Background: Maintaining primary teeth in the oral cavity is of prime importance, and grossly carious teeth may require pulp therapy for the same. Pain on injection and incomplete anesthesia causes failure of the procedure and result in fear and anxiety. Various methods have evolved to overcome this; such as distraction, topical anesthesia, etc. A few techniques regaining popularity in dentistry in recent times is the warming or buffering of the solution prior to administration. This study thus aimed to compare and evaluate the anesthetic efficacy and the patient’s pain reaction to pre-warmed, buffered and conventional 2% lignocaine for the success of Inferior Alveolar Nerve Block in mandibular primary molars undergoing pulp therapy. Methods: The study is a randomized, split-mouth trial. Sixty children between six -12 years, requiring pulp therapy bilaterally on mandibular primary molars, were administered conventional, buffered or pre-warmed 2% lignocaine on two separate appointments. Various parameters were assessed using objective and subjective scales. Results: Pre-warmed and buffered anesthetics had lesser pain on injection (p<0.001, p<0.001) and pulp therapy (p=0.001, p=0.014), faster onset of action (p=0.004, p=0.001), lower SEM Sound (p=0.035, p=0.028), Eye (p< 0.001, p=0.013) and Motor (p=0.008, p=0.021) scores and shorter duration of action (p< 0.001, p=0.015). No significant difference was found between the two modified solutions. Thus pre-warmed and buffered anesthetic solutions fared better than the conventional solution for all parameters but had no advantage over each other. Conclusion: Buffering or pre-warming the anesthetic solution reduces pain on administration and during procedures in children. Trial registration number: CTRI/2017/02/007922

Objectives: The purpose of this study was to determine bond strength of three self-adhering flowable composites. Materials and Methods: Mean tensile bond strength was measured in three groups – Group A – Constic, Group B – Dyad Flow, and Group C – Fusio Liquid Dentin on sound and demineralized primary teeth. Fracture pattern was studied using a stereomicroscope for each sample and in classified as adhesive, cohesive, or mixed fracture. Results: Mean tensile bond strength in sound enamel of Group A (Constic) was found to be 10.79 + 4.24, Group B (Dyad Flow) was 10.30 + 4.63, and of Group C (Fusio Liquid Dentine) was 11.87 + 4.45. No significant difference was found between the three groups (f = 0.327 and P = 0.724). However, a significant difference was found with demineralized enamel in three groups. Constic and Dyad Flow exhibited adhesive fracture pattern in majority of samples on sound enamel, whereas Fusio Liquid Dentin had mixed fracture pattern. On demineralized enamel, Constic exhibited adhesive fracture pattern majorly, whereas Dyad flow demonstrated mixed pattern and Fusio Liquid Dentin had more of cohesive fractures. Conclusion: Constic, Dyad Flow, and Fusio Liquid Dentin can be used instead of conventional pit and fissure sealants or in small occlusal cavities in primary teeth as a single step material.