الفهرس 
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Abstract
Background: Dental Anxiety is a worldwide problem and the main barrier for successful completion of dental treatment. The main target of the pediatric dentist is to treat children in an anxiety-free environment along with rendering highest quality of the dental care. Aim of this study: Evaluation of the anxiety levels among children in the dental clinic using four different behavior management techniques. Methods: 120 children aged 4–7 years indicated for restorative treatment under local anesthesia in their first dental visit were selected from the Pediatric Dental clinic, Faculty of Dentistry, Mansoura University. They were randomly divided into four equal groups according to the type of behavior management technique. group 1: Tell Show Do (TSD) technique, group 2: Tell Play Do (TPD) technique, group 3: distraction using video eyewear (audiovisual distraction) and group 4: distraction by observation the differences between two cartoon pictures. Assessment of child’s behavior was done during examination stage, anesthetic stage and restorative stage using Frankl Behavior Rating Scale (FBRS) and Facial Image Scale (FIS). Data were collected, tabulated and statistically analyzed using Chi-Square test. Results: Video eyewear group had the least positive behavior between the four groups during the restorative procedure as there was a statistically significant difference using FBRS and FIS (p value ≤ 0.050). In TPD group, there was a statistically significant difference by FIS as the child behavior improved during the restorative stage than the examination stage. There was statistically significant positive correlation between age and FBRS and negative correlation between age and FIS. There was no statistically significant difference between the two genders regarding anxiety level in all groups. Conclusions: Tell Play Do technique showed the most effective technique while video eyewear distraction technique showed the least effective technique in managing the child’s anxiety during the restorative treatment. As age increased, the child’s anxiety decreased. Gender is not a significant factor to affect children behavior in dental office.