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Dr. Neeraja

Dentist, Bangalore

Dr. Neeraja Dentist, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Neeraja
Dr. Neeraja is a trusted Dentist in HSR Layout, Bangalore. You can consult Dr. Neeraja at WestMead Dental Clinic in HSR Layout, Bangalore. Save your time and book an appointment online with Dr. Neeraja on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 26 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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#141, 150 Feet Ring Road, 5th Sector, HSR Layout. Landmark: Near HSR BDA ComplexBangalore Get Directions
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Because of using tobacco and bittlenuts since 3 months I have some unwanted scales behind my teeth I quited this habit of taking tobacco but what should I do to remove those scales? Please help.

BDS
Dentist, Mumbai
Because of using tobacco and bittlenuts since 3 months I have some unwanted scales behind my teeth I quited this habi...
Chetan tare you are having habit of tobacco chewing with betel nuts. stop tobacco and nuts and see dental surgeon for scaling and polishing of teeth and maintain oral hygiene .
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I have a problem in my gums where puss comes out, I had gone through root canal treatment still it comes. Can I know the reason please.

BDS, MDS - Orthodontics
Dentist, Gurgaon
I have a problem in my gums where puss comes out, I had gone through root canal treatment still it comes. Can I know ...
Rct may not have been done properly. Visit the dentist and get filling removed and then start on antibiotics.
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While brushing I am getting blood my teeth are very weak and those are getting very smell because of weak root canals please give me suggestions how I can control those.

BDS
Dentist, Gurgaon
While brushing I am getting blood my teeth are very weak and those are getting very smell because of weak root canals...
Bleeding from teeth only mean that there might be tartar /deposit on your teeth. Which need to be cleaned and polished by dentist. Kindly get it checked by dentist and take medications /treatment for the same.
2 people found this helpful
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I'm 23 yo male. I have cold since last week. Now I can feel my lymph node in neck and it is somewhat swelled but not that much. I also had pericoronitis in my wisdom teeth last week. Can it cause swelling? I have health anxiety and right now I can't shake thought that it is lymphoma.

MDS, BDS
Dentist, Mumbai
Any source of infection like peri-coronotis can cause enlarged and tender cervical lymph node. It become normal once existing infection is removed.
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BDS
Dentist, Cuttack
White patch in mouth requires urgent attention.
3 people found this helpful

Mouth ulcers are coming every month and remain for minimum 2 week once come. Generally gap between their arrival is 15 days.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Mouth ulcers are coming every month and remain for minimum 2 week once come. Generally gap between their arrival is 1...
Hello, you can do baking soda mouth rinses, this will help to heal ulcers. If it still persists consult to physician and get your vitamin B levels checked. If needed start taking supliments.
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How costly is RCT ? Is it a permanent and harmless fix ?

BDS
Dentist,
RCT normally costs around 3000 to 6000....If done properly its definately saving ur tooth provided u hav crowned the tooth after RCT.... DR.POOJA PATEL 9833070073
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Near upper right jaw feeling mild pain and numbness. Nerokind tabletes are suggested by dentist when these are used feeling fine but after 8 hours when tab power lasts again repeats numbness at upper right jaw. How long these tabs should be continued.

BDS
Dentist, Pune
Nurokind is form of vitamin b12 which is prescribed in many conditions. What are the tests you have undergone for this problem. Have you taken the full mouth xray (opg) or may be ct scan (cbct) for this. You can continue tablet for one more week and if symptoms doesn't improve do all the test necessary for diagnosis.
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Doctor I can't open my mouth properly. I take pan masala with zarda. So now what to do. I am very tensed. Is their any remedy I can do at home. please suggest some medicine s. I will be grateful to you.

BDS
Dentist, Siliguri
Doctor I can't open my mouth properly. I take pan masala with zarda. So now what to do. I am very tensed. Is their an...
You're suffering from oral submucous fibrosis a precancerous condition immediately stop pan masala and see an oral and maxillofacial surgeon
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My teeth showing yellowish color and while speaking bad odour is coming I am using Colgate paste please suggest what can I do.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
My teeth showing yellowish color and while speaking bad odour is coming I am using Colgate paste please suggest what ...
Go for proper consultation and accordingly go for treatment. You may required deep scaling and polishing.
1 person found this helpful
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My mother is frequently having stomach pain. Below or somewhat near the stomach, I can feel some bouncing feel, she calls it "vayu gola" in our mother tongue (marathi). A massage of the stomach recedes the pain but after sometime it again starts paining. Please suggest medication, she is 48 years old.

BDS, D.pharm
Dentist, Chennai
My mother is frequently having stomach pain. Below or somewhat near the stomach, I can feel some bouncing feel, she c...
Must be gastric problem. I can give you awesome home remedy will surely work. Little ginger little ajwain, little black salt, little cinnamon, lemon mix all tis in boiling water and filter it and give her daily.
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I am 20 years old and I suffer from frequent mouth ulcers, what should I do and avoid?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
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. 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.
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Shall I go for stem cell preservation of my son. A company is offering to preserve it by extracting his milk tooth and preserve it for 21 years. They also says it ll help in curing any chronic disease for even for patents. How much ll it help?

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
Well, the technology is still in its nascent stage and till date, organs have not been grown that successfully, So if you have few thousand rupees to spare then definitely go for it, otherwise u can also forget the idea as its very expensive. Over and above, usually all major diseases happen only after 30 and this company is going to preserve it only for 21 yrs. Over and above, stem cells can be derived from the wisdom tooth which your son will usually get after 20 -25 yrs of age. So even that time it can be preserved.
1 person found this helpful
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What can I do for cavity in my teeth I have shown to doctor and he suggest to me filling cavity. But I do not want to do it so I want other suggestion plzzz suggest me.

MDS, Certified Implantologist, BDS, Certified Conscious Sedationist
Dentist, Hyderabad
What can I do for cavity in my teeth
I have shown to doctor and he suggest to me filling cavity.
But I do not want to...
For cavity there is no alternative other than thorough removal of unwanted bacteria and restoring it with suitable filling material.
24 people found this helpful
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I have moderate irregularities in my teeth alignment. Are braces must? If so, Then when is the ideal age to put on braces.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have moderate irregularities in my teeth alignment.
Are braces must?
If so,
Then when is the ideal age to put on br...
Braces are for esthetic concern in your case.if you want your arch look good,you can have braces.After 15years braces can be worn.
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I have mouth ulcer I took zytee and Tess bt it's not working tel me some good ointment.

MDS
Dentist, Hyderabad
I have mouth ulcer I took zytee and Tess bt it's not working tel me some good ointment.
If an ulcer is not responding to topical anaesthetic or corticosteroid for more than one week it's better to visit a dentist to rule out other causes of ulcers some of which needs attention immediately.
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All of a sudden my tooth became very sensitive feels like they are raw and unprotected. I would like to tell you that I swim daily and yesterday I took a lot of water inside my mouth and since then almost all my teeth are getting sensitive. Please help!

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
All of a sudden my tooth became very sensitive feels like they are raw and unprotected. I would like to tell you that...
Seems u have taken some thing acidic if u can send a pic of inside will b better if not u may use GC TOOTH MOUSSE TWICE DAILY for local application
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What is root canal treatment? will it be fine lift time or I have to go through it again and again?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
What is root canal treatment? will it be fine lift time or I have to go through it again and again?
During root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection permanently. Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. Root canal treatment. Advance procedure can be done with laser too. You may consult me in person. Dental tips: - visit a dentist every six months. 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.
1 person found this helpful
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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

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