Since its inception, the field of dental medicine has had the challenge of trying to create a painless experience for the patient. The fear of pain attributed to anesthetic needle injection has been cited as an obstacle in providing appropriate dental care. 1 – 3 A variety of patient management techniques have been attempted to improve patient comfort during dental anesthetic administration, including but not limited to smaller gauge needle sizes, slow computer-regulated administration, distraction techniques, vibrating devices, and topical