Context: Pain is the most common cause of needle Phobia. To overcome this, many advanced injection techniques have been implemented. The most recent and advanced technique was using a small vibrating device to the conventional injection technique. In the Buzzy device, a noninvasive device is used in children that combine vibration and cold modalities to block pain sensation. Objective: The present study investigates the efficacy of three interventions methods (Buzzy, distracting cards and magic glove) in managing pain and fear in children during the operative procedure. Design: A prospective clinical study. Setting: Private hospital and Private dental clinic. Subjects: The purposive sample composed of (n=180) participants aged six to14 years and their parents. The study's participants were randomly assigned to two groups. The Intervention Group included (n=90). Among them established pain distraction (Buzzy more Distraction cards group (n=45) and distraction cards group (n=45) by the researchers. On the other hand, the control group was included in the same number (n=90), and no strategy was used. Tools: The pain levels were evaluated with the Numerical Pain Rating Scale. Statistical Analysis: The obtained data were compared and statistically analyzed using SPSS version 22. The following descriptive analysis, like Student's t-test and ANOVA (Univariate Analysis of Variance), was applied to determine the significant difference between them. Results: Pain and fear were similar in the two groups in which a pain management strategy was applied. Pain and fear were more significant when no strategy was adopted. Conclusion: The study results suggest that the Buzzy more Distraction cards method effectively decreased children's pain levels than the control group, according to observer-report and parent-report.