Effectiveness of Puppet Modeling During Dental Emergency Visits on Dental Anxiety and Behavior of Children in a Subsequent Visit

The goal of this clinical trial is to learn if using a puppet in dental visits for children is an effective behavior guidance tool. The main questions it aims to answer are: * Does using a puppet to explain dental procedures to children during emergency dental visits lower their anxiety in a subsequent dental visit? * Does using a puppet to explain dental procedures to children during emergency dental visits improve their behavior in a subsequent dental visit? Researchers compared the effect of using a puppet to the traditional tell-show-do behavior guidance technique to see if the puppet is more effective in lowering their anxiety and improving their behavior. Participants were randomly allocated into two groups: * Group I: Children who received puppet play therapy in the emergency dental visit and in the subsequent dental visit. * Group II: Children who received only the traditional tell-show-do behavior guidance technique in the emergency dental visit and in the subsequent dental visit.

Inclusion Criteria: * healthy (including healthy children presenting with a localized dental abscess and no systemic involvement), * Arabic-speaking * and required emergency dental treatment under local anesthesia Exclusion Criteria: * ASA II or higher according to the American Society of Anesthesiologists Physical Status Classification, * or if they required advanced behavior guidance, such as protective stabilization, during the emergency visit.