Buffered Local Anesthetic

Inclusion Criteria: * Healthy children or children with mild controlled systemic illness * Treatment planned to receive restorative work on both sides of mouth (left vs right) under deep sedation, requiring local anesthetic administration Exclusion Criteria: * Children present with any illness or symptoms that can alter pain perception such as pain in head and neck area due to TMJ disorders, arthritis, autoimmune diseases * Antibiotic premedication requirement * History of taking medications (NSAIDs, narcotics, sedatives, and antianxiety or antidepressant medications) that may affect anesthetic assessment * Has signs of dental pain, odontogenic abscess or facial cellulitis * Allergy to local anesthetics or sulfites