Abstract
BACKGROUND: Behavior management is a critical component of pediatric dentistry, essential for delivering effective dental care to children. Various techniques, such as tell-show-do, distraction, and voice control, are utilized to minimize anxiety and promote cooperation during dental procedures. This study aims to compare the effectiveness of these behavior management techniques in achieving successful treatment outcomes. MATERIALS AND METHODS: This randomized clinical study included 90 children aged 4-10 years, divided equally into three groups (n = 30) based on the behavior management technique applied: Group A (Tell-Show-Do), Group B (Distraction), and Group C (Voice Control). The study measured children's anxiety levels using the Modified Venham Anxiety Scale and cooperation levels using the Frankl Behavior Rating Scale during routine restorative dental procedures. Data were analyzed using ANOVA and post hoc tests, with a significance level set at P < 0.05. RESULTS: Group B (Distraction) demonstrated the highest reduction in anxiety levels, with an average score reduction of 3.2 ± 0.5, compared to 2.7 ± 0.6 in Group A and 2.1 ± 0.7 in Group C (P < 0.05). Cooperation levels were the highest in Group A (4.1 ± 0.4), followed by Group B (3.8 ± 0.6) and Group C (3.5 ± 0.7). Statistical analysis revealed significant differences between the groups in both anxiety reduction and cooperation scores. CONCLUSION: The study concludes that distraction techniques are most effective in reducing anxiety, while the tell-show-do method is superior in improving cooperation during pediatric dental procedures. Voice control, while effective, showed comparatively lower efficacy. These findings emphasize the importance of tailored behavior management strategies to ensure positive dental experiences for children.