The primary cause of fear of dentists is the pain associated with dental treatment for which dental surgeons administer local anaesthetics. Local anesthesia (LA) acts by diffusing into the nerve membrane and blocking voltage gated sodium channels. However, the very process of administering LA is perceived as painful. The prick of the needle initiates a sharp acute pain while the infiltration of the LA fluid results in a dull and prolonged pain due to rapid distension of the tissue spaces and chemical irritation to the local nerve. The use of an insulin needle to inject the LA will trigger less nociceptors when compared to a regular 26G needle due to its finer diameter resulting in a significant reduction in pain perception. Also, employing a pre-anesthetic tool such as iced cotton swabs causes a temporary drop in tissue temperature at the site of injection. The cold temperatures temporarily reduce cellular metabolic rates, decrease the free nerve ending sensitivity, increase nerve firing threshold and slow down synaptic activity. It also slows down the blood flow and reduces inflammation. Furthermore, topical ice pressure application will reduce tissue expansion. All these factors will help in effective pain reduction during an LA injection.