The investigators are doing a study to see if a new way of giving local anesthesia during dental surgery can help children feel better after having a tooth removed under general anesthesia (when they are fully asleep). Normally, dentists give numbing medicine that can leave the lips or cheeks numb. This sometimes causes children to bite themselves without realizing it, which can make them upset when they wake up. In this study, the investigators are testing a special technique called intra-osseous anesthesia, which numbs only the tooth and not the surrounding soft tissues. The investigators hope this will reduce pain after surgery without causing numbness or accidental biting. Children in the study will be randomly placed into one of two groups: one group will receive this special anesthesia before the tooth is removed, and the other group will not. Before and after the procedure, the investigators will ask some short questions and observe the participants to check for pain, anxiety, or confusion. The parents of the participants will also receive a short online questionnaire to fill out the day after the procedure. The goal is to find out if this method helps children wake up more comfortably, feel less pain, and avoid side effects. This could improve how dentists care for children during dental treatments in the future.
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postoperative delirium in the child (flowchart)
Timeframe: 5 minutes after spontaneous eye opening
Pre- and postoperative pain in the child (Visual Analogue Scale - VAS)
Timeframe: Preoperative: upon arrival at the hospital Postoperative: after 120 minutes
Pre- and postoperative pain in the child (Face-Legs-Activity-Cry-Consolability Scale)
Timeframe: Preoperative: arrival at the hospital, postoperative: after 10,30,60,120 minutes
Pre- and postoperative anxiety in the child (CFSS-DS - Children's Fear Survey Schedule - Dental Subscale)
Timeframe: Preoperative: upon arrival at the hospital Postoperative: after 120 minutes