PDF: Local Anesthesia in Pediatric Dentistry: A Literature Review on Current Alternative Techniques and Approaches


Prevalence of pain and dental anxiety plays a crucial part in pediatric dentistry. These factors cause a delay in pursuing dental treatment, which in turn increases early childhood caries.


Anxiety and fear that arise before and during local anesthesia administration persist as barriers for children experiencing dental treatment. 

Although local anesthesia plays a significant role in managing pain for children, researchers continue to search for various comfortable methods to alleviate the pain during local anesthetic administration.



Thus, the present overview aims to educate pediatric dentists concerning newer local anesthetic delivery devices and several approaches in alleviating dental anxiety and pain in children. 

The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”. 

Odontogenic pain related to dental caries, pulpal involvement, and dental trauma was reported favorably among children. 

It is one of the prime motives for pediatric patients to attend dental care, especially emergency services. 

Management of pain in pediatric dental care is a critical aspect of anxiety, often related to the induction of pain and exacerbates the pain perception. 

Consequently, these individuals experience higher pain, which persists for a longer duration with exaggerated pain memory. 



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