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Dr. Shubha N Wasi

Dentist, Bangalore

Dr. Shubha N Wasi 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. Shubha N Wasi
Dr. Shubha N Wasi is one of the best Dentists in RT Nagar, Bangalore. She is currently practising at Happydent Clinic in RT Nagar, Bangalore. Book an appointment online with Dr. Shubha N Wasi and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. 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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#16, 6th Cross, Kanakanagar, RT Nagar. Landmark: Near Sardar & Son Fashion StoreBangalore Get Directions
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Having mouth problem its not opening due to chewing of tobacco I left it from 1 month but its not coming to original stage.Please tell.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Having mouth problem its not opening due to chewing of tobacco I left it from 1 month but its not coming to original ...
Quit habits strictly. Seems like you have oral submucous fibrosis (osmf). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of osmf. Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day.
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I am having a pain in my back tooth region I consulted dentist for which he said its because of wisdom tooth and advised to remove it. I just want to know is there any treatment a can save my tooth.

Certified Implantologist, BDS
Dentist, Ambala
I am having a pain in my back tooth region I consulted dentist for which he said its because of wisdom tooth and advi...
Wisdom teeth are a big problem when they are not aligned straight or have not erupted. The only situation where you can have your tooth saved is if it has erupted properly in proper alignment with the opposing tooth otherwise it is better to get it removed.
2 people found this helpful
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I have pain in my teeth while eating. Please give me some advice.

MDS, BDS
Dentist,
I have pain in my teeth while eating. Please give me some advice.
Hello sir, if that particular teeth has decay, have to undergo root canal treatment. Or if it is your wisdom teeth, which causes pain, have to go for removal of that particular teeth. For details consult.
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I was sex a unknown girl 24 th march. After 20 days I saw some ulcer my mouth then I have tested HIV I base, again I tested 88 days and 92 days after (HIV I and 2 antibodies) my incident. All tests are nonreactive. But till now I am feeling very tension. AM I fully save? please answer?

MDS
Dentist, Chennai
I was sex a unknown girl 24 th march. After 20 days I saw some ulcer my mouth then I have tested HIV I base, again I ...
Check vdrl test also. Oral ulcers are one of the manifestation for hiv but it will be multiple type and won't come immediatly. Stress can also produce ulcers.
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Correct Way of Brushing Teeth

BDS, MDS
Dentist, Delhi
Correct Way of Brushing Teeth
The correct way of brushing your teeth is to move your toothbrush in up and down/vertical motion and not in sideways/horizontal motion in anterior or front teeth. For posterior or back teeth move your toothbrush in round motion. Happy toothbrushing.
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My mouth smells too much I think this smell is coming from stomach but I don't know exactly please help me.

oral implantology, BDS
Dentist, Jaipur
First get your teeth cleaned professionally by scaling and polishing. If it persists visit a gastro physician
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My son age 1.6years he has 'nursing bottle Carrie' syndrome and we have consulted two dentist and they suggest me for RCT and I am so much worried because of my child is to infant, kindly suggest me the best treatment procedure ASAP.

BDS
Dentist, Mumbai
plz make sure u maintain a good oral hygiene for ur child..and yes if they are badly decayed he will require rct treatment as removal of teeth is not recmmended.
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Can white marks on teeth that is hypocalcified teeth can be treated by teeth whitening.in my case marks become more evident when my mouth is dry. How long does sensitivity lasts.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Can white marks on teeth that is hypocalcified teeth can be treated by teeth whitening.in my case marks become more e...
Happy Diwali No they can't b tt like this if small patches they can treated as small cavitie n filled with tooth colorectal composite if large crowns can b given on them sensetavity may b permanent problem till these spots r treated.
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Hello, I 'm facing prblm of teeth .I 'm a student hostlite last 3 months I was quiet buzy with my studies. When I notice now I found it is going turning black from backside. please suggest me something.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Hello, I 'm facing prblm of teeth .I 'm a student hostlite last 3 months I was quiet buzy with my studies. When I not...
Hello, stains can be removed be scaling (cleaning) and polishing. Brush your teeth twice daily, rinse after every meal and floss regularly. Visit your dentist every six monthly.
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My upper front four teeth are outside from its real position I'm 22 years old I have to get braces. Can I fit braces or not if yes then how many cost for this treatment.

BDS
Dentist, Pune
My upper front four teeth are outside from its real position I'm 22 years old I have to get braces. Can I fit braces ...
Yes lybrate-user, your age is perfect for the treatment, braces are of three types, metal braces, ceramic (tooth coloured) braces & lingual braces (not visible) as per the type the rates vary. Plus the charges also depend on the complexity of case & the duration it will require which can b judged after oral examination & few xrays like lateral ceph & opg. The basic charges starts from 15000 onwards.
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My son 4 years old have dental problems for all his teeth. 5 to 6 teeth have serious cavity. What is the better treatment. Please suggest

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
U need to remove teeth with cavity, acupressure can further protect your teeth from cavity take care of teeth properly avoid giving much sweets n chocolates to him.
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My mother 32 years old and she have problem. In his upper side of mouth because there was a energy any solution for this and he have or more problems.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My mother 32 years old and she have problem. In his upper side of mouth because there was a energy any solution for t...
If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water. You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too. To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water. Remember, this won’t make the ulcer disappear, but it can help reduce the pain. Honey is a natural humectant. It helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer. Chew a few leaves of tulsi along with some water about three to four times every day. This will help in getting rid of ulcers faster and also have a preventive action against their recurrence. Applying a little coconut oil directly onto the mouth ulcer or chewing some coconut (fresh or dry) helps reduce pain and inflammation and hence, ulcers heal faster. Mix some sugar to crushed khus-khus seeds and consume this mixture for instant relief from ulcers. You could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Mouth ulcers left untreated generally go away in a week or so; with these home remedies, you can expect faster relief. However, if you notice an ulcer in the mouth that is persistently present although it does not cause you any pain, do not neglect it or try to treat it with home remedies beyond a few days. Make it a point to see a doctor soon because often, a painless mouth ulcer is one of the earliest signs of oral cancer.
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How to control body fitness. Than. How to pressing teeth doctor. My tongue pain on every day I have clean to my teeth. What I can do it doctor?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
How to control body fitness.
Than.
How to pressing teeth doctor. My tongue pain on every day I have clean to my teeth...
Eat a healthy, balanced diet. Food is the fuel your body gets its energy from. A healthy, well-balanced diet keeps your body healthy and energized, raising your stamina. Try to eat a well-balanced, low-fat diet that includes plenty of fruits, vegetables and lean meats. For long-lasting energy, we also recommend having up to a third of your diet be composed of starches and carbohydrates (whole wheat varieties are preferable). To keep your body steadily supplied with energy throughout get energy by eating several smaller meals throughout the day rather than one or two large meals. Snack on fruits, raw vegetables, nuts and other lean proteins between meals. Carry high-energy fruit and nut mixes with you during times of extended performance, such as hiking, cycling or cramming for final exams. Use clove oil, neem extracts for your tongue and teeth pains.
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Hello sir/mam when I talk to some one my breathe come badly from my mouth so please give me some clues.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hello sir/mam when I talk to some one my breathe come badly from my mouth so please give me some clues.
Get scaling polishing done by a dentist than brush twice daily especially at night use betadine mouth wash drink plenty of water.
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I am getting gum loss day by day and my teeth is becoming week. Please advise. Thanks.

B.H.M.S
Homeopath, Lucknow
I am getting gum loss day by day and my teeth is becoming week.
Please advise.
Thanks.
Avoid hard brushing . Massage ur gums with finger. Increase vit c rich diet. Saline gargle with Luke warm water twice a day.
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My mouth is all red inside and dry since almost a week. Don't have any issue with stomach, generally I think this happen due to stomach issues etc but mine is perfectly fine. Only issue is minor fungal near private parts and very dry (red inside) mouth. If you can kindly let me know any medication for that.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. Drink plenty of water. For dry mouth, consider chewing sugar-free gum or sucking on sugar-free candies to help stimulate salivary flow. There also are artificial saliva’s on the market that may help to induce salivation. Sialogogues (Pilocarpine 30 mg/day. Contraindications - include many lung conditions, such as asthma, cardiac problems, epilepsy and Parkinson's disease). Advance procedures can be done with laser. You may consult me in person.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I speak very fast. How I can improve it? Is any treatment is there? What is the problem in my mouth? Give me solutions.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Chennai
I speak very fast. How I can improve it? Is any treatment is there? What is the problem in my mouth? Give me solutions.
Prolongation technique prolongation technique that means prolong the vowels, syllables and words. Example" caaaarr for car" for more details consult speech therapist. Read the books through prolongation technique. Do this technique for 15 to 20 days to reduce the rate of speech.
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Loss of tongues as well as opposite of tongues was also aches (burned), Please advice me what should I take?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Loss of tongues as well as opposite of tongues was also aches (burned), Please advice me what should I take?
To avoid infection and reduce pain in a first-degree burn on the tongue: rinse the area well with cool water for a few minutes. Remove any dirt or particles that may be on the burn. Wet a clean cloth with cool water and hold it on top of the burn. Suck on ice chips or a popsicle to soothe the pain. Gargle with cool water or salt water. Avoid warm or hot liquids, which could irritate the burn. Take acetaminophen or ibuprofen for pain and inflammation. Sprinkle a few grains of sugar on the tongue to relieve pain.
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