Inclusion Criteria:  Children between 5-7 years old age. Both genders. First dental visit Positive and definitely positive behavior according to Frankel behavior scale. Two or more badly decayed primary maxillary first molars beyond repair and need to be extracted. Systemically and mentally healthy.  Exclusion Criteria:  History of systemic or mental conditions. Special health care needs who require pharmacological management prior to dental treatment. Acute dental pain or trauma. Extremely uncooperative children who require being treated under general anesthesia, negative and definitely negative according to Frankel behavior scale