“…There are many techniques have been used to reduce pain on palatal injection such as, topical pressure, topical anesthesia, topical cooling, TENS, CCLADS and papillary approach palatal anesthesia (19) . However, the number of adjunctive techniques and the different modern injection modalities were recommended to alleviate the palatal injection pain and discomfort, none of them have earned universal clinicians approval, some of them even time consuming, complex requiring-specific apparatus, expensive, and palatal injection is still painful and is relatively poorly tolerated by patients (5)(6)(7)(8)(9)(10) . Indeed, in addition to its abundance of nerve supplies, the palatal mucosa is compact, thick, and firm to its essential periosteum, such that injections into the palate are often extremely painful (5) .…”