Hadzic's Regional Anesthesia > Part VII. Regional Anesthesia for Pediatric Surgery > Chapter 55. Local & Regional Anesthesia in Pediatric General Dentistry Ilija Škrinjarić, DMD

Factors Influencing the Occurrence of Pain during Injections of Anesthesia

"The dentist can control the discomfort and fear of local anesthesia. To ensure this outcome, it is necessary to acknowledge many factors that have a significant influence on the degree of pain during the administration of anesthesia. Some of the most important are the patient's fear and anticipation of pain, perception of the needle and syringe, technique and method used, condition of local tissue, and how well the surface anesthesia is applied.Most children consider the injection of anesthesia to be the most undesirable intervention in the mouth.^1,5 The administration of local anesthesia is not only a stressful experience for the patient, but also for the dentist. This is particularly the case when the patient anticipates pain and unwillingly accepts the procedure of anesthesia^2,8,9 (Figure 55–1)...."