An air turbine handpiece having: a head portion with built-in free turbine blade, a neck portion installed consecutively with the head portion and grasped by an operator, a grip portion installed consecutively with the neck portion, an air supply duct for driving the turbine blade, and an exhaust duct for exhausting the air. The exhaust duct is provided with a reflux duct, open at one end to the exhaust duct, and open at the other end to the turbine room as the exhaust exit, a value in which an aperture at the reflux exit of the reflux duct is divided by an aperture in the air supply port of the air supply duct, becomes one or less, and the reflux exit of the reflux duct is opened to the turbine room near the air supply port between the air supply port and the exhaust exit.