Impaired hearing in dental practitioners has been the subject of vario
us investigations. Although individual age and susceptibility can play
a significant role, the intensity of the noise, distance from the noi
se source, and total duration of the noise are the important factors i
n hearing. In this study the noise levels of different handpieces and
laboratory engines were evaluated. Handpiece noise measurements were m
ade while instruments were running free and during operation with vari
ous cutting tools. These measurements were performed with two kinds of
noise-measuring equipment: (1) a precision sound level meter and (2)
a noise recording and analyzing circuit. The results indicated that (1
) there were significant differences among the noise levels of the var
ious dental engines used, (2) the tow-speed, angled-design handpiece h
as the lowest noise level, whereas the laboratory engine has the highe
st, (3) the noise level increases during cutting was compared with non
cutting, and (4) there was no significant difference between the two m
ethods of measurement.