Objective: The control of pain and dental anxiety is one of the major challenges in dentistry, especially in pediatric patients. Bad experience in dentistry leads high anxiety and dental fear, and it effects the patient’s whole life. European Academy of Pediatric Dentistry (EAPD) have a guideline for pediatric sedation but the guideline is inadequate about the indications of sedation in pediatric patients. Our aim is to develop a tool for sedation need of the pediatric patients in minor oral surgery procedures before they had a bad experience.

Materials-Methods: 500 Pediatric patients, ages 2-16 were included in this pilot study who planned to underwent to minor oral surgery procedures in Marmara University Oral and Maxillofacial Surgery Department Clinics. Children’s fear survey schedule- dental subscale (CFSS-DS) is used to assess patients’ level of anxiety. Preoperatively CFSS-DS questionnaire form was filled out by patients and their family members. Patients’ medical status and oral surgical treatment is ranked and recorded by dentist before the procedure. Intraoperative and post-operative all data included, complications, complains, completed or non- completed treatment were recorded and grouped. Statistical analyses was performed by using SPSS version 13 programme.

Results: Most of the non-completed procedures were in high anxiety and complex treatment groups.

Conclusion: As a conclusion, this study may serve as a tool for dentists and surgeons easily to decide either to perform treatments under sedation or local anesthesia in pediatric patients.