Effect of a Candy Flavoring Before Local Anesthesia on Anxiety and Pain Perception in Children

This is a randomized clinical trial that aims to test the effect of using sugar-free flavors as a sensory distraction technique during local anesthesia on pain perception and anxiety when compared to negative control group. We expect that using the flavor before injecting local anesthesia will distract the child and reduce pain and anxiety.

Inclusion Criteria:Healthy (ASA Grade 1 status) childrenFirst dental experience for the child including local anesthesia.Children with caries lesions that require restorative treatment.Children who require the same treatment on upper primary first or second molars bilaterally.Exclusion Criteria:Children with poor behavior (unable to cooperate for dental treatment).Previous unpleasant dental experience (dental phobia).History of abscess, redness, fistula in the injection site (need for extraction).Presence of a systemic disease, mental, cognitive and intellectual disabilities.