Background: The management of pediatric patients during dental treatment is crucial for promoting positive attitudes and reducing anxiety. This study aimed to evaluate the color choice preferences for multi-colored dental restorative materials in pediatric patients and assess the impact of color selection on their attitude towards dental treatment.

Methods: A cross-sectional observational study was conducted in the Department of Pediatric and Preventive Dentistry, Jaipur, over a two-month period. A total of 60 systemically healthy children aged 4 to 8 years were included. Prior to treatment, the children completed a questionnaire consisting of 10 questions regarding color choice preferences. The children were divided into five groups based on their preferred color: white, pink, blue, green, and yellow. Restorations were performed using the child's preferred color.

Results: The highest color preference (35%) was observed in the pink color restoration group (Group 2). Additionally, 20% of children preferred tooth-colored restorations. The lowest color preference (5%) was found in the yellow color restoration group (Group 5).

Conclusion: The results of this study suggest that pediatric patients have varying color preferences for dental restorative materials. Pink color restorations were the most preferred, followed by blue, white, green, and yellow. Allowing children to choose their preferred restoration color can positively impact their attitude towards dental treatment, enhancing their cooperation and reducing anxiety. The findings highlight the importance of incorporating patient preferences in pediatric dental care to promote a positive dental experience and improve treatment outcomes. Further research is warranted to explore additional factors influencing color preferences and their potential impact on treatment acceptance and long-term maintenance of restorations.