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Dentistry · Community dentistry: dental unit waterlines
Sample itemCultures of water from a dental unit's handpiece lines show high bacterial counts after the weekend. What best explains this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Biofilm growth in the narrow-bore tubing
The narrow tubes and stagnant water favour biofilm, which sheds bacteria into the instrument water. Flushing, independent bottles and disinfectant reduce the load.
Option by option
A. Autoclave failure
Autoclaving does not touch the unit water lines.
B. Mains water always carries a high bacterial load
Mains water is usually of acceptable quality when it arrives.
C. Chlorine in tap water increases growth
Chlorine reduces, not increases, microbial growth.
D. Biofilm growth in the narrow-bore tubing (correct)
Correct. Stagnation and the tubing surface allow biofilm to form.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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