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Dr. Megha

Dentist, Bangalore

200 at clinic
Dr. Megha Dentist, Bangalore
200 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Megha
Dr. Megha is a popular Dentist in St. Johns Road, Bangalore. You can consult Dr. Megha at Smilekraft Multispeciality Dental Clinics. in St. Johns Road, Bangalore. Book an appointment online with Dr. Megha on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 30 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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English

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Smilekraft Multispeciality Dental Clinics.

#51, St. Johns Road,Landmark: 500 mts from Commercial St. / M G Road -Brigade Road junction , Shivajinagar ShivanchettyBangalore Get Directions
200 at clinic
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I think so my teeth are yellow first in 3 days and then in 5 months please tell me what should I do.

BHMS
Homeopath, Faridabad
I think so my teeth are yellow first in 3 days and then in 5 months please tell me what should I do.
Use homeodent toothpaste twice daily, morning and night before sleep. Home remedy:- cleaning your teeth with fresh orange peel on a regular basis will reduce the yellow tinge accumulated on your teeth. Rub orange peel over your teeth every night before going to sleep. The vitamin c and calcium in the orange peel will combat the micro organisms throughout the night. Do this for a few weeks and you will notice effective results. If fresh orange peel is not available, you can use dried orange peel powder. Take care.
1 person found this helpful
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I am 30 years old guy. I have small tumour kind of thing in mouth under teeth. My dentist removed teeth and did surgery and removed hard tissues. He told it will take 3 months to cure but already 2 months over. Still it is bulged out in mouth. I am doubting it is any cancer. Please suggest.

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
Do you have any xray? if yes then please send. If not then get a dental opg done xray and send it to me. please consult me privately.
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MDS - Periodontics
Dentist, Gurgaon
Research has proven that Gum disease can lead to problems of the Heart. Get a consultation from a Periodontist to know the status of your gums
1 person found this helpful

Dentist, Nagpur
Brush twice daily n visit to dentist every six months.

Doctor. From last 15 days I am suffering from bad breath. Even I brush 2 times. And use mouthwash also. Can't reduce. What should I do.

BDS
Dentist, Mumbai
Doctor. From last 15 days I am suffering from bad breath. Even I brush 2 times. And use mouthwash also. Can't reduce....
Please first of all get oral cleaning and polishing done and maintain your oral hygiene and proper digestion. Than take prescribed medicines and continue brushing twice and use listerine mouthwash regularly.
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Oral Health

BDS
Dentist, Pune
Oral Health

CAVITY-PROOF your kids' teeth with pit-fissure sealants and topical fluoridation- the best way to enjoy all ice-pops and candies without worrying about dental cavities!

5 people found this helpful

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 am 15 years old. I brush twice a day, but my teeth are not white. On the front teeth, there are white layers. Please help.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I am 15 years old. I brush twice a day, but my teeth are not white. On the front teeth, there are white layers. Pleas...
Consult a dentist get scaling polishing done by a dentist than brush twice daily especially at night avoid coloured foodstuffs.
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I have a cavity in my upper teeth. I consulted a doctor he has filled with cement and closed with the cap but still I am getting pain sometimes n getting lite blood sometimes. Now what I have to do?

PGDHHM, BDS
Dentist, Gurgaon
I have a cavity in my upper teeth. I consulted a doctor he has filled with cement and closed with the cap but still I...
If you have pain in the tooth, please get a iopa radiograph (x ray) done. You may need a root canal treatment for the tooth. Thanks for the query.
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BDS
Dentist, Zirakpur
For healthy teeth n gums brushing at night is much more important than in the morning;morning brushing is to feel fresh while nyt brushing is mandatory for dental health. ........

Sir, I have wound in my mouth and tongue, what is the reason? Any vitamins problem This wound come monthly.

oral implantology, BDS
Dentist, Jaipur
these must be ulcers in mouth. start with multivitamin capsule. increase intake of fibrous food and drink plenty of water. keep your stomach fit. avoid spicy food.
1 person found this helpful
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I have some problems sir, I am paning from teeth sir and not drinking from cooling water sir please tell a solution.

BHMS
Homeopath, Delhi
I have some problems sir, I am paning from teeth sir and not drinking from cooling water sir please tell a solution.
Hello, you can take homoeopathic medicine Plantago Q ( 10 drops in little amount of water) thrice a day for a week and revert.
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I have problem of mouth ulcers and few white patches on my tongue and one under the lower lip. I have tingling in my teeth which becomes worse when I eat hot / cold items. I have been eating/ chewing tobacco in the recent past and stopped for now. I request medication/ any anti biotic tablets for this purpose. THANKS - ASHWANI ANAND.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have problem of mouth ulcers and few white patches on my tongue and one under the lower lip. I have tingling in my ...
Quit habits strictly. Various treatment modalities for oral leukoplakia have been reported, but there is currently no consensus on the most appropriate treatment The treatment modalities include change of lifestyle factors such as tobacco and alcohol intake, Medication with retinoids or antimycotics, 13-cis-retenoic acid, carotenoids, Vitamin C, E, Natural agents (green tea) & Non-steroidal anti-inflammatory agents Surgical excision, Cryosurgery, Laser evaporation or laser excision.
2 people found this helpful
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I have swelling in my teeth and blood comes what should I do while brushing my teeth?

BDS
Dentist, Raipur
I have swelling in my teeth and blood comes what should I do while brushing my teeth?
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.
7 people found this helpful
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I am getting black dots on my whole body, it's not itching or burning it's simply coming out! And my back upper body paining and lower back also paining unwantly. Few black dots on my tongue also and few on my face! I don't know what it is? Please guide me with proper medical assistance.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am getting black dots on my whole body, it's not itching or burning it's simply coming out! And my back upper body ...
Increase dietary intake of vitamin B, folic acid, iron and use of vitamin supplements etc under medical supervision if blood tests confirm low concentrations • institute topical antifungal therapy if fungal plaques noticed Mouth sores are common and rarely Cause complications. Most go away in about a week, but it’s important to monitor any mouth sores you develop. If you are concerned, or if the sore doesn’t seem to be healing, contact your dentist.
1 person found this helpful
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I am a 16 year old male and my problem is that my teeth have become yellowish. I've tried many toothpastes, but it didn't help. What can I do? I really want to make my teeth whiter again. Please help me.

Advanced Aesthetics, BDS
Dentist, Mumbai
Hi , you can go for professional tooth whitening which is done by a dentist in clinic. You can come to our clinic for a consultation (free of cost) after which we can give you a more precise treatment plan.
2 people found this helpful
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