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Table 1 Sound, eye, motor scale

From: Biological evaluation of the efficacy of two different anesthetic solutions in pain control during extraction of mandibular second primary molars

Parameter Comfort 1 Mild discomfort 2 Moderate discomfort 3 Severe discomfort 4
Sound No sound Non-specific sound Verbal complaint, louder Verbal complaint, shouting sound, crying
Eye No sign Dilated eyes without tears (anxiety sign) Tears, sudden eye movements Crying, tears covering the face
Motor Relaxed body and hand status Muscular contraction, contraction of hands Sudden body and hand movement Hand movements for defense, turning the head to opposite side