Background: Dental anxiety and pain are common concerns in pediatric dentistry. These issues can lead to negative experiences for children and can make it difficult for them to cooperate during treatment. While medications can help manage these symptoms, it can also have side effects. This highlights the need for safe and effective complementary treatments. Aromatherapy, particularly with lavender and rosemary oils, has demonstrated anxiolytic and analgesic properties in different fields. However, their effect in helping children cope with dental anxiety and pain during procedures requiring local anesthesia has not yet been thoroughly studied.

Purpose: This study aims to investigate the efficacy of inhaled lavender oil, rosemary oil, and their combination in reducing dental anxiety and pain in children receiving local anesthesia for extraction of lower primary molar

Inclusion Criteria:

• Frankl behavioural rating score 2 or 3 during preoperative assessment.
• Healthy children ASAI.
• Children without a previous dental history.
• Children presenting with at least one mandibular molar indicated for extraction. (43)
• Completion of the written informed consent form by parents/guardian.

Exclusion Criteria:

• Children with colds, asthma, and any other respiratory diseases.
• Children who took NSAIDs or analgesic drugs in the last 8 hours before treatment.