Afaf I Mohamed *, Rizk A Elagamy **, Salwa M Awad*** ^{* B.D.S, Faculty of Dentistry, Mansoura University Egypt. ** Lecturer of Pediatric Dentistry, Faculty of Dentistry, Mansoura University.  *** Professor and Head of Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Mansoura University..}   Abstract: Objective:Aim:The aim of this study wasevaluation of the effectiveness of distraction techniques on child behavior in dental clinic using Frankle scale. Methods:Two hundred and forty (4-7) years' children who presented for treatmentin Pediatric Dentistry Clinic, Faculty of Dentistry, Mansoura University. Thenthey divided randomly into two main groups:  group I for boys and group II for girls. The two groups were subdivided into four sub-groups according to distraction techniques: music, stress ball, video eyeglasses (VR) and coping sub-group which further sub-divided into 3 sub-divisions (counting, press on mom's hand and breathing). One dental treatment visit was provided for each patient to evaluate the effect of different distraction techniques on child behavior using Frankle clinical rating of anxiety and cooperative behavior scale in pre, during and post anesthetic stages. Results:when comparing pre and during anesthetic stage The AV-group showed significantly highestpositive behavior than other sub-groups (p <0.005), then music sub-group, followed by squeezing mom's hand and stress ball then counting sub group. Stress ball and coping techniques have little effect on improving child behavior in dental clinics andthe lowestpositive behavior was recorded for controlled breathing sub-group. There was no statistically significant difference between boys and girls as there results were comparable. Conclusion: Distraction proved to be a useful tool to decrease the distress and improve child behavior during dental treatment especially video eye glasses and music techniques. Keywords: Child anxiety, behavior, distraction, coping.