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PROGRESS REPORT
Nadine Abdeljabbar, Kailin Baechle, Daniel Rittle
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December 1, 2017
Dental Noise Attenuation December 1, 2017
Table of Contents
1.0 Abstract
Dental professionals must work with noisy high-speed dental handpieces such as dental
drills to perform common procedures. These handpieces can reach sound power levels above
100 dB, which exceeds the acceptable continuous exposure threshold of 85 dB set by the
Occupational Health and Safety Administration (OSHA)1,2. This problem has been echoed
firsthand by dentists ranging from recent dental school graduates to retiring professionals. Studies
have shown that approximately 20% of dentists suffer from auditory disorders, and high-frequency
dental handpieces have been identified as a primary cause3,4. Even when hearing deficits are not
observed, many dental professionals have tinnitus resulting from dental noise. In addition to
causing long-term hearing deficits in dental professionals, high-frequency drill noise is also a
source of anxiety for patients undergoing dental procedures. Studies have shown that dental
anxiety affects approximately 30% of adults and 45% of children5. The anticipation of pain is the
driving factor behind dental anxiety, which is facilitated by the sound of the dental equipment6.
These findings indicate the need to address the problem of dental noise to improve the
satisfaction of both patients and practitioners in the dental industry. While providing noise
reduction in the high-frequency range, a solution must also allow both patients and practitioners
to communicate clearly and effectively. This report presents seventeen possible design
Pugh chart analysis was used to evaluate each of the design alternatives and determine the best
possible solution. The best solution was determined to be the sound damping/absorbing material
outer casing design alternative with a score of 85%. If time and resources allow, the magnetic
inductor coil design with a score of 80% could be implemented in addition for added noise
reduction. However, with the experimental determination that appreciable noise radiates from the
entire length of the dental handpiece instead of being concentrated at the head, this solution is of
lower priority.
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and team organization for this project. This section presents any changes to these areas since
noise commonly found in dental offices and stated that a successful solution should reduce high-
frequency noise levels by at least 45%. Upon further investigation of current noise reduction
technologies for other implementations such as pneumatic nail guns, jackhammers, and kitchen
blenders, the measure of success for noise attenuation power was found to average a sound
power level reduction of 18 dB7,8,9. Given that average dental equipment produces noise at 90
dB, an 18 dB reduction would result in an average sound power level of 72 dB10. Thus, a
successful solution should reduce the sound power level by at least 20%.
at high frequency of at least 45% attenuation. After additional research as stated above, the
attenuation power at high frequency specification has been adjusted to at least 20%. The resulting
average sound power level of 72 dB is approximately the noise level of television or radio audio,
so a decibel reduction of 20% will effectively fulfill the goal to reduce tinnitus and hearing loss for
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Nadine Abdeljabbar will be formatting and maintaining the project website, and Kailin Baechle will
take over the roles of writing and submitting weekly reports and obtaining materials.
handpiece modification, and a room-scale solution- were identified. Design alternatives were
brainstormed and drafted in each of these areas, and seventeen potential solutions are presented
3.1 Earpieces
The earpiece design alternatives presented include one passive design and four active
designs. The design alternatives focus on the internal functional parts of the earpieces. Each of
the physical earpieces will be designed for maximum comfort of the user, including a durable
rubber or foam polymer molded to fit the ear cavity as well as minimal functional component
contact with the ear. The physical appearance of the earpiece will be designed with the patient in
mind to ensure that the appearance of the earpiece does not cause any fear or anxiety in the
The passive tube earpiece design alternative (Figure 1) draws inspiration from the
frequency sound. The human ear uses distance travelled through the
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distance into the cochlea12. This method of sound filtration could be implemented in an earpiece
to selectively attenuate high-frequency noise from the original signal input, specifically
frequencies greater than 3 kHz in the case of attenuating high-frequency dental drill noise.
Each of the active earpiece design alternatives contains a low-pass active filter circuit
designed to attenuate noise at high frequencies while leaving speech frequencies relatively
unaffected. All filters would be designed with a cutoff frequency of 2 kHz which is below the lower
bound of common dental drill noise, so signal frequencies of 0 Hz to 2 kHz will be allowed to pass
through the filter while greater frequencies will be attenuated. The primary differences between
the following design alternatives are the number of components required and the rate of roll-off.
The first-order low pass filter design alternative involves combining a resistor in series with
the parallel combination of a resistor and a capacitor across an operational amplifier. Therefore,
this design alternative requires two resistors and one capacitor. This design provides a rate of
roll-off of 20 dB/decade.
The second-order low pass filter design alternative is a more complex circuit, requiring
four resistors and two capacitors. The second-order filter can be considered two first-order filters
cascaded together with amplification. This design provides a rate of roll-off of 40 dB/decade.
The second-order Butterworth filter design alternative involves a special type of second-
order low pass filter. The frequency response of the Butterworth filter is referred to as maximally
flat because the pass band is designed to have a response that is as flat as mathematically
possible from 0 Hz until the cut-off frequency13. This design requires five resistors and two
capacitors and provides a rate of roll-off of 40 dB/decade. This design alternative was used for a
preliminary proof-of-concept simulation in MATLAB to show that the low pass filter design is
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The third-order low pass can be produced by cascading together a first-order low pass
filter with a second-order low pass filter, resulting in a required four resistors and three capacitors.
This design provides a rate of roll-off of 60 dB/decade. Higher order filters are not included due
This handpiece measures approximately 16 cm in length and 2.5 cm in diameter with a weight of
approximately 180 g. After handling the drill at the clients office, the primary source of noise was
determined to be the vibration caused by the gear shafts, gears, and bur movement, which causes
noise to radiate from the entire length of the handpiece. The handpiece modification design
alternatives are subdivided into three different groups: casings, bur extensions, and internal
components.
3.2.1 Casings
that function by implementing a material casing with the existing dental drill. The casings group is
further divided into external casings, internal wall casings, and internal component casings.
The vacuum external casing design alternative (Figure 2) involves adding a second metal
handpiece casings. Between the two metal layers, a Figure 2. Vacuum external casing design.
vacuum will be created to isolate the noise and vibrations within the dental drill. It is commonly
known that sound propagation does not effectively occur in a perfect vacuum due to the absence
of air medium through which sound waves travel. Preliminary research has been done to
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determine whether vacuum isolation panels are effective in attenuating noise. Researchers at
London South Bank University determined that acoustic attenuation potential is exponentially
related to the percent vacuum level, but this relationship is only perceivable above the 90%
vacuum level14. Therefore, a great deal of development would be necessary to engineer a casing
involves adding a sound damping or sound absorbing material sleeve to the outside of the existing
propagation to reduce sound pressure by converting sound energy to heat within the material 15.
This sleeve would reduce the sound energy emitted by the handpiece by absorbing noise before
The protrusions internal wall casing design alternative involves designing precise angular
protrusions attached to the inner wall of the handpiece with the goal of reflecting and cancelling
sound waves similar to the function of an automotive muffler. Mufflers function by using perforated
metal tubes to reflect sound waves and produce opposite waves to cancel sound through
destructive interference19. In a study by the Laborers Health and Safety Fund of North America,
improving the muffler design in a pneumatic nail gun resulted in a 20 dB reduction in sound power
level20.
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The sound damping/absorbing material internal wall casing design alternative (Figure 4)
involves adding a sound damping or sound absorbing material layer to the inside wall of the
as proven by existing applications. Adding the acoustic material layer to the inner wall of the
handpiece rather than to the outside of the handpiece would cause no effect on the size of the
dental handpiece felt by the dental practitioner while manipulating the handpiece during common
procedures.
involves adding a sound damping or absorbing material layer only around the internal components
that produce the most noise. Differing from internal wall casing design alternative only in the
placement of the material layer, this solution would reduce the sound energy emitted by the
applications. Adding the material layer directly to the internal components of the handpiece rather
than to the internal wall of the dental handpiece will allow less distance for sound propagation
The internal component casing fluid filling design alternative involves filling the dental drill
with a low viscosity, high density fluid to provide a different medium for the propagation of sound
waves and vibrations produced by the internal components of the dental handpiece. The fluid
must be low viscosity to allow effective spinning of the gear shafts to produce torque for the drill
to function and high density as density is inversely related to the speed of sound propagation
through a material21.
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The air maze design alternative (Figure 5) utilizes the assumptions that (1) air is the
random heat motion. The air maze increases the distance and
vibrations to reach the environment outside the drill. This maze is Figure 5. Air maze design.
applied to the head of the drill such that sound escaping from the bur is attenuated. This design
alternative does not require any modifications to the bur or the bur shaft design currently
The bur maze design alternative is similar to the air maze design, with the exception that
this design involves modifications to the bur shaft such that the bur also follows the convoluted
path to which the air has been confined. As a result, the design requires multiple gears and gear
The magnetic inductor coil design alternative (Figure 6) involves the replacement of the
existing bur with a bar magnet oriented such that the north and
south poles are facing radially outward from the axis of rotation.
then travel through wires to identical solenoids, which will produce magnetic fields. These
magnetic fields will rotate a second bar magnet that is directly connected to the bur. The
advantage of this design is that the energy transmission does not require direct mechanical
transmission (i.e. shaft and gears) but rather electrical transmission, thus enabling the noise-
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Dental Noise Attenuation December 1, 2017
The bur aperture design alternative (Figure 7) is based upon the assumption that the head
of the drill is a primary contributor to the drill noise experienced by dental professionals and
camera aperture to provide a better seal around the bur. The bur
placement and closed tightly to provide a seal between external Figure 7. Bur aperture design.
environment and internal components of the handpiece. While this aperture would close tightly, it
would not impede the high-speed rotation of the bur because a low-friction coating would be
The dual spinner design alternative is based on the concept that pressure waves can be
attenuated rapidly by the generation of a second destructive pressure wave possessing the same
frequency and amplitude. This design alternative includes a hollow shaft enveloping the bur shaft
which would spin in the opposite direction as the bur shaft, resulting in the intended phase shift
and effectively cancelling the vibrations and thus noise produced by the dental handpiece. This
scale involving the destructive superposition of pressure waves. This design alternative would
create a device to generate a three-dimensional digital mapping of the room and determine the
locations at which sound must be minimized. Based upon acoustical evaluation of the room, the
device would also determine the primary sources of noise. Finally, the device would perform
calculations and produce sound waves based upon those calculations which would superpose
destructively at the locations where noise must be minimized. As a result, islands of silence will
be formed around the ears of the individuals in the room whenever the drill is in operation.
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for evaluation included cost, safety, ease of implementation (research, development, and labor
required to implement the solution), usability (the departure from current procedures required for
the dentist to use the solution including an average of the size and weight effects on the dentist
as well as additional time and effort involved with using the solution), sound attenuation power
(dB), power requirement, usable life, and durability. Each criterion was weighted for importance
on a scale from 1 to 10, with 10 being most important to the effectiveness and success of the
design. The most important criteria were determined to be safety (weighted 10), sound attenuation
power (weighted 9), and cost (weighted 8). Known test results for sound attenuation power were
used for as many proposed design alternatives as possible, but best logical estimations were
used in cases where no data was available. Criteria of moderate importance included ease of
implementation (weighted 7), usability (weighted 7), and durability (weighted 6). The least
important criteria were determined to be the usable life (weighted 3) and the power requirement
(weighted 2). The Pugh chart for the proposed earpiece design alternatives and room-scale
design alternative are shown in Appendix A followed by the Pugh chart for the proposed
handpiece modification design alternatives in Appendix B. The best solution was determined to
be the sound damping/absorbing material external casing design with a score of 85%. The design
alternative with the next highest score was the magnetic inductor coil design alternative with a
score of 80%. If time and resources allow, this design could be implemented in addition to the
sound damping/absorbing material external casing design for added noise reduction. However,
with the experimental determination that appreciable noise radiates from the entire length of the
dental handpiece instead of being concentrated at the head, this solution is of lower priority. The
following sections explain the considerations behind the rankings for each proposed design
alternative.
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handpiece itself, thus the operation of the dental handpiece during procedures is unaffected.
However, earpiece alternatives do not address the issue of dental noise at its source but instead
only mediate the issue by lessening the noise experienced by the patients and practitioners ears.
The implementation of an earpiece solution also adds appreciable time and effort required by the
dental professional because he/she must sterilize the patients earpiece between each use and
must make sure his/her earpieces and the patients earpieces are correctly inserted at the
beginning of each procedure in order for the noise reduction to be effective. The cost of the
earpiece alternatives is also great because two earpieces are required for each dental practitioner
exposed to the noise including the dentist, hygienist, and dental assistant as well as for each
patient chair.
The passive tube design alternative was determined to be the best earpiece solution
because the four active earpiece alternatives have additional downfalls. The active earpieces
require power from either a primary or rechargeable battery which must be periodically replaced
or recharged. The addition of a power source and circuit components also greatly increases the
cost of the earpiece as well as decreases the durability of the earpiece and introduces a potential
safety hazard if the battery were to leak or the internal components of the earpiece were to get
wet.
solutions because only one handpiece is required per patient chair. Beyond reasonable sound
reduction, cost is the most important factor to the client. The handpiece modifications also do not
require additional sterilization or require additional steps in advance of the procedure, with the
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exception of the bur aperture design alternative which requires the dental practitioner to tighten
the aperture after the bur is inserted. However, the handpiece modification design alternatives
have the disadvantage that the handling of the dental handpiece during dental procedures could
be affected by changes in the size and weight of the handpiece. Thus, the dental practitioner may
require additional practice to effectively use the handpiece during procedures, resulting in greater
time and effort required by the dental practitioner to implement a handpiece modification solution.
The internal wall casing, internal component casing, and internal component design alternatives
require less adjustment for the dental practitioner because these solutions affect only the weight
of the handpiece without affecting the size. The external casing design alternatives will also not
require a great deal of adjustment because these solutions affect only the radial size of the
handpiece without affecting the length. The bur extension design alternatives would require the
greatest amount of adjustment because they affect the length and therefore the positioning of the
alternatives. The most feasible alternatives include the sound damping/absorbing external casing
internal component casing fluid, and the magnetic inductor coil. The sound damping/absorbing
external casing allows room for implementation and easy access to the implementation site,
whereas the internal wall casings and internal component casings require implementation with
limited space and accessibility within the dental handpiece and such implementation could
potentially hinder the existing internal components of the dental drill. The exception is the internal
component casing fluid, which can easily be implemented, but a fluid may damage the existing
internal components of the drill. Overall, this solution is risky, and leaks are a potential safety
hazard, so this solution should not be pursued. While the vacuum external casing also allows
room for implementation like the sound damping/absorbing external casing, this solution is
currently not feasible because the casing would need to withstand a very high load as sound
reduction is not observed beneath the 90% vacuum level as indicated in the design summary. Of
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the bur maze extensions and internal components, the magnetic inductor coil is the most feasible
to implement because this solution incorporates the existing internal components of the
Due to the limited adjustment required from the dental practitioner and feasibility of
implementation, the sound damping/absorbing material external casing was determined to be the
best solution, which is supported by the highest score of 85% resulting from the Pugh chart
analysis. This solution is also relatively low cost because few materials are required, and the
materials are easily machined. This solution does not require additional power, and the chosen
material(s) will be safe and durable to provide an effective solution. Most importantly, sound
absorbing materials commonly provide sound absorption coefficients between 0.9-1.0 for high-
frequency sound at low costs, which is explained in the overview of the chosen solution23.
least beneficial solution to pursue with a score of 48% resulting from the Pugh chart analysis. The
technology behind such a solution has not been researched in depth for high frequency
applications. The cost and time to develop and effective solution would be very great and is not
a Pugh analysis score of 85%. As stated in the Design Alternatives section, this solution involves
adding a sound damping or sound absorbing material sleeve to the outside of the existing dental
handpiece. Additional drawings can be found at the end of the report. To effectively implement
this solution, the casing material, thickness, and location must be considered.
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coefficients between 0.9-1.0 for high-frequency sound24. The sound absorption coefficient is a
frequency-dependent measure of the sound absorption capability of a material which ranges from
0 to 1, with 1 being full energy absorption into the material with no sound reflection. The noise
reduction coefficient (NRC) is another measurement used for commercial sound absorbing
materials which represents the average of the absorption coefficients of the material at 250, 500,
1000, and 2000 Hz25. Given that this implementation focuses specifically on reducing high-
frequency noise, it is most important that the chosen material has high sound absorption
To reduce the number of materials to test, a Pugh chart (Appendix C) was constructed to
compare commercially used sound absorbing and sound damping materials. The criteria for
evaluation included cost, durability, sound reduction, ease of installation, heat resistance, weight,
safety, and effective thickness. After evaluation, polyurethane acoustic foam, melamine acoustic
foam, and sound damping polymer were determined to be the best materials for this application.
Each of these materials is sold in various thicknesses. As previously stated in the design
specifications, the solution should add no more than 2 cm to the radius of the handpiece. Testing
will be required to determine the minimum thickness of material required to achieve appreciable
sound reduction. However, another dental professional has indicated that carpal tunnel is also an
issue for dentists due to the small size of the dental handpiece, so increasing the radius of the
The most effective location to implement the external sleeve will also be tested. A sleeve
that extends along the entire length of the handpiece is currently proposed. According to the client,
the most important factor in location is that the handpiece must remain balanced to be used
effectively in procedures. Another important factor involves the need for sterilization of the casing,
which becomes more emergent as the casing gets close to the drill head which enters the patients
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mouth. To ensure that the dental handpiece will still be able to undergo the current sterilization
process over time, an easily removable casing is proposed to allow full sterilization of the
handpiece. An alcohol-resistant outer layer is also proposed for the casing to allow the casing to
The primary items include the acoustic materials, implementation materials (test foam, Xacto
Table 1. Itemized budget requested from the BME department totaling $132.
While the sound absorbing materials are inexpensive at a maximum of $10 per square
foot, acoustic materials are not commercially available in small quantities. However,
arrangements have been made with SoundAway, Polymer Technologies Inc, and Acoustical
Solutions to provide sample quantities of acoustic foams at no cost which should be suitable for
testing and prototyping purposes. The sound damping material strips are available in small
quantities, and 6 strips are requested. A spray can of 3M adhesive is requested to implement the
material casing, and test foam is requested to test implementation methods before using the
limited samples. An Xacto knife and calipers may be able to be located in the department and
thus may not need to be purchased. Dr. Barbour has approved use of his laboratory equipment
for sound level testing, but he suggested we also purchase an iPhone app called SoundMeter+.
15
Passive earpiece Active earpiece Room-scale
Criterion Weight 1-10 Passive tube 1st order LPF 2nd order LPF 2nd order BTW 3rd order LBF Ambient NC
Cost 8 6 4 4 4 3 1
Feasibility of Implementation 7 5 9 9 9 9 1
Power Requirement 2 10 4 4 4 4 1
Durability 6 9 4 4 4 4 8
Safety 10 10 7 7 7 7 5
16
Usable Life 3 7 5 5 5 5 7
Percent 100 70 59 59 61 59 48
Appendix A. Pugh chart comparing the passive and active earpiece design alternatives as well as
the proposed room-scale design alternative. Designs are compared on eight criteria including cost,
usability (average of size, weight, and time/effort effect on the dentist), sound attenuation power,
feasibility of implementation, power requirement, durability, safety, and usable life. Each design
alternative is finally given a total percentage score.
December 1, 2017
Internal
External Internal wall component Internal
casing casing casing Bur extension component
mag
air bur ind dual
Criterion Weight 1-10 vacuum d/a protrusions d/a d/a fluid maze maze coil aperture spinner
Cost 8 8 8 6 9 9 6 7 7 9 7 7
Dental Noise Attenuation
Size effect on
8.0 Appendix B
dentist 8 8 10 10 10 10 6 3 7 10 9
Weight effect on
dentist 5 8 5 8 8 2 3 3 8 3 8
Time/effort effect on
dentist 9 9 9 9 9 9 8 8 8 7 9
17
Feasibility of
Implementation 7 5 10 2 3 1 10 4 2 9 6 3
Power Requirement 2 10 10 4 10 10 10 10 8 10 10 8
Durability 6 8 8 7 9 9 9 7 2 9 8 9
Safety 10 10 10 10 10 10 8 9 8 8 9 9
Usable Life 3 10 10 10 10 10 10 9 7 9 9 6
Total 520 402 444 361 414 400 405 339 268 415 375 361
Percent 100 77 85 69 80 77 78 65 52 80 72 69
Appendix B. Pugh chart comparing the handpiece modification solutions including external casings,
internal wall casings, internal component casings, bur extensions, and internal component. Designs are
compared on eight criteria including cost, usability (average of size, weight, and time/effort effect on the
dentist), sound attenuation power, feasibility of implementation, power requirement, durability, safety, and
usable life. Each design alternative is finally given a total percentage score.
December 1, 2017
Sound absorbing materials Sound damping materials
Weight Polyurethane Melamine Mineral Polymer Polymer
Criterion 1-5 foam foam Cotton fiberglass sheet liquid
Cost 5 4 4 5 5 1 5
Durability 4 4 3 5 4 5 4
Sound reduction 5 5 5 5 5 5 4
Dental Noise Attenuation
Ease of installation 3 5 5 3 3 5 1
9.0 Appendix C
Heat resistance 3 4 5 5 5 5 5
Weight 3 5 5 5 4 5 5
Safety 5 5 5 4 4 5 4
Effective thickness 4 3 3 1 3 5 5
Total 160 140 139 133 134 140 134
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Percent 100 88 87 83 84 88 84
Appendix C. Pugh chart comparing potential sound absorbing and sound damping materials to be
implemented with the chosen external casing design alternative. Materials are compared on eight
criteria including cost, durability, sound reduction, ease of installation, heat resistance, weight,
safety, and effective thickness. Each material is finally given a total percentage score.
December 1, 2017
Dental Noise Attenuation December 1, 2017
10.0 References
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2002;133:16391642.
2 OSHA Noise Regulations. Occupational Safety and Health Administration, United States
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4 Mervine, Rebecca. Noise-Induced Hearing Loss in Dental Offices. PennWell CE. N.d. Web.
5 Keating-Biltucci, Mary Therese. Fear and Anxiety in the Dental Environment. RDH
Aug. 2014.
7 Visnapuu, Aarne, and James W. Jensen. Noise Reduction of a Pneumatic Rock Drill. Bureau
www.lhsfna.org/LHSFNA/assets/File/bpguide%202014.pdf.
9 Herrin, D.W. Sound Absorbing Materials. Noise and Vibration Short Course, University of
www.industrialnoisecontrol.com/comparative-noise-examples.htm.
12 Rebillard, Guy, and Rmy Pujol. Cochlea: Function. Journey into the World of Hearing,
tutorials.ws/filter/filter_8.html.
14 Walters, Sheldon, and Stephen Dance. Noise Control Potential of Vacuum Isolation
www.techniconacoustics.com/what-we-make.
16 Electrolux Innovates Again the Quietest Blender Ever. Consumer Trends, 27 July 2010.
17 LeBaron, Abel Dayer. Quiet Blender. 6 Jan. 2011.
18 Visnapuu, Aarne, and James W. Jensen. Noise Reduction of a Pneumatic Rock
Drill. Bureau of Mines, vol. TN23.U7, no. 8082, ser. 622.06173, 1975.
19 Nice, Karim. How Mufflers Work. HowStuffWorks, HowStuffWorks, 19 Feb. 2001,
www.auto.howstuffworks.com/muffler3.htm.
20 Controlling Noise on Construction Sites. Laborer's Health and Safety Fund of North
America, www.lhsfna.org/LHSFNA/assets/File/bpguide%202014.pdf.
21 The Speed of Sound in Other Materials. NDT Resource Center, NSF Advanced
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