Back ground: 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:  Evaluation of the anxiety levels among children in the dental clinic using two different behavior management techniques. Methods: 60 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 two equal groups according to the type of behavior management technique.  Group 1: Tell Play Do (TPD) technique and Group 2: distraction using video eyewear (audiovisual distraction). Assessment of child's behavior was done during examination stage, anesthetic stage and restorative stage using Facial Anxiety Scale (FAS). Data were collected, tabulated and statistically analyzed using IBM-SPSS software version 25.   Results: There was a statistically significant difference using FASas the video eyewear group had more anxious behavior than TPD group during the restorative procedure (p value= 0.007). TPD technique significantly improved the child behavior during restorative stage compared to examination stage.   Conclusion: Tell play do technique is better than video eyewear distraction technique in reducing the anxiety levels.