Overview

The study aims to determine whether pre-cooling and sweet-tasting solutions, alone or combined with topical anesthesia, provide better pain control during dental local anesthesia in children.

It has two phases:

Phase 1: Identify the children's preferred sweet-tasting solution among xylitol, monk fruit, erythritol, and honey.

Phase 2: A randomized controlled trial comparing 7 groups involving pre-cooling, sweet solution, topical anesthesia, and their combinations.

The primary outcome is pain measured by VAS, while secondary outcomes include SEM behavioral response, heart rate, and oxygen saturation. The planned sample is 220 children.

Eligibility

Inclusion Criteria:

1. Age group 7-11 years
2. Patients requiring infiltration anesthesia to fulfill dental therapeutic needs
3. Frankl behavior scale 3 and 4

Exclusion Criteria:

1. Failure to provide assent or consent
2. Allergy from local anesthetic solution
3. Systemic diseases such as diabetes that could affect pain perception
4. History of abscess or fistula at site of injection