Air turbine handpieces are expected to continue to be widely used as t
he main means of carrying out dental cutting work and scope exists for
further design improvements. An understanding of the theoretical prin
ciples governing the performance of these devices seems essential for
the systematic development of better handpiece designs and methods of
specification. Furthermore. for experimental work on cutting behaviour
with air turbine equipment, this knowledge is required for appropriat
e characterization of the performance of the particular handpiece used
with respect to actual rates of energy deposition. The literature rel
ating to air turbine handpiece performance is critically reviewed to a
ssess currently available methods of measuring important variables suc
h as speed, torque, and power. In this, consideration is given to the
current state of knowledge of the influence on these variables of air
pressure, flow and turbine design features. It is apparent that, altho
ugh various measurement methods have been described and data for indiv
idual handpieces published, no attempt has yet been made to explore th
e functional relationships that exist between the variables. It is con
cluded that there is a need to identify the factors influencing turbin
e performance, to develop measurement systems which would provide adeq
uate accuracy and precision and then to investigate the functional rel
ationships between these relevant variables.