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Dr. Shruthi

Dentist, Bangalore

Dr. Shruthi Dentist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shruthi
Dr. Shruthi is one of the best Dentists in Millers Road, Bangalore. You can consult Dr. Shruthi at Roots Superspeciality Dental Clinic in Millers Road, Bangalore. Book an appointment online with Dr. Shruthi on Lybrate.com.

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Roots Superspeciality Dental Clinic

#45, 1st Floor, Millers Road, Vasanthnagar, Cunningham Road, Vasanthnagar. Landmark: Near Mahavir Jain HospitalBangalore Get Directions
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Hai my wife is 22 years old, when she talks bad smell coming out from the mouth every time.& she have yellow stain on the teeth how to remove it plze tell me the medicines.

BDS, MDS - Orthodontics
Dentist, Howrah
Hai my wife is 22 years old, when she talks bad smell coming out from the mouth every time.& she have yellow stain on...
Hello Lybrate user, it seems the yellowish stains are the underlying cause behind the bad smell. The deposits on tooth harbour microorganisms that's leading to bad odour. Your wife needs to visit a dentist and get a scaling and root planing done. Followed by brushing twice a day with proper brushing technique. Rinsing mouth thoroughly after every meals and drinking plenty of water.
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What is the meaning of oral lichenoid dysplasia with invasion and oral lichenoidlesion.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
What is the meaning of oral lichenoid dysplasia with invasion and oral lichenoidlesion.
Oral lichenoid lesions: a mouth condition where white lesions develop inside the mouth. Redness, blistering and ulceration may also occur. It is believed to be caused by an autoimmune condition where the body's immune system attacks tissue inside the mouth. Sometimes the condition can be caused by allergies to metals in mouth appliances that are installed but it can also be caused by other forms of mechanical injury to the mouth such as cheek biting. Oral lichenoid dysplasia has the ability to transform into carcinoma. So it has to be excised completely.
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I am 32 years old and from past 6 months I am noticing a cyst on my tongue. Is it any case of panic. This is harmless, not increasing, not paining. Do I need to remove it surgically or just can ignore it. I am non alcoholic, and don't consume tobacco products.

MDS - Oral & Maxillofacial Surgery
Dentist, Noida
Mr. Lybrate-user you require to undergo biopsy for the pathology and actual diagnosis for the cystic lesion on the togue then can be decided for surgical excision.
1 person found this helpful
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Are implants not possible if the teeth have been extracted many months ago or also if gums are not very broad?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Are implants not possible if the teeth have been extracted many months ago or also if gums are not very broad?
Yes. Its possible to place an implant. Kindly consult a dentist in person for further suggestion. We need more investigations (full mouth x-ray) to decide upon treatment. 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.
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Hello doctor. Mujhe side teeth fix karana h jiske liye mujhe doctor ne 2 tarah se bataya h bridge type aur implants. Please aap mujhe bataiye ki kis tarah ka fix karana sahi rahega. Jisme ki baad me Koi problem na ho aur kuchh bhi kahte bhi bn jaye.

BDS, Master of Hospital Administration
Dentist, Patna
Hello doctor. Mujhe side teeth fix karana h jiske liye mujhe doctor ne 2 tarah se bataya h bridge type aur implants.
...
Both ways are good, but you cannot expect a problem free life. Even man made machines do not have guarantee for ever. All depends on your body response to the treatment. So go for the treatment by your pocket. Implants sounds good but needs skilled team.
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Suffering from Gum Bleeding problem from 3 to 4 months. While brushing, even a single touch of bristle can cause bleeding in front four gum of lower teeth. Kindly help.

BDS
Dentist, Bangalore
Suffering from Gum Bleeding problem from 3 to 4 months. While brushing, even a single touch of bristle can cause blee...
There are so many causes of bleeding gums - - brushing too hard - poor oral hygiene. - vitamin deficiency - taking blood thinners or other medications - bleeding or clotting disorders - mouth sores - other medical problems, including diabetes, heart disease, leukemia or scurvy few advice to stop bleeding gums-- - visit to a dentist for professional cleaning once in a year - use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water to keep the area clean. - avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums.
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Is there any special medicated paste to heal teeth cavities pain without root canal ?

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
Is there any special medicated paste to heal teeth cavities pain without root canal ?
No till now not available. But the research is going on. But you can follow a good oral hygiene regime for proper tooth care.
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Can Your Toothbrush Make You Ill?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Can Your Toothbrush Make You Ill?

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

  1. Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
  2. Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children’s brushes need to be changed more often than adult’s toothbrushes.
  3. Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
  4. Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
  5. Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
  6. When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
  7. Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
  8. If possible, store your toothbrush in your medicine cabinet.
  9. Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
  10. Along with your toothbrush also clean out your toothbrush holder regularly.
  11. Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
  12. Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush. If you wish to discuss about any specific problem, you can consult a Dentist.
6783 people found this helpful

Whenever I eat something cold or hot I can feel something in my teeth with a bit pain. so, what should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Whenever I eat something cold or hot I can feel something in my teeth with a bit pain. so, what should I do?
A major cause of tooth sensitivity is root exposure. Kindly consult a dentist in person for further suggestion. We need more investigations (full mouth x-ray) to decide upon treatment. You may need cleaning along with desensitizing procedures and / or artificial enamel filling or root canal treatment. Advance procedures can be done with laser too. Until then apply a desensitizing paste (sensodyne tooth paste) on the teeth. Wait for 10 to 15 min until you brush your teeth with the same paste. Applying it overnight will be better. 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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I after completing my brushing of teeth's, I try to remove mucus (saliva). In that mucus I see stains of blood. What is the reason. N why it is happening?

Diploma in Endodontist, BDS
Dentist, Madurai
I after completing my brushing of teeth's, I try to remove mucus (saliva). In that mucus I see stains of blood. What ...
Hi lybrate-user kotha, you have periodontitis, that is inflamattion of the gums surrounding the teeth, therby causing bleeding. Your treatment would be to do a deep scaling.
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Is it advisable to extract all four wisdom teeth in one single surgery or it must be done one at a time? Dentist advised us to extract all four in one sitting but we doubt if it would be too painful to handle after the surgery.

MDS
Dentist, Sangli
Is it advisable to extract all four wisdom teeth in one single surgery or it must be done one at a time? Dentist advi...
It will not be painful to extract all wisdom teeth at once. But tissue handling, bleeding and healing of wound may be issue of concern. But it all depens on your wife's general health status.
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I am having serious teeth pain from past fee days which medicine should I take to get instant relief.?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am having serious teeth pain from past fee days which medicine should I take to get instant relief.?
Kindly consult a dentist in person for further suggestion.You may need root canal treatment. Take t. Zerodol. 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.
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My Teeth Are So Yellow. I Have Tried Many Toothpaste. But Not regain Any Satisfactory Results.

Basic Life Support (B.L.S), DCW, BDS
Dentist, Palakkad
My Teeth Are So Yellow. I Have Tried Many Toothpaste. But Not regain Any Satisfactory Results.
You will have to do a ultra sonic tooth cleaning and bleaching if needed. A whitening toothpaste can be used after the cleaning procedure which will be prescribed by a dentist.
2 people found this helpful
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My front two teeth are not in ideal shape and just comes forward, which treatment is best for me.

MDS - Orthodontics, bachelor of Dental Surgery
Dentist, Calicut
My front two teeth are not in ideal shape and just comes forward, which treatment is best for me.
U might need an orthodontic treatment. Initially the tooth positon s 2 b corrected wit braces and den the shape is taken care off vit composite buildup or veneers or crowns.
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How to clean my teeth its very dirty by tobacco I wanna clean all and quit tobacco.

BDS
Dentist, Delhi
How to clean my teeth its very dirty by tobacco I wanna clean all and quit tobacco.
Hi lybrate-user, for better looking teeth, the first and most important thing is to quit tobacco. Your teeth should be clean, and free from plaque (accumulated food debris) and stains. For that, you must get professional scaling/cleaning done from a dentist. After that, you can head for tooth whitening procedures such as bleaching and laser tooth whitening. Home remedies such as lemon peel and apple cider vinegar can be used, but being acidic in nature, they eventually wear off the outermost layer of teeth (enamel) making them weak in the long run. So better to go for trusted scientific procedures. Regards.
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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, Gorakhpur
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

14 people found this helpful

Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop without any medicine. What to do?

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop w...
may be your mother is suffering from acidity. Is your mother taking any other medications. we can prescribe you medications of acidity which you have take for for at least 15 days.
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My teeth hurt when I have something cold a bit more than usual. Sometimes when I brush I can see blood. What might be the problem?

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
Sensitivity of teeth is the problem. As you feel cold when you take cold drinks and all. Well you must be having decay/cavity in your teeth so you need to consult a dentist, get xray done and get filling done! bleeding. You need to get scaling & polishing of teeth done!
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From last 2 days, more n more yellow stuff forming on the tongue. I don't know why? But it swept away after using tongue cleaner, I do not find any other symptoms. I'm normal. Does I'm suffering with any health issue?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
From last 2 days, more n more yellow stuff forming on the tongue. I don't know why? But it swept away after using ton...
Drink plenty of water rinse after every meal avoid tea coffee brush twice daily especially at night
1 person found this helpful
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I am also suffering from the bad breathing smell problem and power too. My tooth aches so badly that it causes headache. Guide for better tips and dentist too so that I can fill the decay tooth.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I am also suffering from the bad breathing smell problem and power too. My tooth aches so badly that it causes headac...
Get scaling polishing done by a dentist than brush twice daily especially at night use betadine mouth wash.
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