Tell-Show-Do

Tell-show-do involves verbal explanations of procedures in words appropriate to the developmental level of the child (tell); demonstrations of the visual, auditory, olfactory, and tactile aspects of the procedure in a carefully defined, nonthreatening setting (show); and then, without deviating from the explanation and demonstration, completion of the procedure (do). The tell-show-do technique is used with communication skills (verbal and nonverbal) and positive reinforcement.

For young children, the challenge is making the “tell” understandable, the “show” non-threatening, and the “do” simply touch and light pressure.

In telling, try to use analogies that the young child can understand. “Counting” teeth while saying numbers (i.e., “one, two, three”) may create an association with activities the child has experienced at home or at preschool. In showing, it is a good idea to cover sharp points on instruments to avoid frightening the child. Immediately before doing, it often helps to offer an analogy for the feeling that the instrument creates, again, choosing something that is benign in connotation and within the experience base of the typical child of that age.

Distraction

Distraction can be an effective technique for young children. Distraction provides the opportunity to create or extend time to complete a procedure. Distraction is usually verbal, with the oral health professional posing a steady stream of questions about a child's clothing, toys, pets, and other aspects of his or her life.

It is important to realize that it's up to you to keep the question coming and make sure the child remains distracted. Be prepared to talk about your own experiences and observations, as well, so as not to run out of things to say. Rather than trying to engage in conversation, pose “yes” and “no” questions. Be aware that some children may want to talk or show you something, interrupting care.

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