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Dr. Ashok Gowda

Dentist, Bangalore

Dr. Ashok Gowda Dentist, Bangalore
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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. Ashok Gowda
Dr. Ashok Gowda is a trusted Dentist in Koramangala, Bangalore. You can meet Dr. Ashok Gowda personally at COSMODENT - Koramangala in Koramangala, Bangalore. Book an appointment online with Dr. Ashok Gowda on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 37 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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COSMODENT - Koramangala

#1007, 1st Floor, 1st Cross, 7th Main , 1st Block, Koramangala. Landmark : Above Ratna Hard Ware,& Opp to Wipro ParkBangalore Get Directions
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I had typhoid in my childhood days, and now I came to know that I used to chew some tablets. Because of that my teeth have yellowish-brown colour. I want it shinning, but I don't know what to do?

BDS
Dentist, Pune
I had typhoid in my childhood days, and now I came to know that I used to chew some tablets. Because of that my teeth...
Cosmetic dentist can help you. You need professional dental whitening and composite veneers. Visit your dentist and he will guide you.
2 people found this helpful
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I am 26y having left side hole in middle of teeth. All food particles are going in to itgeting very pain. Now im not eating in left side. So what should I do. My friends r suggested to remove it.

BDS
Dentist, Navi Mumbai
I am 26y having left side hole in middle of teeth. All food particles are going in to itgeting very pain. Now im not ...
Removing tooth is not a solution for it. There must be decay or cavity in your teeth. The best treatment in such case is to take x-ray of that tooth and decide the treatment according to the extent of carious lesion.
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I am 29 and my teeth are not in shape and coming out due to which I am suffering with various issues, can I go for braces at this age to get braces installed for realignment without taking out my teeth, what are the risks involved?

BDS, MDS - Orthodontics
Dentist, Gurgaon
I am 29 and my teeth are not in shape and coming out due to which I am suffering with various issues, can I go for br...
You can get braces at any age provided no severe medical problem is there. Whether teeth need to be removed will be decided after case evaluation.
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Hi Wisdom tooth is coming. Gum swelling n severe pain. I had durapain. Nothing happening.

BDS
Dentist, Vadodara
Hi Wisdom tooth is coming. Gum swelling n severe pain. I had durapain. Nothing happening.
I can prescribe you a stronger painkillers meanwhile you can have warm salt water gargles two to three times a day
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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,
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

13 people found this helpful

I have bad stomach may be that's why my mouth stinking always, I brushed twice in a day but that has no results try to help me and recommend something.?

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
I have bad stomach may be that's why my mouth stinking always, I brushed twice in a day but that has no results try t...
Hi yes, stinking mouth can be due to stomach and lung infection. It can be also due to other conditions like dry mouth, gum disease, tooth abcess, tobacco products, alcohol, and smoking. Its important to find out the cause of halitosis you can also try this remedy at home. Add few drops of peppermint in lukewarm water and rinse three times a day. Or rinse your mouth with alcohol free mouthwash.
1 person found this helpful
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Does regular use of chlorhexidine mouth wash can prevent the risk of oral cancer?

BDS
Dentist, Delhi
Does regular use of chlorhexidine mouth wash can prevent the risk of oral cancer?
Regular use can increase risk of having that. Along with stain. Never use it more than 10 day continue.
1 person found this helpful
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My son aged eight yrs got injury in his upper tooth (permanent) one week ago, after xray one crack found and it became slight loose. Whether the tooth is repairable or not? And if yes what is the right treatment.

MDS
Dentist, Kolkata
My son aged eight yrs got injury in his upper tooth (permanent) one week ago, after xray one crack found and it becam...
Yes the tooth is repairable and it shd be saved at all costs if possible,,perhaps a root canal treatment may have to be done.
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I am 18 years old. My tooth are becoming yellow. What should I do for regaining my white teeth?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 18 years old. My tooth are becoming yellow. What should I do for regaining my white teeth?
Cause of discoloration – Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with whitening (bleaching) procedures and / or artificial enamel filling and / or capping. Advance procedures can be done with laser. Use Snowdent tooth paste for whitening until then. Apply SNOWDENT paste on the teeth. Wait for 10 to 15 min .Then brush your teeth with the same paste. Applying it overnight for better results.
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My age is 18. My problem is I suffer from burning sensation at throat everyday it causes something is stuck in throat and difficult in opening the mouth and sometimes swallowing problem is ot normal or not. What should I can do?

MBBS
General Physician, Cuttack
My age is 18. My problem is I suffer from burning sensation at throat everyday it causes something is stuck in throat...
1. Do betadine gargle 2-3 times daily 2. Avoid drinking cold water, have luke warm water, tea, coffee, hot soup 3. Take throat lozenges, 4. Give voice rest 5. Avoid smoking 6. If no relief you have to take antibiotic after consulting doctor.
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I am suffering from ulcers. They are always troubling me, nd come back after 4 to 5 days. How can I remove them permanently?

oral implantology, BDS
Dentist, Jaipur
I am suffering from ulcers. They are always troubling me, nd come back after 4 to 5 days. How can I remove them perma...
start with multivitamin capsule. increase intake of fibrous food and drink plenty of water. keep your stomach fit. reduce stress level .avoid spicy food
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How to bring maxilla forward. Can it be done without surgery. I am not sure if I have a forward maxilla or not. How can I know it. And I am 21 years old.

MSD - Prosthodontics and Crown & Bridge
Dentist, Chandigarh
How to bring maxilla forward. Can it be done without surgery. I am not sure if I have a forward maxilla or not. How c...
Maxilla is a part of the skull bones. Alone, this bone cannot move forwards or backwards unless fractured like during intentional surgery. If you feel any problem with the appearance of your maxilla, you can consult a dentist, preferably an orthodontist who will advise you a series of xrays: like lateralcephalogram and then can comment on the status of the bone.
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I have gums bleeding प्रॉब्लम. After getting treatment it remains ok for few months and it again starts. What can I do to avoid थिस.

BDS
Dentist, Raipur
I have gums bleeding प्रॉब्लम. After getting treatment it remains ok for few months and it again starts. What can I d...
Kindly get scaling done and use gum paint twice daily for 15 days. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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Hello sir, My front teeth are two Long what is treatment of it. How make it level.

BDS
Dentist, Ghaziabad
Hello sir, My front teeth are two Long what is treatment of it. How make it level.
proper oral examination required in such condition just long tooth can be corrected by selective grinding please attach photograph of your front teeth
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BDS, pg certification in aesthetic dentistry
Dentist, Gurgaon
Kind of toothbrush to be used by adults:       We recommend a brush with soft bristles which helps in removing the plaque and debris thoroughly from the mouth.

I have a mouth opening problem due to long use of gutkha chewing. Now I have quit the habit almost. But pls suggest medicines.

BDS
Dentist, Jaipur
I have a mouth opening problem due to long use of gutkha chewing. Now I have quit the habit almost. But pls suggest m...
There is not any word like almost. You should completely stop gutkha first. Start more and more intake of red tomatoes, vitamins, protein, salad in diet. Start some mouth excercise like filling of air in balloon, whistling, fill air in mouth at least 3-5 times in a day. If condition is not improving 2-3weeks. Consult to doctor for advance treatments.
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I have mouth ulcers for more than a week and I am not able to eat anything. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have mouth ulcers for more than a week and I am not able to eat anything. What should I do?
Homoeopathic medicine-------------------- merc sol 30 (sbl) drink 5 drops today night and forget about rest of the medicine for 5 days------------------------------------------ acid sulph 30 (sbl) drink 2 drops in 1 spoon fresh water every 2-4 hrly------------------------eat a vitamin -c rich diet --------------report after 5 days---------------------
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I am 20 year old and I got problem with my right jaws, thing is the gums are paining severely both lower n upper jaw' s. Please suggest me the solution ?

B.D.S
Dentist, Jaipur
It may be due to erupting molars or decayed tooth. Go get your check up done by dentist. Take diclomol 2 times a day.
2 people found this helpful
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