The Ultimate Guide to Hearing Aid Domes: Comfort, Clarity, and Choice


Are hearing aid domes necessary? What are the most comfortable hearing aid domes?


If you’re new to hearing aids, you might wonder about those small, dome-shaped attachments. These are hearing aid domes, essential for a comfortable and effective hearing experience. Let’s explore this key component and answer some common questions.


What Are Hearing Aid Domes?

Hearing aid domes, also called earbuds, are small, soft caps fitting over the hearing aid’s speaker. They help deliver sound from the device into your ear canal. These domes come in various shapes and sizes to suit different ear shapes and hearing aid styles.


Are Hearing Aid Domes Necessary?

Yes, hearing aid domes are necessary for several reasons:


  • Secure Fit: Domes create a snug seal in your ear canal, holding the hearing aid in place. This ensures optimal sound delivery and prevents feedback.
  • Sound Clarity: Domes channel amplified sound directly into your ear canal, enhancing sound quality and clarity.
  • Comfort: Domes come in various shapes, sizes, and materials, providing a comfortable fit all day.


Think of hearing aid domes like the comfortable ear tips on your headphones. They keep everything in place and deliver sound directly to your ears.


What Are the Most Comfortable Hearing Aid Domes?

Comfort is key! Here are some factors to consider when shopping for domes:


  • Material: Domes are typically made from soft silicone or plastic. Some offer a softer, more flexible feel for added comfort.
  • Size: The dome should comfortably fit your ear canal. An ill-fitting dome can cause discomfort. Hearing professionals can help you find the perfect size.
  • Shape: Domes come in various shapes, such as open, closed, and tulip. Each shape offers distinct benefits. A hearing professional can recommend the best shape for your needs.


Size Matters: How Does It Affect Sound Acoustics?

The size of your hearing aid dome impacts your listening experience. Larger domes provide a more open sound but may not fit comfortably. Smaller domes can be more comfortable but limit sound openness. The right size balances comfort and sound quality. Work closely with your hearing care provider to find the perfect fit.


Different Types of Domes


Open Domes

Open domes have holes, allowing low-frequency sounds to naturally enter and leave your ears. They deliver more volume to higher frequency sounds, ideal for those with average or mild low-frequency hearing loss. They don’t block your ears as much, so you’ll feel less occlusion. However, they might occasionally cause a hearing aid to whistle.


Closed Domes

Closed, or occluded, domes look similar to open domes but have only one or two holes. They are better for people who need more amplification to maximize their hearing.


Power Domes (Double Domes)

Power domes allow more sound to reach your inner ear. These occlusive domes block your ear canal, which is necessary for optimal hearing. They also reduce feedback.


Finding the Perfect Fit

Domes come in various sizes because everyone’s ear canal differs. Clinicians assess your ear canal’s size and shape to choose the right dome during a fitting. When inserted, a perfectly fitting dome will be comfortable, secure, and slightly resistant.


Each manufacturer supplies domes to fit their specific hearing aid models, including Phonak, Starkey, ReSound, and Unitron.

Ten different types of Starkey hearing aid domes sit on a white background.

 How Hearing Aid Domes Impact Your Experience


Hearing aid domes, though small, greatly affect your hearing experience. They influence sound quality, comfort, and even how you perceive your own voice. Here’s how different types of domes can impact your hearing:


Benefits of Hearing Aid Domes

  • Clear and Natural Sound: The right hearing aid dome can make the outside world sound clearer and more natural. The type of dome depends on this, and we can help you choose.
  • Hearing Your Voice: Some domes allow a natural sound level to pass through. This means you can hear your own voice as usual, making the hearing aids more comfortable to wear.
  • No Fitting Time: One major advantage of hearing aid domes is the lack of fitting time. You can use them immediately after unboxing. This is great for those who don’t want to wait for custom-fit hearing aids. They are also perfect for demoing hearing aids before purchase.
  • Discreet Appearance: Hearing aid domes are small and fit snugly into your ear, making them quite discreet.

Sound Quality

  • Open Domes: Allow natural noise to filter through, improving sound quality and making your voice sound natural.
  • Closed Domes: Block more of the ear canal, amplifying low-frequency sounds.
  • Power Domes: Create a complete seal, providing maximum sound amplification with minimal sound dissipation.



  • Larger Domes: Provide a more open, natural sound but may not fit all ear canals comfortably.
  • Smaller Domes: May be more comfortable but can limit sound openness.
  • Improper Fit: This can cause discomfort and trigger feedback, resulting in a high-pitched whistling sound.


Background Noise

  • Open Domes: Allow more outside sound to pass through.
  • Closed Domes: Block more ambient sound, better for advanced hearing loss where background noise is a distraction.


Choosing the right hearing aid dome can significantly improve your hearing experience, providing clarity, comfort, and convenience.


Dome Dilemma: Which Hearing Aid Domes Are Better for You? 


Choosing between open, closed, or tulip hearing aid domes can be challenging. Each type offers unique benefits; the best choice depends on your needs. Let’s explore these common dome types to help you navigate the dilemma.


Open Domes: A Natural Choice

Function: Open domes have small vents, allowing natural sounds and amplified sounds to enter the ear canal.




  • Reduced Occlusion: Alleviates the plugged-up feeling some experience with hearing aids.
  • More Natural Sound: Allows low-frequency sounds to pass through, creating a balanced listening experience.
  • Improved Situational Awareness: You’ll be more aware of your surroundings, like traffic noise or nearby conversations.




  • Less Sound Amplification: It may not be ideal for severe hearing loss.
  • Potential for Feedback: Open vents might increase the chance of whistling or feedback in noisy environments.


Closed Domes: Sealing the Deal for Clarity

Function: Closed domes create a complete seal within the ear canal, blocking most external noise.




  • Enhanced Sound Amplification: Provides a tighter seal, maximizing amplified sounds for better clarity.
  • Reduced Feedback: The tight seal minimizes the chance of whistling or feedback.




  • Increased Occlusion: This may create a more plugged-up feeling in the ear canal.
  • Less Natural Sound: Blocks most external noise, which might feel unnatural for some users.


Tulip Domes: A Targeted Approach

Function: Tulip domes are a type of closed dome with a narrow tip fitting deeper into the ear canal.




  • Ideal for Severe Hearing Loss: A deeper fit offers a tighter seal and more focused sound delivery.
  • Reduced Wind Noise: The design helps minimize wind noise, making them suitable for outdoor activities.




  • May Feel More Intrusive: Deeper insertion can feel less comfortable for some users.
  • Not Suitable for Everyone: The narrow tip might not be appropriate for all ear canal shapes.


So, Open, Closed, or Tulip?

Here’s a quick breakdown to help you decide:


  • Open Domes: Ideal for mild hearing loss or those who prefer a natural sound experience.
  • Closed Domes: Good for moderate to severe hearing loss or those prioritizing sound clarity in noisy environments.
  • Tulip Domes: Suited for severe hearing loss and frequent outdoor activities.


Experiment with different dome types and sizes to find the most comfortable fit. Your hearing care provider can assess your hearing needs and recommend the best dome type for optimal results.


Dome Dos and Don’ts: Essential Tips for Optimal Hearing Aid Dome Care 


Proper care of your hearing aid domes is essential for optimal performance. Here are some key tips to ensure your domes last and function well.



  • Clean Regularly: Wipe your domes with a soft, dry cloth after each use to remove earwax buildup, which can impact sound quality and comfort.
  • Inspect Frequently: Regularly check your domes for signs of wear and tear, like cracks or hardening. Replace them as needed to maintain optimal performance.
  • Store Carefully: Store your hearing aids in their protective case with the domes attached. This keeps them safe from dust, moisture, and damage.
  • Follow Instructions: Always follow the cleaning and care instructions from your hearing professional or the dome manufacturer.




  • Submerge in Water: Never submerge your domes in water. Moisture can damage the delicate electronics within your hearing aids.
  • Use Harsh Chemicals: Avoid using harsh chemicals, alcohol, or abrasive cleaners on your domes. These can damage the material and shorten their lifespan.
  • Stretch or Pull: Don’t pull or stretch your domes excessively. This can cause them to lose shape and become uncomfortable or ineffective.
  • Ignore Discomfort: If your domes become uncomfortable or cause irritation, stop using them and consult your hearing professional. They can help identify the issue and recommend a solution.


Maintenance: How Often Should You Clean and Replace Hearing Aid Domes?


  • Clean your domes daily using a soft, damp cloth or a specialized cleaning tool. Avoid sharp objects, like pins or toothpicks, which can damage the dome or push wax deeper into the hearing aid.
  • Depending on usage and maintenance habits, you should replace your domes every 2-6 months. Regular check-ups with your audiologist can help determine the right time for replacement.


Why Manufacturer Domes Shouldn’t Be Swapped or Replaced


Using generic or off-brand domes can lead to discomfort, reduced sound quality, and potential damage to your hearing aid. Manufacturer-designed domes work with your hearing aid model, ensuring optimal sound quality, comfort, and performance.


Proper care of your hearing aid domes is crucial for maximizing the benefits of your hearing aids. These tips will help you keep your domes in top condition and ensure a consistently enjoyable hearing experience.

Hearing aids with domes sit on top of an audiogram.

Finding the Perfect Dome


Hearing aid domes significantly enhance your hearing experience. They provide comfort, clarity, and the right fit for your needs. Whether you prefer open, closed, or tulip domes, finding the perfect match is essential for optimal performance.


Regular maintenance and timely replacement of these accessories ensure they remain effective and comfortable. Follow our dos and don’ts to keep your hearing aid domes in top condition.


Ready to find the perfect domes? Contact American Hearing + Audiology for expert guidance. We can help you choose the right domes for your hearing needs. Visit our website to explore our hearing aid dome selection, and buy your favorite domes online today.