Needle-related pain (NRP)/ Blenophobia occurs most frequently during anesthesia in dentistry. In children, the pain from NRPs can produce an emotional and negative cognitive response towards the procedure. Pain has long been associated with dentistry and has an unusual relation and is the main reason that leads the patient to seek dental treatment. In addition, dental fear and anxiety are the main causes that may lead patients to bypass dental appointments. Fear-related behaviors have long been recognized as the most serious aspect of patient management and can be an impediment to dental care. For invasive procedures, pain control is achieved typically by means of injection of local anesthesia. Although this method is highly effective, it is also the dental procedure that is most often associated with anxiety and negative responses. For some patients, the injection itself is painful, and thus the procedure that is designed to reduce pain may itself result in fear and procrastination. In addition, patients often experience more fear at the sight of a needle during the administration of local anesthetic than from the treatment itself. Therefore, dentists have attempted to minimize the intensity of NRP associated with any dental problem. The objective fear of the child during administration of local anesthesia ranges from sight of the needle to the pain that might be associated with needle injection, which increases the anxiety of the patient resulting in fear of receiving local anesthesia in the future. Thus, there is a need for attempting use of  several methods to minimize pain during administering local anesthesia. Jet-injector are needle-free systems that work with the principle of applying anesthetic solution with pressure to penetrate the tissues with spring-loaded devices, in a manner reinforced with pressurized air or gas. To the best of our knowledge, limited literature is available on the pain perception of the jet injectors on pediatric population. In this study, we aimed to compare the pain perception of jet injector method and conventional injection method in a pediatric population of age 6-12 years.

Primary Objectives: To compare the effect of the jet injection and conventional injection method on pain perception in children 6-12 years of age using Wong- Baker scale.

Methodology: Children coming in the department of pedodontics and preventive dentistry will be included in study and requiring administration of local anesthesia  on both sides of maxilla will be included in study for various procedures. Based on inclusion criteria, 50 children of age group 6- 12 years will be selected for study. Both the genders will have equal opportunity to participate in the study. Each child will be assigned for both the jet injector and conventional injection technique. Method to be administered first will be decided alternately and the side determination will be done by flip the coin technique.