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Dr. Rima Kikani

BDS

Dentist, Ahmedabad

8 Years Experience
Dr. Rima Kikani BDS Dentist, Ahmedabad
8 Years Experience ₹ online
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Personal Statement

To provide my patients with the highest quality healthcare, 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 healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Rima Kikani
Dr. Rima Kikani is one of the best Dentists in Bopal, Ahmedabad. She has over 8 years of experience as a Dentist. She studied and completed BDS. You can meet Dr. Rima Kikani personally at Orbit Dental Clinic & Implant Centre in Bopal, Ahmedabad. You can book an instant appointment online with Dr. Rima Kikani on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 40 years of experience on Lybrate.com. You can find Dentists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
BDS - Rajiv Gandhi University - 2008
Languages spoken
English
Hindi

Location

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No. 15A, Kabir Enclave, Bopal, Land Mark: Near Homeopathic CollegeAhmedabad Get Directions
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My teeth is aching from yesterday. What to do? which medicine to refer?

Advanced Aesthetics, BDS
Dentist
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My teeth is aching from yesterday. What to do? which medicine to refer?
Hi, there are various reason for toothache like worn down enamel, tooth decay, gum issue. I would advise you to visit dentist who can give you exact cause and solution of your problem after a physical check up. Without checking you clinically we can't suggest you anything.
2 people found this helpful

What is the reason for bad smell in mouth?

Dental surgeon
Dentist
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Occurrence of bad breathing has so many reasons but one of the most common reason is collection of plaque and/or calculus (soft or hard food particles ) on your teeth. So go for scaling and root planing of your teeth in simple terms cleaning of teeth by dentist.

I suffering bleeding from gums from from last 3 months currently i am using sensodine and also using hexidine for gargle and also hexigel for gums massage but result is not upto mark so what should i do?

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Scaling and polishing to be done with a local dentist. Try using Gumex for gum massage and take tab Flagyl -400 mg three times a day for 5 days. Also take vitamin Cap Becozinc 1 daily for 15 days.
1 person found this helpful

Dengue Vaxia

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

Dengue Vaxia
10 people found this helpful

I am 22years old male and have mouth blisters for last 5-10 days. What should I do?

oral implantology, BDS
Dentist
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I am 22years old male and have mouth blisters for last 5-10 days. What should I do?
for ulcers start taking Multivitamins tablets, reduce stress level, keep your stomach fit, drink plenty of water
1 person found this helpful

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Most commonly yongster question is that bleeding @ time of brushing.
Precaution-
Gargale with warm water after evary meal. Brush hefore going to bed.
If condition advanced then gargle with half glass of warm water with 1 teaspoon common salt and few amount of turmeric.

I usually have sprouts and fruits for dinner and that is as early as 7 in the evening. I have Roti dal and curry for lunch and cereals for breakfast. Do you think I should pop a multivitamin daily to make up for any vitamin deficiency if any. I have developed a mouth ucler leading me to believe maybe my present diet does not have sufficient vitamin. Please advice. If yes, which multivitamin?

BDS
Dentist
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Ulcer is not always due to vitamin deficiency. It could also be due to stress or hormonal changes among other reasons. We dr's prescribe multivitamins to help healing and not because we suspect that your diet is deficient in vitamins. Till ulcer heals you can pop cap becosules twice daily and apply dologel ct gel on affected areas before meals for relief.
1 person found this helpful

My lower jaw left side continue three teeth missing. I need to fix these teeth. Which treatment is good for me. Note: I have diabetic also.

BDS
Dentist
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My lower jaw  left side continue three teeth missing. I need to fix these teeth. Which treatment is good for me. Note...
Please show to dental surgeon you can have a removable partial denture, a fixed bridge and the latest one is implant and denture depends upon your condition and bone health condition fit for implant insertion.

My Tooth is little yellow in colour. I brush twice a day, what should I do to keep my Tooth white.

MDS - Orthodontics & Dentofacial Orthopaedics, Post Graduation Certicate In Clear Aligner Therapy, Post-Graduate Certificate in Oral Implantology (PGCOI) , Certificate In Advanced Endodontics,Laser Dentistry, BDS
Dentist
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My Tooth is little yellow in colour. I brush twice a day, what should I do to keep my Tooth white.
You need to consult a dentist. 1st you need to go forscaling session if yellowish stains are superficial and if you teeth originally yellowish its is due to internal staining and you might require bleeching session.

I am a 30 years old female. I have gap between front teeth. My teeth some what is there. So that I want to do surgery for my teeth. Please advise low cost treatment.

BDS
Dentist
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The gaps can be cosmetically treated else orthodontic treatment is other option depending on the gap between the two tooths.

How do I stop gum bleeding?

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How do I stop gum bleeding?
gum bleeding can be caused due to a variety of reasons, namely, buildup of plaque on the gum line, infections, brushing too hard, ill fitting dentures or other appliances, bleeding or other systemic disorders. each cause comes with its own sign and symptom and its treatment accordingly, thus its imperative you consult a dentist for a comprehensive oral care.

I am suffering mouth ulcers very frequently since 3 years. Though am using some medicines they are not giving a permanent cure. So please give me a strong advice.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist
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Take fibrous diet add two bananas to ur diet drink plenty of of water take cap BNC once a day use metrogylDG gel over ulcers

Does anyone heard about Gum infection cured by laser and is this available in INdia anywhere?

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist
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Does anyone heard about Gum infection cured by laser and is this available in INdia anywhere?
gums infection can't be cured only by laser we have done scaling and root plaining and easily available in metro city's clinc you can search online.

I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2 is completely infected and m1 is infected but in the outermost layre of enamil.

BDS (GOLD MEDALIST)
Dentist
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I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2...
According to you x-ray the tooth which is completely infected and if pulp is exposed, rct is the only option and the tooth in which only enamel is infected can be saved by filling.
17 people found this helpful

Sir my few teeths are gone and few are moving. I unable to speak clearly. What will be the solution?

BDS
Dentist
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Please go for treatment to save rest of teeth . As per your detail you have gum problem like pyorrhea. Go to Dentist for Scaling or flap surgery if required to save the teeth. Then go for replace missing teeth by fix dental implant/bridge, or removable denture.

Hello sir good after noon. Respected sir my mouth in pustulation in every month and that is sea up in approx eight days please solve problem and informing me thanks.

MDS - Oral & Maxillofacial Surgery
Dentist
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Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. Advance procedures can be done with laser. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

Sir i suffering tooth ache.I have moxikind625,ampilox,metrogyl 400,imol plus for tooth ache from i consulted doctor.After eat medicine my pain reduce but stomach ache more timesss.Two days i have coming more stomach ache.I take gelusil tablet.But still having stomach ache.What i do?

MFDS RCPS (Glasgow), MDS - Oral & Maxillofacial Surgery, BDS
Dentist
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For a toothache, the permanent solution is only identification of the cause and its treatment. Antibiotics alone can, at best, give you temporary relief, and often, create additional problems, as in your case. Consult your dentist again so they may either stop, or change, your antibiotics, as necessary, and begin definitive treatment of the actual dental problem causing your trouble. In the meantime, you may use something like Pantoprazole 40 mg once or twice a day, Ranitidine 150 mg twice a day, etc. To reduce the gastric discomfort. You can add Cap Sporlac twice a day in case of diarrhea.
3 people found this helpful

Sir, my all d lower teeth which help in eating got rotten and l am not able to chew food properly due to this I got indigestion problem, all the food which I used to eat got passed down through stools, and I am feeling weak n unhealthy, pls advise me what to do?

MDS - Oral & Maxillofacial Surgery
Dentist
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Sir, my all d lower teeth which help in eating got rotten and l am not able to chew food properly due to this I got i...
You may need filling or root canal treatment & capping. Until then Rinse thoroughly with mouth wash. Then apply clove oil on the decayed tooth.
2 people found this helpful

BDS, PGDFO
Dentist
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Gingivitis is a mild form of gum disease which occurs because of the inflammation of the gums. It can easily be reversed with daily brushing and flossing and getting dental cleaning done regularly.
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