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Dr. A Sudha

Dentist, Bangalore

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Dr. A Sudha Dentist, Bangalore
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. A Sudha
Dr. A Sudha is an experienced Dentist in Sampangiram Nagar, Bangalore. You can consult Dr. A Sudha at Sri Ram Dental Clinic in Sampangiram Nagar, Bangalore. Save your time and book an appointment online with Dr. A Sudha on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 32 years of experience on Lybrate.com. You can find Dentists online in Bangalore 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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Sri Ram Dental Clinic

#20, SMB Building, 1st main road, SampangiramnagarBangalore Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Do fillings last forever ?

Certified Implantologist, BDS
Dentist, Ambala
Do fillings last forever ?
"Do fillings last forever" is difficult to answer since there are so many factors at play. There have been fillings that last over 40 years while others fail within 1 to 2 years. The factors can include:

Type of material (silver amalgam vs. Resin composite).
Location in the mouth.
Oral hygiene.
Sugar intake.
Occlusion (how the teeth come together).

So, while occasionally a filling can last a lifetime, that is not the norm. Just like nearly all other medical appliances and devices, they can and do wear out. It is a myth that all fillings will last forever.

I am having blood in my mouth while sleeping. Some times the blood with saliva has yellow substance. What would be the reason.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
It is the pus discharge from your mouth. Go to anearby dentist for complete resolution of the problem.
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Sir my mouth opening is very small and have red and white mark their. Jaise hi kuch khata hu to lagta hai kuch tablet ya tube batao sir.

Mahatma Jyotiba Phule Rohilkhand University, MDS - Oral & Maxillofacial Pathology and Microbiology
Dentist, Bareilly
As per your description .u may be suffering from Oral Sub mucous fibrosis. First of all let be diagnosed till then you please avoid completely the spicy food and salty food .and apply a ointment known as Ulgel .in the affected area .and let be first diagnosed then undergo any further treatment.
2 people found this helpful
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Hi, I am 25 years old. I am suffering teeth problem. In my teeth blood coming daily. I am using sensodine teeth paste and brush also. But again blood coming between my teeth. And bad smell coming out on my teeth. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hi, I am 25 years old. I am suffering teeth problem. In my teeth blood coming daily. I am using sensodine teeth paste...
FOR TEETH PAIN: We need more investigations with clinical examination to decide upon treatment. You may need cleaning, root canal treatment & capping. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash. FOR BLEEDING GUMS: We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with surgical curettage or gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. FOR BAD SMELL: Dry mouth also can cause bad breath. Smoking or chewing tobacco-based products also can cause bad breath, You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then.
1 person found this helpful
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I have mouth ulcer in every 2 months and they heal up to 15 days. What should i do?

BDS
Dentist, Hyderabad
I have mouth ulcer in every 2 months and they heal up to 15 days. What should i do?
There are many reasons of having mouth ulcers, but you need to find out what is the root cause of the ulcers as there is no treatment unless the root cause is identified and that is fixed. All the treatments like applying lozen or creams is a symptomatic therapy. Check for stress, nutritional deficiency, hormonal imbalance, sleeplessness.
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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

My teeths are melting. My problem is cavity. Please suggest me something for this.

Bachelor of Dental Surgery
Dentist, Allahabad
My teeths are melting. My problem is cavity. Please suggest me something for this.
Dear Lybrate user, if your carious teeth are painful you need RCT of your painful teeth. If teeth are painless you need restoration (filling) of your carious teeth.
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I use Colgate mouthwash, do I need to rinse my mouth with water after that as we do in toothpaste or can I directly eat after 20 min?

MDS, BDS
Dentist, Bangalore
I use Colgate mouthwash, do I need to rinse my mouth with water after that as we do in toothpaste or can I directly e...
you need not wash with water....if you feel the taste very strong you can dilute and use the mouth wash or rinse your mouth with water....if you are using it on a daily basis...kindly give a break of a week every month....
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Why bleeding in my teeth? Whether I brush my teeth twice in a day. Can you suggest me a perfect way to stop the bleeding in my teeth.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Why bleeding in my teeth? Whether I brush my teeth twice in a day. Can you suggest me a perfect way to stop the bleed...
We need more investigations with clinical examination to decide upon treatment. You may need cleaning, root canal treatment & capping. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash.
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I am planning to go for wires in my teeth as I have little gaps in between my teeth and am also wanting to have a great smile. I am confused as from where should I get it done. The metal wire (silver one) costs rs. 6000 in vydehi dental college whereas the same item costs rs 18000 at a local dental clinic in whitefield. How would I know from where to get it done?

BDS
Dentist, Ahmedabad
I am planning to go for wires in my teeth as I have little gaps in between my teeth and am also wanting to have a gre...
Orthodontic treatment is a long term treatment and in colleges, you can never be sure that the same dentist is going to treat you for the entire duration of treatment. Select a good orthodontist of repute and go with it.
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