Dental anxiety and fear are the most common challenges faced by dentists in paediatric patients during dental procedures. These are major obstacles that interfere with providing effective dental care to children. Dental anxiety can influence a child’s behaviour. Behaviour management plays a vital role in providing an effective and efficient dental care and to instil a positive dental attitude to the child. The Tell-Show-Do (TSD) technique is a conventional behaviour management method. It emphasizes ensuring children are well-informed and verbally guided through procedures (Tell), followed by demonstration through visual, tactile, and auditory means in a non-threatening way (Show), and finally, performing the procedure without deviating from the explanation (Do). Tell-Show-Ask-Show-Do (TSASD) technique it is new form of behaviour shaping that actively involves the child in the learning process under the concept of learning by doing. The Tell-Show-Ask-Show-Do technique includes a verbal explanation of the procedures using simple, non-threatening language to help children understand the process (Tell). The dentist demonstrates the procedures on a dental model to familiarize children with the procedures (Show), followed by asking to reproduce or repeat the explanation provided by the dentist (Ask). This engages the child, assesses their understanding, encourages participation, and reinforces learning by making them to perform the procedure on the dental model (Show). This will improve the cognitive and neuro motor skill development which is associated with the dental procedure. This improves the child’s behavioural response to treatment. Finally, the procedure is carried out by the dentist without deviating from the what been explained (Do). Therefore, this study aims to assess the effectiveness of the tell-show-ask-show-do technique compared to the tell-show-do technique in managing dental anxiety in pediatric dental patients.

OUTCOME MEASURES:

Physiological Response: Changes in heart rate will be recorded before, during, and after the

dental procedure using a heart rate monitor

Subjective Anxiety Level: Changes in the RMS-PS scale (pre- and post-treatment).