Behavior management is widely agreed to be a key factor in the care of children in pediatric dentistry. The American Academy of Pediatric Dentistry had outlined behavior management methods including voice control, tell-show-do, positive reinforcement, distraction and non-verbal communication, hand-over-mouth (HOM) technique, physical restraint and pharmacological interventions such as conscious sedation, nitrous oxide, and general anesthesia. Although, traditional techniques may be successful but the attitude of parents and dental professionals toward these techniques is changing. Nowadays non aversive techniques like distraction are becoming more popular. Distraction is an easily utilized method of reducing a patient’s apprehension during the occurrence of uncomfortable sensations. Present review of literature discusses the various distraction tools available to mange anxious pediatric dental patients.