Objectives: Assessing the effect of audiovisual modeling distraction on anxiety and cooperation behavior in 1st and 2nd dental visits of Saudi children aged 5–10 year-old in Qassim province. Materials and methods: Randomized controlled clinical trial conducted at College of Dentistry, Qassim University. After exclusion of nonconformity cases, sample size consisted of 98 patients distributed equally to test and control groups based on children's anxiety level. Quantification of children's behavior was based on Venham Scale for anxiety level and behavior rating scale was based on Frankle scale. Ratings were performed by a dentist other than the treating dentist and who was blinded on study procedure. Statistical analyses were carried out at a significance level of <0.05 and 0.01. Results: No statistical difference was detected for children in Group I (without audiovisual modeling) during their 1st and 2nd visits for anxiety and cooperation scales (p = 0.855 and 0.787, respectively). For group II (before and after audiovisual modeling), a statistically significant difference was found in anxiety and cooperation levels of children in the 2nd visit in relation to 1st visit (p = 0.010 and 0.000, respectively). Regarding studied groups in the 2nd visit, a statistically significant difference was found in group II as children who were watching the cartoon film in the 2nd visit before any dental treatment were less anxious and more cooperative with the dentist (p = 0.004 and 0.000, respectively). Conclusion: Audiovisual modeling in the form of a film/video is successful in reducing disruptive behavior in children during their dental treatment producing a less anxious and more cooperative patient.