Aim: To understand impact of pre-operative anxiety during inferior alveolar nerve block based on pain perception.

Methods: Data of 299 dental patients who collected. These patient were treated for restorative need in the Dental Section of Islam Dental College, Sialkot. Modified. Dental. Anxiety. Scale. (MDAS) was used to assess the patient’s anxiety levels.. Visual. analog. scale. was used to document the pain perceived of inferior alveolar nerve block.

Results.: Anxiety and pain showed a statistically significant correlation-ship. Our findings were suggestive of increased pain associated with anxiety.

Conclusion.: Assessment of anxiety levels prior to performing painful procedures can pro-actively benefit the patient and the operator. Yes, advanced methods of pain control are available but they need to be implicated judiciously. Assessing patient’s anxiety and then providing dental care will help improve dental care.

Keywords.: Local anaesthesia (LA), Inferior alveolar nerve block IANB, dental anxiety