{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:57Z","timestamp":1787772237740,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim and Background:<\/jats:title>\n                    <jats:p>Pediatric dentists face unique noise exposure risks, not only from equipment such as high-speed air-rotor handpieces, suction devices, and compressors but also from the vocalizations of anxious or uncooperative children. Chronic exposure to high-intensity noise can contribute to noise-induced hearing loss and other physiological or psychological stressors. This study aimed to assess and compare the noise levels encountered during various dental procedures in pediatric dental clinics configured as open and closed operatory settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Noise was recorded using an A-weighted sound level meter (HTC SL-1352) positioned near the dentist\u2019s ear during procedures for children aged 3\u201310 years over 30 days (15 days each in open and closed clinics). Sample size was calculated using G*Power software (power = 95%, \u03b1 = 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>\n                      Statistical analysis was conducted using independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests to compare average and peak noise levels between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Average noise levels were 70.77 dB (open) and 72.41 dB (closed), with peaks of 93.63 dB and 95.46 dB, respectively. Differences were not statistically significant (average:\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.374; peak:\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.730). Notably, a child crying produced peaks up to 120 dB, posing an immediate risk of hearing damage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although differences between open and closed operatories were not statistically significant, both settings demonstrated noise levels exceeding safe exposure limits. This indicates that pediatric dentists face potential auditory risks regardless of operatory design, emphasizing the need for hearing conservation practices and periodic auditory assessments in pediatric dental clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_548_25","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:01:01Z","timestamp":1772175661000},"page":"121-125","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of noise levels during dental procedures in different pediatric dental settings"],"prefix":"10.4103","volume":"44","author":[{"given":"Indukuri","family":"Himendri","sequence":"first","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaniti","family":"Saujanya","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bezawada","family":"Sushma","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kandepu","family":"Naveena","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S S","family":"Seljraj","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranav Prakash","family":"Lohe","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"R3-20260227","first-page":"100181","article-title":"Human health effects associated with occupational and environmental acoustic trauma","volume":"12","author":"Gannouni","year":"2024","journal-title":"Health Sci Rev"},{"key":"R4-20260227","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.3390\/app14062587","article-title":"Patients'perceptions of sound and noise dimensions in the dental clinic soundscape","volume":"14","author":"Tziovara","year":"2024","journal-title":"Appl Sci"},{"key":"R5-20260227","doi-asserted-by":"crossref","first-page":"228","DOI":"10.3390\/dj10120228","article-title":"The effect of sound in the dental office:Practices and recommendations for quality assurance-a narrative review","volume":"10","author":"Antoniadou","year":"2022","journal-title":"Dent J (Basel)"},{"key":"R6-20260227","doi-asserted-by":"crossref","first-page":"426","DOI":"10.4103\/0976-237X.194124","article-title":"Learned helplessness","volume":"7","author":"Nuvvula","year":"2016","journal-title":"Contemp Clin Dent"},{"key":"R7-20260227","first-page":"343","article-title":"Assessment of noise exposures in a pediatric dentistry residency clinic","volume":"33","author":"Jadid","year":"2011","journal-title":"Pediatr Dent"},{"key":"R8-20260227","first-page":"108","article-title":"Occupational noise exposure in the pediatric dental setting","volume":"46","author":"Bates","year":"2024","journal-title":"Pediatr Dent"},{"key":"R9-20260227","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jobcr.2017.06.003","article-title":"Noise levels and sound pollution associated with various operative procedures and equipment in a pediatric dental environment-a clinical study","volume":"7","author":"Goswami","year":"2017","journal-title":"J Oral Biol Craniofac Res"},{"key":"R10-20260227","first-page":"33","article-title":"Hearing loss and protection in dental practice:A review","volume":"1","author":"Sikri","year":"2021","journal-title":"Acta Sci Otolaryngol"},{"key":"R11-20260227","doi-asserted-by":"crossref","first-page":"1379450","DOI":"10.3389\/fpsyg.2024.1379450","article-title":"A study on the influence of dominant sound sources on users'emotional perception in a pediatric dentistry clinic","volume":"15","author":"Liu","year":"2024","journal-title":"Front Psychol"},{"key":"R12-20260227","doi-asserted-by":"crossref","first-page":"190","DOI":"10.4103\/1463-1741.112371","article-title":"Comparison of anxiety levels associated with noise in the dental clinic among children of age group 6-15 years","volume":"15","author":"Muppa","year":"2013","journal-title":"Noise Health"},{"key":"R13-20260227","doi-asserted-by":"crossref","first-page":"513","DOI":"10.4103\/jispcd.JISPCD_28_22","article-title":"Should dentists mandatorily wear ear protection device to prevent occupational noise-induced hearing loss?A randomized case-control study","volume":"12","author":"Mohan","year":"2022","journal-title":"J Int Soc Prev Community Dent"},{"key":"R14-20260227","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1080\/23761407.2015.1018031","article-title":"The cry of the child and its relationship to hearing loss in parental guardians and health care providers","volume":"13","author":"Calderon","year":"2016","journal-title":"J Evid Inf Soc Work"},{"key":"R15-20260227","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/S0140-6736(13)61613-X","article-title":"Auditory and non-auditory effects of noise on health","volume":"383","author":"Basner","year":"2014","journal-title":"Lancet"}],"container-title":["Journal of Indian Society of Pedodontics and Preventive Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jisppd.jisppd_548_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:34:31Z","timestamp":1787769271000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jisppd.jisppd_548_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jisppd.jisppd_548_25","relation":{},"ISSN":["0970-4388","1998-3905"],"issn-type":[{"value":"0970-4388","type":"print"},{"value":"1998-3905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}