The majority of pediatric dental patients can be treated in the a normal dental environment by establishing good rapport with the patient and parent and by relying on sound behaviour management techniques, the anxiety and pain of many pediatric dental patients can be managed effectively using only local anaesthesia. In a few children who are unable to tolerate dental procedures comfortably despite gentle encouragement and adequate local anaesthesia, anxiety and pain control will have to go beyond communicative behavioural modification and physiochemical blockade of the anatomic pathways. For such patients pharmacological management technique technique must be taken to control anxiety.