Injection of local anesthetic is not the only method of achieving complete control of pain sensation during restorative dentistry for very young patients. Transcutaneous electronic nerve stimulation, also known as electronic anesthesia, can be used solely or in combination with nitrous oxide-oxygen inhalation or auditory diversion with music to assure the comfort and safety of some youngsters. This article documents placement of a Class I resin-modified glass-ionomer restoration in a severely carious maxillary primary first molar of a 27-month-old girl. Electronic anesthesia and nitrous oxide-oxygen inhalation were used in lieu of an anesthetic injection.