Introduction Dental fear and anxiety are frequently associated with the use of needles and syringes for local anaesthesia due to its appearance, especially in dentally anxious children. Aim & Objectives The aim of this study is to study the effectiveness of Hydroshooter cover in reducing dental anxiety towards local anaesthesia injection. The objectives of this study are to assess the dental anxiety of patient during local anaesthetic injection based on the patient’s perspective and to compare the effect of Hydroshooter cover and Conventional syringe in reducing dental anxiety during local anaesthesia injection. Methods This study involved a sample of 4 to 12 years’ old healthy patients that came for dental treatment using local anaesthetic at USIM dental polyclinic. A questionnaire with Modified Child Dental Anxiety Scale (MCDAS) was designed to collect the data from the patients. The questionnaires were filled in two different appointment; each for either local anaesthetic with Hydroshooter cover or local anaesthetic with conventional method. Result. Data was available for 38 patients with a mean of age 8 years. Overall, 70% of the patients were dentally anxious towards dental appointment and about 80% of the patients reported feeling anxious about having an injection in the gum. For the conventional syringe, 88% of the patients scored 4 and 5 for the local anaesthetic experience compared to only 15% of patients reported anxious to receive local anaesthetic with Hydroshooter cover. Conclusion The Hydroshooter cover is effective in reducing the dental anxiety amongst patient during the local anaesthesia injection. This is corresponding with the reduction of dental anxiety score for almost 50% compared to the conventional syringe.

Miswak (Salvadora Persica) has been used widely as oral aid since Babylonians era. Many methods have been introduced to improve the patient's denture hygiene but few researches on methods for cleaning edentulous area and denture to treat denture induced stomatitis. This study assessed the use of miswak stick to reduce denture induce stomatitis inflammation. A qualitative interview and questionnaires was conducted to assess the experience of miswak stick used 15 patients suffered from denture induced stomatitis. In addition, the inflammation areas were assessed using clinical photograph for the assessment of inflammation degree and denture stomatitis classification changes and compared with control group (using toothbrush). Four weeks’ result showed, no ulceration seen on the mucosa and edentulous arch. There was more than 50% (Mean=55.6%, SD±24.6%) reduction of inflammation surface area and redness. Patient with class 1 and 2 Newton's classification showed significant inflammation reduction more than 50% with 36.4% (Mean=20%, SD±9.9%) and 18.2% (Mean=20%, SD±9.9%). Patient also presented changes of the Newton's classification (n=26.7%). There is no significant different between using miswak vs conventional technique using toothbrush (p<0.05). Patients gave positive feedbacks of miswak on edentulous area as denture cleaning aid. In conclusion, miswak stick can be recommended as alternative oral care aid for edentulous patients and denture care. © 2020. All rights reserved.