Occupational Dental Noise and Early Cochlear Changes: Evidence from Distortion Product Oto-Acoustic Emissions in...

Background: Dental professionals are routinely exposed to occupational noise from high-speed handpieces and ultrasonic scalers, with levels that can reach up to 90 dB(A). While such exposure is suspected to affect cochlear function, objective assessments in this population remain limited. This study investigated short-term changes in distortion product otoacoustic emissions (DPOAEs) as a biomarker of outer hair cell (OHC) function following routine clinical dental procedures. Methods: DPOAEs were recorded at frequencies from 1000 to 6000 Hz in young dental professionals with clinically normal hearing. Measurements were obtained at three time points: prior to dental procedures (baseline), immediately after exposure (3-5 min post-procedure), and at a 48-h (follow-up). Participants were stratified into two groups based on exposure profile: those exposed to occupational dental noise alone (Group 1) and those with concurrent use of personal listening devices (PLDs) in addition to occupational exposure (Group 2). Results: A significant reduction in DPOAE amplitudes was observed immediately following dental procedures in both groups, indicating an acute effect on OHC function. This reduction was more pronounced in Group 1 (PLD users) compared to Group 2 (occupational noise only). Amplitudes returned to baseline levels at the 48-h follow-up in both groups, confirming the transient nature of the effect. The absence of significant Frequency × Time interactions indicates that the observed amplitude reductions were broadly distributed across the tested frequency range rather than confined to a specific spectral region. Conclusions: Routine clinical dental procedures can induce transient, measurable changes in cochlear outer hair cell function, detectable by DPOAEs in young professionals with normal audiometric thresholds. Although these changes appear reversible within 48 h, the greater acute response observed in individuals with concurrent personal listening device use suggests that cumulative acoustic exposure may increase cochlear susceptibility. These findings support the integration of objective cochlear monitoring into occupational health surveillance for dental personnel.