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Dr. Madhavan D

Dentist, Bangalore

Dr. Madhavan D Dentist, Bangalore
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Madhavan D
Dr. Madhavan D is one of the best Dentists in Malleshwaram, Bangalore. You can meet Dr. Madhavan D personally at Prema Speciality Dental Clinic in Malleshwaram, Bangalore. Save your time and book an appointment online with Dr. Madhavan D 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 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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#77, Anugraha Building, Sampige Road, 13th Cross, Malleswaram. Landmark: Opp Mc DonaldsBangalore Get Directions
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I am 34 years old I have inside mouth upper jaw is in black color. so, what is the reason. please suggest.?

BDS
Dentist, Mumbai
Going by your discription I think you are talking about upper jaw gums. If yes, then there is a procedure called depigmentation of gums. That black colour is usually due melanin which is responsible for skin colour. Check on internet or consult me or see your doc. Will be happy to help u.
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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

Hllo sir My front teeth is broken 10 years ago I want to change it or want to place any cap on it so it become equal to other give me suggestions Thank you.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hllo sir
My front teeth is broken 10 years ago I want to change it or want to place any cap on it so it become equal ...
If the tooth breaks, have the tooth contoured. Fill the crack in. Place a crown on your tooth. If the tooth has been badly damaged and the nerve or pulp is exposed, the dentist may have to perform a root canal to save the tooth. If the tooth has been severely damaged, it may have to be extracted.
1 person found this helpful
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I am a 18 year student and pursuing Btech, but did a long time I have been suffering from Mouth Ulcers. It's not healing after lot of medications. Antibodies r attacking my own cells. What to do?

oral implantology, BDS
Dentist, Jaipur
I am a 18 year student and pursuing Btech, but did a long time I have been suffering from Mouth Ulcers. It's not heal...
For mouth ulcers start with scaling and polishing of teeth as seposits over teeth surface could cause ulcers. Start with multivitamin therapy. Reduce stress level. Keep your stomach fit. Avoid spicy food and any habit related to tobacco if you have.
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Hello sir, I am from bhagalpur bihar. I have faced a problem with my mouth. I have bad smell in my mouth. I can't remove it ever. All market's paste is used by me. But no one is sucessfull. May you some advice for me?

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
You have to use the tongue cleaner after the food and also use the chlorex mouthwash may you get good result.
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Hello I am getting bad smell.From my mouth from last 1 month I.Have tried many home remidies and tabs, but still it is not going I am afraid and feeling shy to talk to someone please help me

MDS Endodontist, Fellow of Academy of General Education (FAGE), BDS
Dentist,
The main reason for bad smell could be deposits in your mouth. You should get for professional teeth cleaning done. For any query please visit our dental office. Dr. Meeta Malik MDS , FAGE Medident-The Multispeciality Dental Clinic Sector -52; Noida
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Bad breath have life long problem .or what are the reason for that brush two time then also I suffer and cost of treatment. How many days going treatment.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Bad breath have life long problem .or what are the reason for that brush two time then also I suffer and cost of trea...
Get scaling polishing done by a dentist than brush twice daily especially at night use betadine mouth wash drink plenty of water about five k one to two sittings.
1 person found this helpful
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I have gums problem for three days. Blood is coming from it, when I suck those gums what can I do.

BHMS
Homeopath, Faridabad
I have gums problem for three days. Blood is coming from it, when I suck those gums what can I do.
Hello. Take Merc. Sol. 30/ thrice daily and 1 tablet of vitamin C (Limcee, Succee) once daily for 4 weeks. Revert back.
10 people found this helpful
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Hii I am amit Kumar Sharma and I like Sweets but my teeth is damaged. So please get me some ideas and help me.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hii I am amit Kumar Sharma and I like Sweets but my teeth is damaged. So please get me some ideas and help me.
Happy Diwali Get filling done by a dentist you may require rct n cap after every intake rinse mouth well brush twice daily especially at night.
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My Teeth have unbearably more sensitive now. The gums too are receding. As advised, I use the softest bristled toothbrush available. I even do not do hard brushing. For my age, at 32, its too early for these problems. Please advice what should I do.

BDS
Dentist, Pune
My Teeth have unbearably more sensitive now. The gums too are receding. As advised, I use the softest bristled toothb...
Mr. Lybrate-user start using toothpaste senquel-f twice or thrice a day, take the toothpaste on a finger n coat it over all the tooth surfaces n leave it for 5 min after that you can do the brushing using a soft bristle brush, this toothpaste has fluoride as a content, which will close the surface of dentinal tubules reducing the sensitivity, it will definitely benefit u, you can use it more times also, just gargle it away in 5 to 10 min.
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New wisdom teeth is growing on the right side of jaw. Last tooth has a lot of pain. How to cure the pain??

BDS
Dentist,
Hi, You will require an x ray done for the tooth and check the position of the wisdom tooth.It may require extraction or if the cause is the tooth just in front of it then a filling or root Canal should help.
1 person found this helpful
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After RCT I had put cap. After 2 month now I am feeling pain in this teeth. Please suggest.

BDS
Dentist, Delhi
After RCT I had put cap. After 2 month now I am feeling pain in this teeth. Please suggest.
First visit your dentist who has done the RCT. Let him/her check. One x-ray should be done. On the basis of the report of x ray further treatment will be decided. If there will be minor infection then it can be treated by medicines only n if not then removal of cap n re RCT should be done.
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I have pain in both of my jaw and also clicking sound from right side of my jaw. I have also neck and shoulder pain and I recently have noticed that the space between c5 and c6 of my spine have increased. I am feeling very very unwell and uncomfort. please please please help me.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
I have pain in both of my jaw and also clicking sound from right side of my jaw. I have also neck and shoulder pain a...
Hello, You need to visit a dentist and get it checked. Ask for a night guard. You need to relax. Try to calm down. You can do hot fomentation near your right ear. You can take hot water bath before sleeping and listen to music. This will help you to calm down.
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When I eat or drink any thing a very bad shock appear in my mouth please tell me this solution.

MDS Pedodontics
Dentist, Mangalore
When I eat or drink any thing a very bad shock appear in my mouth please tell me this solution.
It can be sensitivity. Usually it is due to caries or calculus (tartar). I advise you to consult a dentist.
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MDS Prosthodontics, BDS
Dentist, Chandigarh
Floss daily to remove food particles that get caught in teeth.

In my mouth there is always some bleeding and Scratch's and the local dentist says that it is due to stomach heat. I also used medicine but it happen again and again.

oral implantology, BDS
Dentist, Jaipur
Bleeding gums and itching sensation is not commonly related to gastric problem. gastric problem can cause fowl smell from mouth or ulcers in mouth. you need to change your dentist
4 people found this helpful
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I am 31 years old and my teeth very hard pain when I have cold drink & ice cream, what should I do.?

M.D.S.
Dentist, Mumbai
Hi if you get a sharp pain when you have cold drinks or ice, you would probably have hypersensitive teeth. I cannot give a definitive diagnosis without actually taking a look at your teeth, but I suggest you start using sensodyne medicated toothpaste. Brush with this and a soft toothpaste, and let the paste remain on the teeth for about a minute after brushing. Also, use lukewarm water for brushing and gargling. If this does not work you need to go to a dentist at once, as you may be having a cavity.
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Do not use your teeth for doing something other than chewing food

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Do not use your teeth for doing something other than chewing food
Do not use your teeth for doing something other than chewing food. Using them for cracking nuts, removing bottle tops or ripping open packaging can result in chipped or broken teeth.
95 people found this helpful

Sir my age is 22 years now, near about from ten years, continues problem for cavity in my teeth, Please tell me How to reduce problem now?

BDS
Dentist, Raipur
Kindly get the cavities filled before they become deep and painful. Avoid having sticky food and sweets before going to bed. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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BDS
Dentist, Amravati
Used gental circulatory motion with while brushing.
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