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Dr. Nagarathna

Dentist, Bangalore

Dr. Nagarathna Dentist, Bangalore
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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. Nagarathna
Dr. Nagarathna is an experienced Dentist in Banashankari, Bangalore. Doctor is currently practising at Smile Care in Banashankari, Bangalore. Book an appointment online with Dr. Nagarathna and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 39 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

Location

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No.76, Sai Mega Plaza, Anjaneya Nagar, Ittamadu Cross, Ring Road, Banashankari 3rd Stage. Landmark: Near Sterling Terrace ApartmentBangalore Get Directions
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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
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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

Sir me jab bhi tongue cleaner se clean karta hu toh tongue se khoon niklne lag jaata hai. Mera tongue cleaner smooth hai toh bhi khoon niklta hai.please help

MDS - Oral & Maxillofacial Surgery
Dentist
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Sir me jab bhi tongue cleaner se clean karta hu toh tongue se khoon niklne lag jaata hai. Mera tongue cleaner smooth ...
Brush your teeth twice a day, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Floss your teeth inter dentally once a day inter dentally. Tooth brush to be changed every 2 months. Consume a healthy diet rich in vegetables and lean protein. Reduce your intake of sugary foods and beverages. Gargle your mouth thoroughly after every meal. Drink plenty of fluoridated tap water. Drink not consume alcohol drinks. Don’t smoke. Check your mouth regularly for any unusual sores and lesions. Visit a dentist every six months for cleaning and have regular thorough dental check-ups where your dentist will look at the health of both your teeth and your mouth Most importantly, do not delay seeking immediate advice from a dentist or medical professional if you notice any unusual symptoms or sores on your lips or in your mouth.

I have mouth ulcer since 2-3 days what should I do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I have mouth ulcer since 2-3 days what should I do?
Eat lot of fruits & green leafy vegetables & drink plenty of water. Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash after every meals. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. 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. Tooth brush to be changed every 2 months.
6 people found this helpful

Is it necessary to brush twice a day. It's hard to take out time for brushing. I wish there was a better way than wasting 2x5 mins for brushing (day and night)

MBBS
Sexologist
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Is it necessary to brush twice a day. It's hard to take out time for brushing. I wish there was a better way than was...
You have to give time to your teeth so that they will help you in eating and chewing, otherwise invite tooth problems.

How we take care about my teeth It should be in yellowness I do not smoke, what will you toothpaste etc.

MDS - Oral & Maxillofacial Surgery
Dentist
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How we take care about my teeth It should be in yellowness I do not smoke, what will you toothpaste etc.
Advise deep cleaning, polishing, whitening (bleaching) procedures, artificial enamel filling 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. Cause of discoloration – Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics.
1 person found this helpful

BDS, PGDFO
Dentist
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Consumption of fruits and vegetables like apples, carrots and corn, which are difficult to eat and need continous biting should be avoided while taking the orthodontic treatment.
7 people found this helpful

I got my teeth in badly condition. It appears like black so what I should do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I got my teeth in badly condition. It appears like black so what I should do?
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need filling or root canal treatment along with surgical procedures. You may consult me too.
2 people found this helpful

How to make teeth healthy and strong for a long period Also I ate guthka due to which they got reddish, suggest me.

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How to make teeth healthy and strong for a long period Also I ate guthka due to which they got reddish, suggest me.
start brushing thrice daily,,avoid excessive intake of sugary food,,visit dentist once every 6 months

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
9 people found this helpful

BDS, PGDFO
Dentist
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The retainers can be taken out while having meals and should always be put in their cases.

I am 22 years old female. Blood from gums so please tell me what should I do?

BDS
Dentist
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You can get professional cleaning done at a nearby dental clinic & the dentist will also demonstrate proper brushing technique to you. If you maintain your teeth well by brushing twice daily thereafter and rinsing after every meal your problem of bleeding gums will subside.

I have a cavity in my teeth kindly advice what should I do?

BDS
Dentist
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I have a cavity in my teeth kindly advice what should I do?
You will need a cavity filling if it is not too deep. If you have pain or the cavity is very deep the dentist you visit may advise a root canal treatment.
1 person found this helpful

Sir I am suffering from toothache n my teeth are also gets dirty on even proper care.

Advanced Aesthetics, BDS
Dentist
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Sir I am suffering from toothache n my teeth are also gets dirty on even proper care.
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. Regards

Hi kindly explain me what is gumgraft treatment for a periodontitis patient and the cost involved in it.

BDS
Dentist
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When roots of teeth exposed due to periodontal infection gum graft treatment done. Cost of surgery depends on periodontist, your medical condition for surgery and the grafts whether taken from your palate or other oral site or artificial graft.

My mother is 51 years old. She is asthmatic and suffering from mouth ulcers from the past 5) 4 months. We have tried everything but nothing helps us. She is not able to eat properly. please tell me what should be the routines to cure this. What medicines she should take. What to avoid. Please help me out. I can not see her in pain.

BDS
Dentist
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Dear lybrate-user you have asked about your mother having mouth ulcers ,basically the Common Causes of Mouth ulcers Nutritional deficiencies such as iron, vitamins, especially B12 and C Poor dental hygiene Food allergies • Stress • Infections particularly herpes simplex • Biting the cheek • Hormonal imbalance • Bowel disease • Skin disease basic precautions and Home Remedies for Mouth Ulcers 1: Grate some fresh coconut. Extract the milk and gargle with this 3-4 times a day. 2 Keep 1 glass of chilled water and 1 glass of hot water ready at hand. Gargle alternately with hot and cold water. 3 Boil 2 cups of water. Add 1 cup fenugreek leaves and remove. Cover and keep for sometime. Strain the water and gargle 2-3 times a day. 4 Boil 1 tsp of coriander seeds in 1 cup of water. Remove when slightly warm gargle. Repeat 3-4 times a day. 5 Chew on 5-6 tulsi (holy basil leaves) and sip some water. Repeat 5-6 times a day. 6 Eating raw tomatoes helps rid mouth ulcers. Can also gargle with tomato juice 3-4 times a day. Apply benzocaine for pain and boroglycerin mouth paint regularly.

I have yellow teeth want to make it white how to do it at home without any high expense ?

BDS
Dentist
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I have yellow teeth want to make it white how to do it at home without any high expense ?
Hi yellow teeth can be due to many causes like calculus, stains, or due to water problem try to use snowdent tooth paste.

A few days ago I noticed this lump under my tongue. It is soft but firm. It doesn't usually hurt but there is some slight pain if I keep touching it with my tongue. I have no idea what it is. Mouth cancer is vey unlikely because I'm 18. I think it might be a swollen sublingual salivary gland but I don't know. Which kind of doctor should I consult .I'd be very grateful for any suggestions.

BHMS
Homeopath
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A few days ago I noticed this lump under my tongue. It is soft but firm. It doesn't usually hurt but there is some sl...
Hi lybrate-user It certainly cannot be mouth cancer. Either it is an enlarged gland or some other lump due to infection. I would suggest you to go for homoeopathic treatment. It will cure the problem without any side effects and really fast. You can show me at my clinic or take online consultation. Takecare.
1 person found this helpful

I have bad breadth problem. I have observed that soon after having milk the problem of bad breadth starts.

Certified Implantologist, BDS
Dentist
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You should get cleaning done bcz all ready present deposits over teeth n below gums creating bad smell for you.

My problem is receding gum in the lower jaw and exposure of the front teeth roots. Can the worn gum be rebuilt by surgery and strengthened so that natural teeth's life be enhanced.

BDS
Dentist
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Yes of course but before going through it any doctor has to look reason and situation of recession like if gum receded due to calculus u need cleaning ,and medicine only if receding gum is with receding bone then surgery , with bone graft u should meet some periodontist

Doctor. I have a serious problem of bad breath and I unable to control it. Even after brushing teeth twice a day. The problem continues. I have tried the mouth wash. But there is no positive results. Can you please suggest the solution.

BDS
Dentist
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Doctor. I have a serious problem of bad breath and I unable to control it. Even after brushing teeth twice a day. The...
Bad breath can be due to various reasons. If you have bleeding gums or tartar accumulation on your teeth, a dental cleaning will help you overcome the problem. If you have any other issue like constipation or acidity or sinusitis etc, you need to get the root cause of the problem treated.
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