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Pedodontics

Stages of Freud's Model

  1. Oral Stage (1-2 years):

    • Focus: The mouth is the primary source of interaction and pleasure. Infants derive satisfaction from oral activities such as sucking, biting, and chewing.
    • Developmental Task: The primary task during this stage is to develop trust and comfort through oral stimulation. Successful experiences lead to a sense of security.
    • Example: Sucking on a pacifier or breastfeeding helps infants develop trust in their caregivers.
    • Potential Outcomes: Fixation at this stage can lead to issues with dependency or aggression in adulthood. Individuals may develop oral-related habits, such as smoking or overeating.
  2. Anal Stage (2-3 years):

    • Focus: The anal zone becomes the primary source of pleasure. Children derive gratification from controlling bowel movements.
    • Developmental Task: Toilet training is a significant aspect of this stage. The way parents handle toilet training can influence personality development.
    • Outcomes:
      • Overemphasis on Toilet Training: If parents are too strict or demanding, the child may develop an anal-retentive personality, characterized by compulsiveness, orderliness, and stubbornness.
      • Lax Toilet Training: If parents are too lenient, the child may develop an anal-expulsive personality, leading to impulsiveness and a lack of organization.
  3. Phallic Stage (3-5 years):

    • Focus: The child becomes aware of their own genitals and develops sexual feelings. This stage is marked by the Oedipus complex in boys and the Electra complex in girls.
    • Oedipus Complex: Boys develop an attraction to their mother and view their father as a rival for her affection. This leads to feelings of jealousy and fear of punishment (castration anxiety).
    • Electra Complex: Girls experience a similar attraction to their father and may feel competition with their mother, leading to "penis envy."
    • Developmental Task: Resolution of these complexes is crucial for developing a mature sexual identity and healthy relationships.
  4. Latency Stage (6 years to puberty):

    • Focus: Sexual feelings are repressed, and children focus on developing skills, friendships, and social interactions. This stage corresponds with the development of mixed dentition (the transition from primary to permanent teeth).
    • Developmental Task: The maturation of the ego occurs, and children develop their character and social skills. They engage in activities that foster learning and peer relationships.
    • Potential Outcomes: Successful navigation of this stage leads to the development of self-confidence and competence in social settings.
  5. Genital Stage (puberty onward):

    • Focus: The individual develops a mature sexual identity and seeks to establish meaningful relationships. The focus is on the genitals and the ability to engage in sexual activity.
    • Developmental Task: The individual learns to balance the needs of the self with the needs of others, leading to the ability to form healthy, intimate relationships.
    • Potential Outcomes: Successful resolution of earlier stages leads to a well-adjusted adult who can satisfy their sexual and emotional needs while also pursuing goals related to reproduction and personal identity.

Oedipus Complex: Young boys have a natural tendency to be attached to the mother and they consider their father as their enemy.

Devitalisation Pulpotomy (Two-Stage Procedure)

The two-stage devitalisation pulpotomy is a dental procedure aimed at treating exposed primary pulp tissue. This technique involves the use of paraformaldehyde to fix both coronal and radicular pulp tissues, ensuring effective devitalization. The medicaments employed in this procedure possess devitalizing, mummifying, and bactericidal properties, which are crucial for the success of the treatment.

Key Features of the Procedure:

  • Two-Stage Approach: The procedure is divided into two stages, allowing for thorough treatment of the pulp tissue.
  • Use of Paraformaldehyde: Paraformaldehyde is a key component in the medicaments, providing effective fixation and devitalization of the pulp.
  • Medicaments: The following formulations are commonly used in the procedure:

Medicament Formulations:

  1. Gysi Triopaste:

    • Tricresol: 10 ml
    • Cresol: 20 ml
    • Glycerin: 4 ml
    • Paraformaldehyde: 20 ml
    • Zinc Oxide: 60 g

    Gysi Triopaste is known for its strong devitalizing and bactericidal effects, making it effective for pulp treatment.

  2. Easlick’s Paraformaldehyde Paste:

    • Paraformaldehyde: 1 g
    • Procaine Base: 0.03 g
    • Powdered Asbestos: 0.05 g
    • Petroleum Jelly: 125 g
    • Carmine (for coloring)

    This paste combines paraformaldehyde with a local anesthetic (Procaine) to enhance patient comfort during the procedure.

  3. Paraform Devitalizing Paste:

    • Paraformaldehyde: 1 g
    • Lignocaine: 0.06 g
    • Propylene Glycol: 0.50 ml
    • Carbowax 1500: 1.30 g
    • Carmine (for coloring)

    This formulation also includes Lignocaine for local anesthesia, providing additional comfort during treatment.

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