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Dr. Rituraj Pathak

BDS

Dentist, Agra

7 Years Experience
Dr. Rituraj Pathak BDS Dentist, Agra
7 Years Experience
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Personal Statement

To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Rituraj Pathak
Dr. Rituraj Pathak is a popular Dentist in Fatehabad Road, Agra. He has been a successful Dentist for the last 7 years. He has completed BDS . He is currently associated with Relax Dental in Fatehabad Road, Agra. Save your time and book an appointment online with Dr. Rituraj Pathak on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 29 years of experience on Lybrate.com. You can find Dentists online in Agra and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
BDS - KD Medical College Mathura - 2010
Languages spoken
English
Hindi

Location

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Relax Dental

4, Jasoria Enclave, Fatehabad Road, Agra- 282001Agra Get Directions
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Blood is coming from my mouth from last 3 Year whenever I brush, suggest me what to do nd any medicine if exists.

BHMS
Homeopath, Jaipur
Blood is coming from my mouth from last 3 Year whenever I brush, suggest me what to do nd any medicine if exists.
Yes, there are lots of medicine for it but first you must go for cbc, this is sometimes due to deficiency. Then we can be more exact.
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My sister has sum gum problem. It became black and some blood comes out at very gentle strike on it. She is 22 years old. What should she do?

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
My sister has sum gum problem. It became black and some blood comes out at very gentle strike on it. She is 22 years ...
This gum problem is due to inflammation and infection of gums. Seen most commonly in periodontal problems, we need to find a solution ofr your periodontal problem.
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Sir, I was suffering from tooth (Molars) pain and finally go to hospital and removed it, but sir I found much more empty space in mouth. Sir my question is what should I do should I use artificial tooth or not if yes then PLZZ tell me who much it costs.

BDS, Masters in Immediate Loading Implants, Digital Smile Degin , Fellowship in Implantology
Dentist, Gurgaon
Sir, I was suffering from tooth (Molars) pain and finally go to hospital and removed it, but sir I found much more em...
Dental implant is best solution for missing teeth ranges from 15,000-50,000 different companies of implants are available in market. Visit your dentist fr more details.
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My one front teeth is getting blueish in color, why so? and what is the treatment to cure it?

MDS - Orthodontics, BDS
Dentist,
Sometimes the upper front tooth would have suffered trauma. This trauma will cut off the blood supply to the tooth, the blood inside the tooth cant go back and it gets collected inside the tooth. The blood on stagnation changes its colour. This colour when seen through the enamel may appear blue which may later turn into brown/black. Kindly visit the dentist who may diagnose the problem with the help of a radiograph.
1 person found this helpful
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B.D.S. (Dental Surgeon) , House Surgeon
Dentist,
Fruits and vegetables which are hard and require continous biting like apples, carrots and corn should be avoided during orthodontic treatment.

Suffering from mouth Guards for long time visited homeopathy doctor ,Doctor said because of stress it occurred, taking medication but yet not cured ,feeling burning sensation all over mouth to throat. Any one suggest me what's the reason? Medication for that?

BDS
Dentist, Delhi
Suffering from mouth Guards for long time visited homeopathy doctor ,Doctor said because of stress it occurred, takin...
Hi there! It's quite possible that you are suffering from allergy due to the mouth guard material itself. 1. Try not using the mouth guard for 7 to 10 days and observe 2. Consult a skin specialist to rule out food allergies 3. Consult a good dentist to rule out conditions known as lichen planus and RAS. Hope this information helps you. Wish you a speedy recovery. Cheers.
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Hi I have some problem about chewing tobacco in mouth I have very serious problem so I do not know what do do I can not eat properly due to tobacco so pls tell me what to do.

MDS Prosthodontics
Dentist, Chandigarh
Hi
I have some problem about chewing tobacco in mouth I have very serious problem so I do not know what do do I can n...
Listening to your symtoms it looks like you are developing a condition called oral submucous fibrosis. The treatment of patients with oral submucous fibrosis depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient. Most patients with oral submucous fibrosis present with moderate-to-severe disease. Moderate-to-severe oral submucous fibrosis is irreversible. Medical treatment is symptomatic and predominantly aimed at improving mouth movements.
2 people found this helpful
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MDS, BDS
Dentist, Gurgaon
Don’t forget to brush your tongue, or use a tongue scraper

Visit your dentist for regular advice and cleaning tips

Introduce your child to the sights and sounds of the dental practice at an early age to allay any dental phobia that might develop. Take them with you when you go for a check-up

Wean your baby off the bottle early to avoid them developing dental problems.
14 people found this helpful

What is the regular time period for tooth cleaning? implant treatment is recommended up to what age? What prerequisites are required to carry out root canal treatment in teeth? What is the best way for avoiding food particles in between small gaps in teeth?

MDS - Periodontics, BDS
Dentist, Ahmedabad
What is the regular time period for tooth cleaning? implant treatment is recommended up to what age? What prerequisit...
Every 6 months one should go for teeth cleaning, there is no age limit for implant unless you are medically compromised. Root canal treatment can b advised if the decay is very deep reaching upto the last layer of the tooth, to avoid for lodgement. You can use a floss or a proxa brush.
3 people found this helpful
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I had an angioplasty in mid jan'16 and am on blood thinners. Can I take antibiotics for my teeth/gums problems. I am 68 years of age.

MDS
Dentist, Sangli
I had an angioplasty in mid jan'16 and am on blood thinners. Can I take antibiotics for my teeth/gums problems. I am ...
Yes, surely you can take antibiotics for teeth/gum issues. But, it is always safe to take such medicines under dentists supervision for proper care and to avoid side effects and.
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I am 23 year old male I have teeth problem my teeth never pain but there are some yellow particles deposited on my teeth from childhood (around when I was of 12 yrs) that time my science teacher told me that it is florida because of increasing floridity in my body it deopsite on your teeth I'm very much depress about it kindly help me out please.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 23 year old male I have teeth problem my teeth never pain but there are some yellow particles deposited on my te...
The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

Hi, whenever I brush, I see blood coming out in my teeth which is causing for bad breath. Please suggest like how it happens & what should I do?

BDS
Dentist, Bangalore
Hi, whenever I brush, I see blood coming out in my teeth which is causing for bad breath. Please suggest like how it ...
This is the first sign of gum disease known as gingivitis. Please visit the dentist and get a professional scaling (cleaning) of teeth done. You can use a gud anti bacterial mouthwash regularly. Get the scaling done every 6 months.
1 person found this helpful
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Smoking or consuming smokeless tobacco is very harmful for your teeth

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Smoking or consuming smokeless tobacco is very harmful for your teeth
Smoking or consuming smokeless tobacco is very harmful for your teeth. It can lead to various oral diseases like oral cancer, gingivitis, periodontitis and tooth decay. 
80 people found this helpful

Certified Implantologist
Dentist, Kolkata
Most people have acidic saliva which makes the teeth more prone to cavities if proper and regular oral care is not taken. Do get your SALIVA TEST done by your dentist during regular check ups.
1 person found this helpful

I'm 22, male. I have pain in my tooth while I eat sweets. I think I may have cavities but there is nothing visible. Could you say me what is the problem and what is the cure? Also I had body lice which has currently gone but not 100%. I did not take any treatment but those reduced because of neem. What should I do to remove it completely? I think there may be some hidden in my head. Will that be possible and what will the cure for it?

MDS
Dentist, Ahmednagar
I'm 22, male. I have pain in my tooth while I eat sweets. I think I may have cavities but there is nothing visible. C...
The sensetivity in your teeth may either be due to loss of tooth enamel or dental caries (cavities). You can try using an over the counter desensetizing paste for 15 days. If the sensetivity continues or gets worse you should consult your neighbourhood dentist.
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I am 29 years old male my problem gums and teeth weaknesses how to solve my problem ?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 29 years old male my problem gums and teeth weaknesses how to solve my problem ?
- use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water or hydrogen peroxide to keep the area clean. Avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums. - eat a balanced diet and limit snacking between meals. Carbohydrates and sugars feed dental plaque. - try an oral irrigation device, commonly known as a" water pick, to clear debris from around the gum line. - have your dentures aligned as needed. - you may need deep cleaning along with surgical curettage or gum strengthening procedure. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser.
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BDS
Dentist, Ramanathapuram
Foods which can be eaten without any difficulty like dairy products, soft breads, softer grains, sea food and soft meat and soft cooked vegetables should be consumed in higher quantities than hard foods while undergoing orthodontic treatment.

My mom (age, 50)had a nasal cyst surgery before a month but she is yet not recovered, she have a severe tooth pain and weakness and suffering from heavy acidity from high dose medicines, Need help & suggestions to maker her recover fast -As I know it takes month to make this normal but 1.5 months is already passed and we are not getting positive results.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
My mom (age, 50)had a nasal cyst surgery before a month but she is yet not recovered, she have a severe tooth pain an...
Hello, during acidity she can do baking soda water mouth rinses, because of nasal cyst surgery there are chances that her sinus are inflamed which is causing pain in teeth. You can consult a dentist to pin point whether the pain is because of tooth or because of nasal surgery.
1 person found this helpful
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