Treatment strategies should be based on the findings of the assessment and should address the contributing factors. Hence, it is imperative for paediatric dentists to be able to follow a child-centred or individualised approach to manage pain. This approach involves the participation of the parent and the child during the procedure, depending on the level of understanding. The child will either choose, associate or communicate during the process of the procedures. To ensure effective and positive results, the procedure should be done in a child-friendly environment, using appropriate pharmacological along with non-pharmacological interventions with routine pain assessment and reassessment.