I have found working “super fast” is critical with young children. Seeing the attention span of my own young ones and being the oldest of 5 children growing up I feel speed is critical when treating children. We use very strong topical gels and give the injection in 2 steps. With this technique the most a child will feel is the initial pinch that lasts, and I tell them I will count out loud to 1, 1 second. I break everything else down into 5 second intervals, counting out loud, and can usually be done with their filling in minutes. This appears to be paying off! Even though this was a left over Valentines day card, I’ll take it!