A Study to Comparison of Two Dental Anaesthesia Techniques for Treating Permanent Molars Affected by Molar Incisor Hypomineralisation in Children

INTERVENTION: Intervention1: Four percent articaine with one in one lakh adrenaline: Single tooth anesthesia using four percent articaine with one in one lakh adrenaline administered using the intraligamentary technique through a computer controlled local anesthesia delivery system for restorative treatment of permanent mandibular first molars affected by molar incisor hypomineralisation and evaluation from starting of treatment to end of procaedure appro Xone and half hours Control Intervention1: Two percent lidocaine with one in eighty thousand adrenaline: Conventional inferior alveolar nerve block using two percent lidocaine with one in eighty thousand adrenaline administered using the computer controlled local anaesthesia delivery system for restorative treatment of permanent mandibular first molars affected by molar incisor hypomineralisation and evaluation from starting of treatment to end of procaedure appro Xone and half hours CONDITION: Health Condition 1: Q00‐Q99‐ Congenital malformations, deformations and chromosomal abnormalities PRIMARY OUTCOME: Anaesthetic success or effectiveness of single tooth anaesthesia using four percent articaine compared with conventional inferior alveolar nerve block using two percent lidocaine during restorative treatment of permanent mandibular first molars affected by MIH, assessed by pain response during the procedureTimepoint: At baseline at 30 minutes at 1 hour 30 minutes SECONDARY OUTCOME: Influence of MIH severity on the effectiveness of local anaesthesia & pain experienced during restorative treatment of permanent mandibular first molarsTimepoint: At baseline at 30 minutes at 1 hour 30 minutes INCLUSION CRITERIA: Pediatric patients aged Seven to Fourteen years Permanent first molars diagnosed with MolarIncisor Hypomineralisation Teeth with MIH‐TNI Inde Xscore Four requiring restorative treatment Cooperative children with Frankl Behavior rating scale score Three or Four Children whose parents or legal guardians provide written informed consent and where applicable child assent