Effect of Local Anesthesia Techniques on Pulp Hemostasis in Primary Molars

Inclusion Criteria: * Children aged 6-9 years. * Presence of a pulpotomy indication in both mandibular primary second molars (teeth 75 and 85). * Systemically healthy children classified as ASA physical status I or II. * No known coagulation disorders. * No use of analgesic, anti-inflammatory, antithrombotic, or antipyretic medications within the previous 7 days. * Sufficient cooperation and compliance to allow completion of the planned clinical procedures. * Written informed consent obtained from a parent or legal guardian for participation in the study. * No history of a serious adverse reaction or complication associated with either of the local anesthesia techniques used in the study. Exclusion Criteria: * Children with systemic health conditions classified as ASA physical status III or higher. * Known allergy or hypersensitivity to the local anesthetic agents or other dental materials used in the study. * Presence of a known coagulation disorder or use of analgesic, anti-inflammatory, antithrombotic, or antipyretic medications within the previous 7 days. * Presence of severe infection, pulp necrosis, advanced root resorption, or any other dental condition requiring a treatment approach other than pulpotomy in the mandibular primary second molars. * Insufficient cooperation or behavioral difficulties that would prevent completion of the planned clinical procedures. * History of a serious adverse reaction or complication associated with either of the local anesthesia techniques used in the study. * Inability to comply with the study protocol or attend the scheduled study visits.