Dental anxiety is one of the most common psychological challenges encountered in pediatric dentistry and significantly influences children's behavior, treatment acceptance, and oral health outcomes. Fear and anxiety associated with dental treatment can lead to avoidance of dental care, poor oral hygiene practices, and increased prevalence of dental diseases. Effective management of dental anxiety is therefore essential for establishing positive dental experiences and promoting lifelong oral health. Contemporary pediatric dentistry employs a combination of behavioral, psychological, pharmacological, and technological approaches to reduce anxiety and improve cooperation. Techniques such as tell-show-do, positive reinforcement, distraction, behavior shaping, parental involvement, conscious sedation, and virtual reality have demonstrated effectiveness in managing anxious pediatric patients. This review explores the etiology, assessment, behavioral manifestations, and evidence-based management strategies for dental anxiety in children. Emerging technologies and future directions in pediatric behavior management are also discussed.