1. What data in particular will be shared?
   Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
   


2. What additional supporting information will be shared?
   Response -  Study Protocol
   Response -  Statistical Analysis Plan
   Response - Clinical Study Report
   
   
3. Who will be able to view these files?
   Response - Anyone
   


4. For what types of analyses will this data be available?
   Response - To achieve aims in the approved proposal.
   


5. By what mechanism will data be made available?
   Response - Proposals should be directed to [bhandaremadhuri09@gmail.com].
   


6. For how long will this data be available start date provided 26-05-2024 and end date provided 27-05-2024?
   Response - Immediately following publication. No end date.
   


7. Any URL or additional information regarding plan/policy for sharing IPD? 
   Additional Information - NIL

INTRODUCTION:-

Dental fear and anxiety is one of the major challenges in pediatric dentistry . DFA is a common reason for avoiding dental treatment, which over time, may result in deteriorated oral health. Some children find it difficult to cope with the stimuli and behavioral demands associated with dental experience. This could be due to fear of the needle, bodily harm, or a general fear of the unknown. Successful treatment of pediatric patients, in terms of allaying their anxiety and discomfort during restorative and surgical procedures, is facilitated by  profound local anesthesia

In order to overcome this, many advanced injection techniques have been implemented. The most recent and advanced technique was using a Starpen-local anaesthetic device .and VibraJet-small  vibrating device to deliver dental anaesthesia.

METHODOLOGY-

Patient who satisfied the inclusion and exclusion criteria will be randomly divided into four groups consisting 10 patients each i.e. Group 1- Starpen –dental anaesthesia device , Group 2 – VibraJet –dental anaesthesia device, Group 3- Insulin Syringe and Group 4- Camouflaged L.A syringe ,Local anesthetic (LOX × 2% adrenaline) is delivered according to assigned group in the area adjacent to the tooth requiring invasive treatment procedure.

 Preoperative evaluation will be done before local anaesthesia admininistration by recording pulse rate and Venhams Picture Test which comprices 8 cards with 2 picture in each card one anxious  and one non anxious. The score ranges from  0 to 8 maximum score . Facial Image Scale - A subjective scale used to assess pain- A set of six cartoon faces will be shown to the child with varying facial expressions ranging from a very smiling face to a very sad face. A brief explanation will be given to the child about each face after which the child was instructed to choose the face that best described his/ her feelings before and after local anesthesia-Scores from 1 to 4.