueous chlorine dioxide and hypochlorite.
Danyluk, MD; Friedrich, LM; Goodrich-Schneider, R; Parish, ME, 2009
)
1.3
"Chlorine dioxide (ClO(2)) is an antimicrobial agent available for commercial produce washing. "( Spray washing of tomatoes with chlorine dioxide to minimize Salmonella on inoculated fruit surfaces and cross-contamination from revolving brushes.
Kelsey, DF; Long, W; Pao, S, 2009
)
2.08
"Chlorine dioxide is a well known powerful disinfectant. "( Using RuO(2) anode for chlorine dioxide production in an un-divided electrochemical cell.
Chandrasekara Pillai, K; Kwon, TO; Moon, IS; Park, BB, 2010
)
2.11
"Chlorine dioxide (ClO2) is a highly effective disinfectant for food and potable water treatment. "( [Bactericidal effects of chlorine dioxide by respiratory inhibition].
Lai, J; Li, C; Wei, M, 2011
)
2.12
"Chlorine dioxide (ClO2) is a highly effective disinfectant for food and potable water treatment. "( [Action modes of chlorine dioxide--a review].
Lai, J; Wei, M; Zhan, P, 2012
)
2.16
"Chlorine dioxide is a possible alternative and an automated washer-disinfector fitted with this agent is currently available."( Endoscope disinfection using chlorine dioxide in an automated washer-disinfector.
Hirakata, Y; Hirayama, T; Inoue, K; Isomoto, H; Kamihira, S; Kawazoe, K; Kohno, S; Matsuda, J; Matsuo, N; Nishi, Y; Ohnita, K; Urata, M; Wada, A, 2006
)
1.35
"Chlorine dioxide (ClO(2)) gas is a strong oxidizing and sanitizing agent that has a broad and high biocidal effectiveness and big penetration ability; its efficacy to prolong the shelf-life of a minimally processed (MP) vegetable, grated carrots (Daucus carota L.), was tested in this study. "( Shelf-life extension of minimally processed carrots by gaseous chlorine dioxide.
Debevere, J; Devlieghere, F; Gómez-López, VM; Ragaert, P, 2007
)
2.02
"Chlorine dioxide (ClO2) is an antimicrobial agent recognized for its disinfectant properties. "( Using aqueous chlorine dioxide to prevent contamination of tomatoes with Salmonella enterica and erwinia carotovora during fruit washing.
Ettinger, MR; Kelsey, DF; Khalid, MF; Pao, S, 2007
)
2.14
"Chlorine dioxide is a disinfectant used worldwide. "( Biochemical method for chlorine dioxide determination.
Hernandez-Saavedra, D; Ochoa, JL; Tinoco, R; Vazquez-Duhalt, R, 1996
)
2.05
"Chlorine dioxide is a new type of forceful disinfectant, but it cannot be stored and transported as a gas and is very toxic. "( [Study on stable unified disinfectant capable of releasing chlorine dioxide].
Li, Q; Tang, YA; Yu, J; Zhong, X, 1999
)
1.99

Effects

Chlorine dioxide has a similar or better direct effect than sodium hypochlorite and a similar residual effect than chlorhexidine. It has a long history of use as a disinfectant.

Chlorine dioxide (ClO2) gas has a history of use as a decontamination agent in response to an act of bioterrorism. It has been promoted as an alternative disinfectant because of its high disinfection efficiency and less formation of organic disinfection by-products.

ExcerptReferenceRelevance
"Chlorine dioxide (ClO2) gas has a history of use as a decontamination agent in response to an act of bioterrorism."( Potential biodefense model applications for portable chlorine dioxide gas production.
Newsome, AL; Stubblefield, JM,
)
1.1
"Chlorine dioxide has a similar or better direct effect than sodium hypochlorite and a similar residual effect than chlorhexidine."( Surface Disinfectants for Burn Units Evaluated by a New Double Method, Using Microorganisms Recently Isolated From Patients, on a Surface Germ-Carrier Model.
Herruzo, I; Herruzo, R; Sanchez, M; Vizcaino, MJ,
)
0.85
"Chlorine dioxide has a long history of use as a disinfectant."( Disinfection of football protective equipment using chlorine dioxide produced by the ICA TriNova system.
DuBois, JD; Newsome, AL; Tenney, JD, 2009
)
1.32
"Chlorine dioxide has been promoted as an alternative for the prevention and treatment of COVID-19, especially in Peru, despite the lack of evidence to support its efficacy. "( Factors associated with the consumption of chlorine dioxide to prevent and treat COVID-19 in the Peruvian population: a cross-sectional study.
Ccami-Bernal, F; Fernandez-Guzman, D; Nieto-Gutierrez, W; Rojas-Miliano, C; Soriano-Moreno, DR, 2021
)
2.33
"Chlorine dioxide has been reported as very efficiently removing pesticides and other organic compounds from water matrixes. "( Examination of degradation and ecotoxicology of pethoxamid and metazachlor after chlorine dioxide treatment.
Avdin, VV; Kodranov, ID; Manojlović, DD; Pergal, MV, 2020
)
2.23
"Chlorine dioxide has been historically used as a disinfecting agent for drinking water supplies and surfaces. "( Acute kidney injury secondary to chlorine dioxide use for COVID-19 prevention.
García-Estrada, C; Medina-Avitia, E; Tella-Vega, P, 2021
)
2.35
"Chlorine dioxide has been used as an antiseptic in industrial settings for decades, primarily in water treatment facilities for municipal water supplies and food preparation."( Chlorine Dioxide Complex Cleanser: A New Agent With Rapid Efficacy for Keratosis Pilaris.
Fichtel, J; Zirwas, MJ, 2018
)
2.64
"Chlorine dioxide (ClO2) gas has a history of use as a decontamination agent in response to an act of bioterrorism."( Potential biodefense model applications for portable chlorine dioxide gas production.
Newsome, AL; Stubblefield, JM,
)
1.1
"Chlorine dioxide (ClO2) has been promoted as an alternative disinfectant because of its high disinfection efficiency and less formation of organic disinfection by-products (DBPs). "( Influence of ultrasound enhancement on chlorine dioxide consumption and disinfection by-products formation for secondary effluents disinfection.
Lan, J; Li, Y; Li, Z; Wang, D; Yang, X; Zhao, J; Zhou, X, 2016
)
2.15
"Chlorine dioxide has a similar or better direct effect than sodium hypochlorite and a similar residual effect than chlorhexidine."( Surface Disinfectants for Burn Units Evaluated by a New Double Method, Using Microorganisms Recently Isolated From Patients, on a Surface Germ-Carrier Model.
Herruzo, I; Herruzo, R; Sanchez, M; Vizcaino, MJ,
)
0.85
"Chlorine dioxide has a long history of use as a disinfectant."( Disinfection of football protective equipment using chlorine dioxide produced by the ICA TriNova system.
DuBois, JD; Newsome, AL; Tenney, JD, 2009
)
1.32
"Chlorine dioxide (ClO2) has been recently proposed as an irrigation solution in endodontics."( Comparison of organic tissue dissolution capacities of sodium hypochlorite and chlorine dioxide.
Cobankara, FK; Ozkan, HB; Terlemez, A, 2010
)
1.31
"Chlorine dioxide (ClO(2)) has been postulated as an alternative to sodium hypochlorite (NaClO) for fresh-cut produce sanitization to avoid risks associated with chlorination by-products. "( Cross-contamination of fresh-cut lettuce after a short-term exposure during pre-washing cannot be controlled after subsequent washing with chlorine dioxide or sodium hypochlorite.
Allende, A; Gil, MI; López-Gálvez, F; Selma, MV; Truchado, P, 2010
)
2.01
"Chlorine dioxide (CD) gas has been used as a fumigant in the disinfection of biosafety laboratories. "( Decontamination of Bacillus subtilis var. niger spores on selected surfaces by chlorine dioxide gas.
Jia, HQ; Li, YJ; Qi, JC; Wu, JH; Yi, Y; Zhu, N, 2012
)
2.05
"Chlorine dioxide has been proposed as an alternative to chlorine because it is a powerful disinfection agent that does not react with ammonia or chlorinated organics to form chloramines or trihalomethanes. "( Derivation of acute ecological risk criteria for chlorite in freshwater ecosystems.
Burton, DT; Fisher, DJ; Turley, BS; Turley, SD; Yonkos, LT; Ziegler, GP, 2003
)
1.76
"Chlorine dioxide has advantages over other chlorine products."( Formation and decontamination of biofilms in dental unit waterlines.
Marshall, GW; Rowland, RW; Wirthlin, MR, 2003
)
1.04
"Chlorine dioxide at 30 ppm has equivalent microbicidal activity against most microbes and faster antimicrobial effects on M."( Endoscope disinfection using chlorine dioxide in an automated washer-disinfector.
Hirakata, Y; Hirayama, T; Inoue, K; Isomoto, H; Kamihira, S; Kawazoe, K; Kohno, S; Matsuda, J; Matsuo, N; Nishi, Y; Ohnita, K; Urata, M; Wada, A, 2006
)
1.35
"Chlorine dioxide has antimicrobial activity against many bacteria, spores, and viruses."( Evaluation of ultrasonic scaling unit waterline contamination after use of chlorine dioxide mouthrinse lavage.
Marshall GW, JR; Wirthlin, MR, 2001
)
1.26
"Chlorine dioxide (Cl02) has been proposed as an alternative disinfectant to chlorine to avoid formation of organohalides. "( Effect of chlorine dioxide and metabolites on glutathione dependent system in rat, mouse and chicken blood.
Abdel-Rahman, MS; Couri, D, 1979
)
2.1
"Chlorine dioxide has some important advantages over chlorine with respect to water quality (no formation of trihalomethanes, no impairment of taste and no odor) and stability when used for oxidation/disinfection of drinking water. "( Chlorine dioxide as a post-disinfectant for Dutch drinking water.
van Dijk-Looijaard, AM; Wondergem, E, 1991
)
3.17

Treatment

Chlorine dioxide treatment of the biologically treated effluent with dosages down to 0.75 mg/L resulted in more than 97% reduction of all parabens. The treatments of chlorine dioxide, peracetic acid and ozonated water promoted reduction of 2.5, 1.1 and 0.7 log cycle.

ExcerptReferenceRelevance
"Chlorine dioxide treatment reduced (P < 0.05) total coliforms on seeds with no effect (P > 0.05) on germination."( Chloroxyanion Residue on Seeds and Sprouts after Chlorine Dioxide Sanitation of Alfalfa Seed.
Herges, GR; Smith, DJ, 2018
)
1.46
"Chlorine dioxide-treated spores also did not germinate with Ca2+-DPA and could not be recovered by lysozyme treatment, but did germinate with nutrients."( Mechanisms of killing of Bacillus subtilis spores by hypochlorite and chlorine dioxide.
Setlow, P; Young, SB, 2003
)
1.27
"Chlorine dioxide treated apples were stored at 4 degrees C for 7 days to assess the effect on visual quality."( Efficacy of chlorine dioxide gas against Alicyclobacillus acidoterrestris spores on apple surfaces.
Chang, SS; Dancer, GI; Kang, DH; Lee, SY; Rhee, MS, 2006
)
1.43
"Chlorine dioxide treatment of the biologically treated effluent with dosages down to 0.75 mg/L resulted in more than 97% reduction of all parabens."( Estrogenic personal care products in a greywater reuse system.
Andersen, HR; Eriksson, E; Ledin, A; Lundsbye, M; Wedel, HV, 2007
)
1.06
"The treatments of chlorine dioxide, peracetic acid and ozonated water promoted reduction of 2.5, 1.1 and 0.7 log cycle, respectively, on count of microbial load of minimally processed product and can be used as substitutes for sodium hypochlorite."( Alternative sanitization methods for minimally processed lettuce in comparison to sodium hypochlorite.
Amaral, RD; Bachelli, ML; Benedetti, BC, 2013
)
0.71

Toxicity

Chlorite is a primary decomposition product when chlorine dioxide (ClO2) is added during water treatment. The toxic effects of both compounds on aquatic organisms are possible.

ExcerptReferenceRelevance
" The only unexpected and significant toxic effect was elicited by ClO2; this chemical inhibited thyroid metabolism in the animals at a dose of ca."( Subchronic toxicity of chlorine dioxide and related compounds in drinking water in the nonhuman primate.
Bercz, JP; Boston, J; Garner, L; Jones, L; Ludwig, DA; Murray, D, 1982
)
0.57
" Both products showed no toxic effects even at doses 50 times higher than the LD50 of cylindrospermopsin (10 mg/kg mouse ip)."( Uracil moiety is required for toxicity of the cyanobacterial hepatotoxin cylindrospermopsin.
Banker, R; Carmeli, S; Porat, R; Sukenik, A; Teltsch, B; Werman, M, 2001
)
0.31
"The aim of this study was to evaluate the formation of toxic and genotoxic compounds in surface drinking waters treated with two widely used disinfectants, sodium hypochlorite (NaClO) and chlorine dioxide (ClO(2)), and a new disinfectant, peracetic acid (PAA)."( A new approach to evaluating the toxicity and genotoxicity of disinfected drinking water.
Feretti, D; Monarca, S; Moretti, M; Richardson, SD; Thruston, AD; Villarini, M; Zani, C, 2004
)
0.51
" The surface-water extracts were very often toxic to most of the test organisms considered, partially masking their potential mutagenic activity."( In vitro potential genotoxic effects of surface drinking water treated with chlorine and alternative disinfectants.
Buschini, A; Feretti, D; Guzzella, L; Monarca, S; Poli, P; Richardson, SD; Rossi, C; Zani, C; Zerbini, I, 2004
)
0.32
" Experimental groups were compared by the logarithmic difference between the clinical and LD50 concentrations of a particular irrigant."( An in vitro evaluation of the cytotoxicity of various endodontic irrigants on human gingival fibroblasts.
Barnhart, BD; Chuang, A; Joyce, AP; Liewehr, F; Lucca, JJ; Roberts, S, 2005
)
0.33
" The exposure to chlorine disinfectants without the addition of HA produced a clear toxic effect."( Modulating effects of humic acids on genotoxicity induced by water disinfectants in Cyprinus carpio.
Buschini, A; Gustavino, B; Monfrinotti, M; Poli, P; Rizzoni, M; Rossi, C; Tancioni, L, 2005
)
0.33
"Chlorite (ClO2-) is a primary decomposition product when chlorine dioxide (ClO2) is added during water treatment; therefore the toxic effects of both compounds on aquatic organisms are possible."( Acute and chronic toxicity of chlorine dioxide (ClO2) and chlorite (ClO2-) to rainbow trout (Oncorhynchus mykiss).
Mickeniene, L; Stasiŭnaite, P; Svecevicius, G; Syvokiene, J, 2005
)
0.86
" Chlorite was found to be from 48 to 18 times less acutely toxic to larvae and adult fish, correspondingly."( Acute and chronic toxicity of chlorine dioxide (ClO2) and chlorite (ClO2-) to rainbow trout (Oncorhynchus mykiss).
Mickeniene, L; Stasiŭnaite, P; Svecevicius, G; Syvokiene, J, 2005
)
0.62
"Due to its very reactive nature, chlorine dioxide is rapidly (in a few hours) reduced to chlorite, which is persistent also as a biocide but 16 times less toxic to fish, according to MATC."( Acute and chronic toxicity of chlorine dioxide (ClO2) and chlorite (ClO2-) to rainbow trout (Oncorhynchus mykiss).
Mickeniene, L; Stasiŭnaite, P; Svecevicius, G; Syvokiene, J, 2005
)
0.9
" Patient discontinuations resulting from adverse events were similar for both groups and most of these were a result of signs or symptoms of ocular allergic reaction."( The safety and intraocular pressure-lowering efficacy of brimonidine tartrate 0.15% preserved with polyquaternium-1.
Andrew, RM; Bergamini, MV; Bosworth, CF; Dickerson, JE; James, JE; Landry, TA; Moster, MR; Ochsner, KI; Silver, LH; Sullivan, EK; Wells, DT; Whitson, JT, 2006
)
0.33
", Management Strategies for Toxic Blue Green Algae: Literature Review."( Assessing drinking water treatment systems for safety against cyanotoxin breakthrough using maximum tolerable values.
Bornmann, K; Imhof, L; Izydorczyk, K; Mankiewicz, J; Schmidt, W, 2008
)
0.35
"The toxic effect of chlorine dioxide to the different instar larvae of chironomid was studied using raw water as test sample."( [Toxicity and influencing factors of chlorine dioxide to chironomid larvae].
Cui, FY; Guo, ZH; Sun, XB, 2007
)
0.94
"A sensitive and rapid method to evaluate toxic and genotoxic properties of drinking water supplied from Lake Trasimeno (Umbria, Central Italy) was worked out analysing bile in Cyprinus carpio exposed for 20 d to lake water treated with 3 different disinfectants, sodium hypochlorite (NaClO), chlorine dioxide (ClO(2)) and peracetic acid (PAA)."( A protocol for the evaluation of genotoxicity in bile of carp (Cyprinus carpio) exposed to lake water treated with different disinfectants.
Dominici, L; Dörr, AJ; Elia, AC; Fatigoni, C; Monarca, S; Moretti, M; Villarini, M, 2011
)
0.55
" Data accumulated during the last two decades demonstrate that, when used properly, peroxide-based tooth whitening is safe and effective."( Safety issues of tooth whitening using peroxide-based materials.
Greenwall, L; Li, Y, 2013
)
0.39
" The formation of more toxic mid-byproducts during the ClO2 disinfection process poses a potential risk to consumers."( Oxidation of diclofenac by aqueous chlorine dioxide: identification of major disinfection byproducts and toxicity evaluation.
Liu, G; Liu, H; Wang, Y; Xie, Y, 2014
)
0.68
" In summary, the chlorine dioxide based decontaminant efficiently killed Bacillus anthracis spores in liquid suspension, as well as on isolated swine skin, and was less toxic than sodium hypochlorite in cultures of human skin keratinocytes."( Decontamination Efficacy and Skin Toxicity of Two Decontaminants against Bacillus anthracis.
Crichton, MK; Sawyer, TW; Stratilo, CW, 2015
)
0.76

Pharmacokinetics

ExcerptReferenceRelevance
" The half-life for 36Cl absorption was 22."( Pharmacodynamics of alcide, a new antimicrobial compound, in rat and rabbit.
Abdel-Rahman, MS; Gerges, SE; Gona, O; Khan, MY; Scatina, J, 1984
)
0.27

Compound-Compound Interactions

ExcerptReferenceRelevance
" These results provide a framework to producers of fresh-cut cantaloupes for the potential use of hot water as an intervention treatment in combination with NatureSeal for enhancing the microbiological safety and quality of this commodity."( Evaluation of Hot Water, Gaseous Chlorine Dioxide, and Chlorine Treatments in Combination with an Edible Coating for Enhancing Safety, Quality, and Shelf Life of Fresh-Cut Cantaloupes.
Alicea, C; Annous, BA; Burke, A; Mendez, DP; Orellana, LE, 2018
)
0.76

Bioavailability

ExcerptReferenceRelevance
"Aqueous chlorine dioxide (ClO2), an alternative disinfectant for drinking water, was found to decrease gastrointestinal (GI) bioavailability of dietary iodide."( Effects of ClO2 on the absorption and distribution of dietary iodide in the rat.
Bercz, JP; Harrington, RM; Shertzer, HG, 1985
)
0.7

Dosage Studied

Cyclops can be completely inactivated after 30 min of contact time by low dosage of chlorine dioxide (1.Carrier quantitative bactericidal test) The optimal conditions are chlorine dioxide dosage 5.

ExcerptRelevanceReference
" Pancreas/body weight ratios were significantly reduced in all gel groups, while spleen, pancreas and ovary/body weight ratios were significantly higher in both liquid dosage groups."( Subchronic dermal toxicity studies of Alcide Allay gel and liquid in rabbits.
Abdel-Rahman, MS; Abu-Hadeed, AH; Gerges, SE; Kadry, AR; Skowronski, GA; Turkall, RM, 1987
)
0.27
" A significant dose-response relationship in the decreases of the numbers of implants and live fetuses were observed in the C1O2 groups."( Effect of chlorine dioxide and its metabolites in drinking water on fetal development in rats.
Abdel-Rahman, MS; Bull, RJ; Suh, DH, 1983
)
0.67
" After three cases of the disease occurred in a hospital, a continuous dosing regime using chlorine dioxide was initiated to replace chlorination of the water system."( Control of Legionella pneumophila in a hospital water system by chlorine dioxide.
Keevil, CW; Mackerness, CW; Makin, T; Mallon, D; Walker, JT; Williets, T, 1995
)
0.75
" It was found that the humic acid treatment dosage was not significant."( The formation and control of disinfection by-products using chlorine dioxide.
Chang, CY; Hsieh, YH; Hsu, SS; Shih, IC; Wang, KH, 2000
)
0.55
" In order to determinate the influence of ClO2 dosage on the NOM adsorption on GAC two parallel pilot scale experiments were performed."( Adsorption of natural organic matter oxidized with ClO2 on granular activated carbon.
Biłozor, S; Ilecki, W; Nawrocki, J; Raczyk-Stanisławiak, U; Swietlik, J, 2002
)
0.31
" Following a 4 week acclimation period, individual ARs operated in parallel were dosed with high (0."( Disinfectant efficacy of chlorite and chlorine dioxide in drinking water biofilms.
Andrews, RC; Chauret, C; Gagnon, GA; O'leary, KC; Rand, JL; Rygel, AC, 2005
)
0.6
"15% preserved with chlorine dioxide (brimonidine P) dosed 3 times daily and were followed up for 6 months."( The safety and intraocular pressure-lowering efficacy of brimonidine tartrate 0.15% preserved with polyquaternium-1.
Andrew, RM; Bergamini, MV; Bosworth, CF; Dickerson, JE; James, JE; Landry, TA; Moster, MR; Ochsner, KI; Silver, LH; Sullivan, EK; Wells, DT; Whitson, JT, 2006
)
0.66
" The experiment results showed that when chlorine dioxide dosage increased from 0 mg/L to 30 mg/L, the genotoxicity of wastewater first decreased rapidly and then tended to be stable, while when the chlorine dosage increased from 0 mg/L to 30 mg/L, the genotoxicity of wastewater changed diversely for different samples."( [Change in genotoxicity of wastewater during chlorine dioxide and ahlorine disinfections and the influence of ammonia nitrogen].
Hu, HY; Koichi, F; Ta, CH; Tian, J; Wang, C; Wang, LS, 2007
)
0.87
" Cyclops can be completely inactivated after 30 min of contact time by low dosage of chlorine dioxide (1."( [Inactivation and removal of chlorine dioxide on cyclops of zooplankton].
Cui, FY; Lin, T; Liu, GP; Zhao, ZW, 2007
)
0.85
" Under a given condition (ClO2 concentration 80 mg/L, microwave power 50 W, contact time 5 min, catalyst dosage 50 g/L, pH 9), phenol removal percentage approached 92."( Treatment of phenol wastewater by microwave-induced ClO2-CuOx/Al203 catalytic oxidation process.
Bi, XY; Huang, JL; Jiang, H; Shi, SJ; Wang, P; Xu, HY, 2007
)
0.34
"1, AC dosage 200 g/L, reaction time 30 min and ClO2 dosage 300 mg/L."( [Influencing factors on the paranitrobenzoic acid wastewater treatment by chlorine dioxide and activated carbon catalysis-oxidation technology].
Ding, CS; Miao, J; Ning, P; Qin, SL, 2008
)
0.58
" The results showed that microwave enhanced catalytic oxidation process could effectively degrade remazol golden yellow dye with low oxidant dosage in a short reaction time and extensive pH range compared to the conventional wet catalytic oxidation."( Degradation of remazol golden yellow dye wastewater in microwave enhanced ClO2 catalytic oxidation process.
Bi, X; Cao, H; Jiao, C; Wang, P, 2009
)
0.35
" The lowest effective inactivation dosage and time was 15mg/mL for 30min."( Inactivation and mechanisms of chlorine dioxide on Nosema bombycis.
Huang, Z; Li, W; Liao, F; Lin, J; Tan, P; Wang, Z; Zhong, Y, 2010
)
0.65
"2, the dosage of chlorine dioxide is 1000 mg/l, the dosage of activated carbon-MnO(2) catalyst is 6g by reacting 60 min."( Catalytic oxidation and spectroscopic analysis of simulated wastewater containing o-chlorophenol by using chlorine dioxide as oxidant.
Li, N; Shi, L; Wang, C, 2010
)
0.91
"2, the dosage of chlorine dioxide is 1,200 mg/L, the dosage of activated carbon-MnO(2) catalyst is 4 g by reacting 50 min."( Catalytic oxidation and spectroscopic analysis of simulated wastewater containing acid chrome blue K by using chlorine dioxide as oxidant.
Shi, L; Yu, F, 2010
)
0.91
"355 g L(-1), reaction time 60 min, catalyst dosage 10."( Study on the treatment of 2-sec-butyl-4,6-dinitrophenol (DNBP) wastewater by ClO2 in the presence of aluminum oxide as catalyst.
Dong, J; Jiang, WF; Wang, HL, 2010
)
0.36
" The verified dosage of disinfectants, which could effectively inactivate 99."( [Inactivation of the chlorine-resistant bacteria isolated from the drinking water distribution system].
Chen, C; Chen, YQ; Duan, XD; Lu, PP; Wang, Q; Zhang, XJ, 2012
)
0.38
" coli than the others, indicating there was a positive synergistic effect on chlorine disinfection by prior dosing with a low level of chlorine dioxide (ClO(2))."( The synergistic effect of Escherichia coli inactivation by sequential disinfection with low level chlorine dioxide followed by free chlorine.
Chen, BY; Huo, MX; Li, JW; Yang, D; Yang, W; Zhu, SY, 2012
)
0.8
"4 μM) were spiked to the raw water samples from Yangshupu and Minhang drinking water treatment plant, certain amounts of CHI3 and IAA were found under pH 7 and the concentrations were strongly correlated with ClO2 dosage and water qualities, however, no TIAA was detected."( Formation of iodinated disinfection by-products during oxidation of iodide-containing waters with chlorine dioxide.
Gao, NY; Hu, CY; Lin, L; Lin, YL; Xu, B; Ye, T; Zhang, TY, 2013
)
0.61
" The current study addresses the representativeness of studies using this type of inoculation method compared to when coupons are dosed with a metered amount of aerosolized spores."( Effect of inoculation method on the determination of decontamination efficacy against Bacillus spores.
Calfee, MW; Clayton, M; Griffin-Gatchalian, N; Lee, SD; McDonald, S; Nysewander, M; Ryan, SP; Smith, L; Touati, A; Wood, JP, 2014
)
0.4
" Results show that NaOCl dosing was effective in reducing the viability of algae, but precipitated little Mn."( Pretreatment of algae-laden and manganese-containing waters by oxidation-assisted coagulation: Effects of oxidation on algal cell viability and manganese precipitation.
Hua, LC; Huang, C; Lin, JL; Wu, Y, 2016
)
0.43
" The dosage rates of silver micro-particles, hydrogen peroxide, chlorine dioxide and ozone and pH stress to the activated sludge were not able to decrease the number of culturable Legionella spp."( Strategies for the reduction of Legionella in biological treatment systems.
Exner, M; Nogueira, R; Rosenwinkel, KH; Utecht, KU; Verstraete, W,
)
0.37
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
chlorine dioxide
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Research

Studies (828)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990110 (13.29)18.7374
1990's62 (7.49)18.2507
2000's267 (32.25)29.6817
2010's294 (35.51)24.3611
2020's95 (11.47)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 60.64

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index60.64 (24.57)
Research Supply Index6.82 (2.92)
Research Growth Index4.95 (4.65)
Search Engine Demand Index168.32 (26.88)
Search Engine Supply Index3.24 (0.95)

This Compound (60.64)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials26 (2.92%)5.53%
Reviews42 (4.72%)6.00%
Case Studies12 (1.35%)4.05%
Observational0 (0.00%)0.25%
Other810 (91.01%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (15)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Wound Irrigation: Comparison of Normal Saline With Chlorous Acid Chlorine Dioxide Solution [NCT01341041]Early Phase 1201 participants (Actual)Interventional2004-08-31Completed
Effects of Various Oral Hygiene Procedures on the Reduction of Oral Malodor in Periodontally Healthy Patients [NCT02113137]Phase 430 participants (Actual)Interventional2013-09-30Completed
The Effectiveness of Hyperpure Chlorine Dioxide and Sodium Hypochlorite Irrigants During Endodontic Retreament on the Healing of Chronic Periapical Lesions - Clinical, Radiological and Microbiological Study. Randomized Clinical Trial. [NCT04954638]40 participants (Anticipated)Observational2019-11-15Enrolling by invitation
A Randomized Clinical Trial on the Effect of a Chlorine Dioxide Spray on Dental Plaque and Respiratory Pathogens in Institutionalized Elders [NCT03533335]Phase 4228 participants (Actual)Interventional2014-06-01Completed
Effect of Antiseptic Mouthwash/Gargling Solutions and Pre-procedural Rinse on SARS-CoV-2 Load (COVID-19) [NCT04409873]Phase 254 participants (Actual)Interventional2021-03-31Terminated(stopped due to The funder decided not to continue funding, causing enrollment to cease prematurely and curtailing originally planned analyses. Participants with any samples collected after the baseline pre-rinse samples were included in the analysis.)
Double-blind Sham Device-controlled Multi-center Crossover Trial of Chlorine Dioxide Gas on the Protective Effect Against Respiratory Infections [NCT00969800]1,469 participants (Actual)Interventional2009-10-31Active, not recruiting
The Clinical Effects of a Mouthwash Containing Chlorine Dioxide on Oral Malodor and Salivary Periodontal and Malodorous Bacteria Using for 7days [NCT00748943]Phase 115 participants (Actual)Interventional2007-03-31Completed
Bad Breath Response to Tongue Scraper and Rinses, a Double-blind, Randomized, Parallel Group Clinical Trial. [NCT00867035]22 participants (Actual)Interventional2008-03-31Completed
[NCT02689297]Phase 430 participants (Actual)Interventional2013-09-30Completed
A Randomized, Double Blind, Crossover, Placebo-Controlled Clinical Trial to Assess the Effects of a Mouthwash Containing Chlorine Dioxide on Oral Malodor [NCT00655772]Phase 115 participants (Actual)Interventional2007-02-28Completed
A Phase 2 Screening Study of Candidate Non-prescription Treatments for COVID-19: A Patient-driven, Randomized, Factorial Study Evaluating Patient-reported Outcomes (PROFACT-01) [NCT04621149]Phase 210 participants (Actual)Interventional2020-11-15Terminated(stopped due to Unable to recruit participants due to decline in COVID-19.)
Determination of the Effectiveness of Oral Chlorine Dioxide in the Treatment of COVID 19 [NCT04343742]20 participants (Anticipated)Observational2020-04-01Recruiting
Pilot Study: The Efficacy of Stabilized Chlorine Dioxide Rinse as a Chemical Adjuvant for Treatment of Peri-implant Mucositis [NCT04838054]Phase 457 participants (Actual)Interventional2018-03-15Completed
A Pilot Phase II Study Evaluating the Role of Chlorine Dioxide on Mucositis for Patients Undergoing Head and Neck Radiotherapy [NCT03602066]Phase 214 participants (Actual)Interventional2019-02-14Terminated(stopped due to Study terminated by pharmaceutical company)
Short- and Long Term Antibacterial Effects of a Single Rinse With Different Mouthwashes: a Randomized Clinical Trial [NCT05178823]Phase 4171 participants (Actual)Interventional2017-06-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00867035 (11) [back to overview]Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 1 Hour
NCT00867035 (11) [back to overview]Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 1 Week
NCT00867035 (11) [back to overview]Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 2 Hours
NCT00867035 (11) [back to overview]Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 4 Hours
NCT00867035 (11) [back to overview]Concentration of Methyl Mercaptan (MM) in Mouth Air at 1 Hour
NCT00867035 (11) [back to overview]Concentration of Methyl Mercaptan (MM) in Mouth Air at 1 Week
NCT00867035 (11) [back to overview]Concentration of Methyl Mercaptan (MM) in Mouth Air at 2 Hours
NCT00867035 (11) [back to overview]Concentration of Methyl Mercaptan (MM) in Mouth Air at 4 Hours
NCT00867035 (11) [back to overview]Number of Bacteria on Tongue at 1 Week
NCT00867035 (11) [back to overview]Percentage of Sulfide-producing Black Colonies Out of Total Viable Count(TVC) on Anaerobe Agar Containing Lead Acetate
NCT00867035 (11) [back to overview]Percentage of Participants With Rosenberg Score at Indicated Time Points
NCT04409873 (3) [back to overview]Any Hospitalization(s)
NCT04409873 (3) [back to overview]Change in SARS-CoV-2 Viral Load
NCT04409873 (3) [back to overview]Self-reported Clinical Symptom(s)
NCT04838054 (3) [back to overview]Global Plaque Score.
NCT04838054 (3) [back to overview]Global Probing Depth
NCT04838054 (3) [back to overview]Modified Gingival Index (MGI)

Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 1 Hour

Using portable gas chromatograph (NCT00867035)
Timeframe: 1hr

Interventionparts per billion (ppb) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper10.1
Chlorhexidene Rinse and Tongue Scraper9.12

[back to top]

Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 1 Week

Using portable gas chromatograph (NCT00867035)
Timeframe: 1 week

Interventionparts per billion (ppb) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper9.17
Chlorhexidene Rinse and Tongue Scraper20.2

[back to top]

Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 2 Hours

Using portable gas chromatograph (NCT00867035)
Timeframe: 2hr

Interventionparts per billion (ppb) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper12.7
Chlorhexidene Rinse and Tongue Scraper3.88

[back to top]

Concentration of Hydrogen Sulfide (H2S) in Mouth Air at 4 Hours

Using portable gas chromatograph (NCT00867035)
Timeframe: 4 hours

Interventionparts per billion (ppb) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper12.7
Chlorhexidene Rinse and Tongue Scraper7.0

[back to top]

Concentration of Methyl Mercaptan (MM) in Mouth Air at 1 Hour

Using portable gas chromatograph (NCT00867035)
Timeframe: 1 hour

Interventionparts per billion (ppb) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper17.5
Chlorhexidene Rinse and Tongue Scraper36.0

[back to top]

Concentration of Methyl Mercaptan (MM) in Mouth Air at 1 Week

Using portable gas chromatograph (NCT00867035)
Timeframe: 1 week

Interventionparts per billion (Mean)
Chlorine Dioxide Rinse and Tongue Scraper9.75
Chlorhexidene Rinse and Tongue Scraper2.12

[back to top]

Concentration of Methyl Mercaptan (MM) in Mouth Air at 2 Hours

Using portable gas chromatograph (NCT00867035)
Timeframe: 2 hours

Interventionparts per billion (Mean)
Chlorine Dioxide Rinse and Tongue Scraper14.5
Chlorhexidene Rinse and Tongue Scraper23.9

[back to top]

Concentration of Methyl Mercaptan (MM) in Mouth Air at 4 Hours

Using portable gas chromatograph (NCT00867035)
Timeframe: 4 hours

Interventionparts per billion (Mean)
Chlorine Dioxide Rinse and Tongue Scraper14.4
Chlorhexidene Rinse and Tongue Scraper6.88

[back to top]

Number of Bacteria on Tongue at 1 Week

Total viable count(TVC) in colony forming units(CFU) on anaerobe agar (NCT00867035)
Timeframe: 1 week

Interventioncolony forming units (CFU) (Mean)
Chlorine Dioxide Rinse and Tongue Scraper15500000
Chlorhexidene Rinse and Tongue Scraper28400000

[back to top]

Percentage of Sulfide-producing Black Colonies Out of Total Viable Count(TVC) on Anaerobe Agar Containing Lead Acetate

(NCT00867035)
Timeframe: 1 week

Interventionpercentage black colonies (Mean)
Chlorine Dioxide Rinse and Tongue Scraper43.1
Chlorhexidene Rinse and Tongue Scraper27.8

[back to top]

Percentage of Participants With Rosenberg Score at Indicated Time Points

2 investigators are trained to evaluate smell using the Rosenberg scale which measures foul smelling breath. The Rosenberg scale is validated and is scored 0-5 with 0= no bad breath, 5=worst bad breath. A score of 2 is the threshold at which bad breath is determined. (NCT00867035)
Timeframe: baseline, 1 hour, 2 hours, 4 hours, 1 week

,
Interventionpercentage of participants (Number)
Percentage with score of 2 or 3 at BaselinePercentage with score of 0 or 1 at 1 hourPercentage with score of 0 or 1 at 2 hoursPercentage with score of 0 or 1 at 4 hoursPercentage with score of 0 or 1 at 1 week
Chlorhexidene Rinse and Tongue Scraper74100948181
Chlorine Dioxide Rinse and Tongue Scraper9679795464

[back to top]

Any Hospitalization(s)

Any hospitalization(s) from baseline to 4 weeks. Hospitalization(s) were collected on adverse event, unanticipated problem, and final disposition forms. (NCT04409873)
Timeframe: Baseline to 4 weeks

InterventionParticipants (Count of Participants)
Control (Distilled Water)0
Oral-B Mouth Sore (H2O2) Mouthwash0
Crest Pro-Health Multi-Protection (C21H38ClN) Mouthwash0
CloSYS (ClO2) Mouthwash0
Listerine Mouthwash0

[back to top]

Change in SARS-CoV-2 Viral Load

The change in the outcome measure, SARS-CoV-2 viral load, in saliva wash RT-PCR was measured by Cycle Threshold (Ct) value. Ct value refers to the number of cycles it takes for the fluorescent signal generated during the PCR reaction to cross a certain threshold, indicating the presence of the target nucleic acid sequence, here, SARS-CoV-2. The lower the Ct value, the faster the threshold is crossed and the higher the viral load in a biological sample, suggesting a higher concentration of the SARS-CoV-2 virus in that sample. (NCT04409873)
Timeframe: Baseline to 4 weeks

InterventionAbsolute Change in Cycle Threshold (Mean)
Control (Distilled Water)-0.6
Oral-B Mouth Sore (H2O2) Mouthwash-0.4
Crest Pro-Health Multi-Protection (C21H38ClN) Mouthwash0.8
CloSYS (ClO2) Mouthwash-0.4
Listerine Mouthwash-1.4

[back to top]

Self-reported Clinical Symptom(s)

Any self-reported (questionnaire) clinical symptom(s). A symptom checklist included cough, runny nose, scratchy/sore throat, fever, chills, fatigue, muscle ache, shortness of breath, diarrhea/nausea/vomiting, loss of taste/smell, and red /painful eye. (Clinical symptoms were collected at baseline and at 3 months; only problems with the study mouth rinse were collected daily through 4 weeks.) (NCT04409873)
Timeframe: Baseline to 3 months

InterventionParticipants (Count of Participants)
Control (Distilled Water)1
Oral-B Mouth Sore (H2O2) Mouthwash0
Crest Pro-Health Multi-Protection (C21H38ClN) Mouthwash0
CloSYS (ClO2) Mouthwash0
Listerine Mouthwash0

[back to top]

Global Plaque Score.

The plaque index assesses the amount of dental plaque visible on the vestibular and lingual surfaces of all teeth, except the third molars. The index is calculated by dividing the number of plaque-containing surfaces by the total number of available surfaces. Values range from 0-18 with 0 being excellent and 18 poor. Higher numbers mean a worse outcome. (NCT04838054)
Timeframe: 90 days

Interventionscore on a scale (Mean)
Test - Stabilized Chlorine Dioxide Rinse1.57
Placebo - Oral Rinse, no Active Ingredients1.98

[back to top]

Global Probing Depth

The distance measured from the base of the pocket to the most apical point on the gingival margin. Measured in mms. Over 3 mm indicates a need for periodontal therapy. Higher results mean a worse outcome. (NCT04838054)
Timeframe: 90 days

Interventionmm (Mean)
Test - Stabilized Chlorine Dioxide Rinse2.37
Placebo - Oral Rinse, no Active Ingredients2.64

[back to top]

Modified Gingival Index (MGI)

The MGI relies on a visual assessment of gingival changes to measure the severity of inflammation. Five categories, using a 0-4 scale, score the marginal and papillary gingival tissue based on color, texture, edema, and spontaneous bleeding. 0 being normal and 4 being severe inflammation characterized by edema, redness, swelling, and spontaneous bleeding. The higher scores mean a worse outcome. (NCT04838054)
Timeframe: 90 days

Interventionscore on a scale (Mean)
Test - Stabilized Chlorine Dioxide Rinse1.48
Placebo - Oral Rinse, no Active Ingredients1.52

[back to top]