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Dr. Randhir Singh

BDS

Dentist, Chandigarh

6 Years Experience
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Dr. Randhir Singh BDS Dentist, Chandigarh
6 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Randhir Singh
Dr. Randhir Singh is a trusted Dentist in Sector 15, Chandigarh. He has been a successful Dentist for the last 6 years. He is a BDS . You can meet Dr. Randhir Singh personally at Randhir's Dental Clinic in Sector 15, Chandigarh. Book an appointment online with Dr. Randhir Singh on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 44 years of experience on Lybrate.com. You can find Dentists online in Chandigarh and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
BDS - National Dental College & Hospital - 2011
Languages spoken
English
Hindi

Location

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Randhir's Dental Clinic

64, Milk colony, DhanasChandigarh Get Directions
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I am 43 years old, I have very severe bad breath problem, can you suggest me medication.

BDS
Dentist, Hyderabad
Mr. Prasad firstly you should come know why is this bad breath coz it is some times related to medical conditions so my advice is once visit the dentist and you may get more information.
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I get bad smell from mouth since childhood n also I have digestion problem that is after taking food I get vomiting sensation. What should i do?

BDS
Dentist, Gurgaon
I get bad smell from mouth since childhood n also I have digestion problem that is after taking food I get vomiting s...
Bad breath can be reduced or prevented if you: practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. Don't forget to brush the tongue, too. Replace your toothbrush every 2 to 3 months or after an illness. Use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. See your dentist regularly -- at least twice a year. He or she will conduct an oral exam and professional teeth cleaning and will be able to detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor. Drink lots of water. This will keep your mouth moist. Chewing gum (preferably sugarless) stimulates the production of saliva, which helps wash away food particles and bacteria.
2 people found this helpful
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My mouth does not open wide due to chewing of tabacoo is there any medicine that my mouth can open wide as normal person if yes suggest me

Certified Implantologist, BDS
Dentist, Jaipur
hi...first of all stop your Habbit other wise medicine is of no use then try to open your mouth by exercise (spoon excercise) and surely within 15 days you will be getting results. ..apart from that you can take medicine SM- Fibro or Tissot daily once for 3 weeks..Most importantly your have to stop chewing tobacco. .If still more query then feel free to ask me.. Regards !
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Hello doctor I am 35 year old married woman I have cavity problems last two years what should I do please tell me.

MDS
Dentist, Cuddalore
Fill in your cavities. Practice oral hygiene habits such as 1. Brushing twice a day 2. Floss your teeth 3. Use mouth wash if you still get new cavities, go for salivary analysis test and caries risk assessment test.
4 people found this helpful
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Hi sir. I am having a painful mouth ulcer for the past four days it is now multiplied to two. What should I do now.?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hi sir. I am having a painful mouth ulcer for the past four days it is now multiplied to two. What should I do now.?
Cap bnc one a day local application of metrogyl gel suck on tab bifilac twice daily drink plenty of water take fibrous food.
6 people found this helpful
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MDS, Fellow of Academy of General Education (FAGE), BDS
Dentist, Ahmedabad
Root Canal Treatment or RCT as it is commonly known is an important and common treatment done to save a tooth when it is infected commonly due to cavities or injury to the tooth.It is a painless procedure done in both permanent as well as milk teeth whenever necessary.Nowadays all cases are done using advanced rotary technique which enables the dentist to complete the process in 1 or 2 sittings.
1 person found this helpful

BDS, MDS - Oral & Maxillofacial Surgery
Dentist, Pune
One can GET a DONATED EYE but NOT a TOOTH !! SO PRESERVE them.

I am 30 year old man and I am suffering from mouth ulcer last one week. What should I do. Please suggest.

MDS - Oral & Maxillofacial Surgery
Dentist, Deoria
Most common reasons are gastritis and deficiency of vit. B. Try to improve your dietary habits and start antacid and multivitamin and consult to your near by maxillofacial surgeon.
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Bad Breath - 5 Homeopathic Remedies for it!

BHMS, MD - Homeopathy
Homeopath, Delhi
Bad Breath - 5 Homeopathic Remedies for it!

Bad breath is a dental problem which could also emanate due to poor digestion. It can also be experienced as a side effect of other ailments as well as medications. Smoking and bad diet may lead to this and it usually becomes a matter of low self-esteem as time goes by. Homeopathy is one of the most natural forms of medication, treatment and wellness when it comes to such problems that affect the lifestyle of the patient. These medicines usually combine very small doses of naturally found elements so as to cure an ailment or condition. Yet, it is important to remember that one must get a prescription for these medicines from a professional medical practitioner.

Read on to know more about the types of homeopathic remedies available for bad breath.

  1. Merc Sol: If your bad breath problem also comes with symptoms like a moist mouth or constant dribbling, then this medicine may be prescribed. This usually happens when the salivary glands become too active and produce more moisture than what the mouth can handle on a normal basis.
  2. Pulsatilla: This medicine is usually prescribed if the patient complains of a dry mouth along with a bad breath problem. This helps in treating related symptoms like the lack of proper hydration due to the lack of thirst. Not drinking enough water can also lead to the problem of dry mouth and thereafter, a bad odour from the mouth.
  3. Kreosote: This medicine is considered as a very effective medication for bad breath, especially if the bad breath takes place due to caries in the teeth. This medicine can also help patients who are experiencing bleeding gums along with caries and bad breath.
  4. Hepar Sulphur and Carbo Veg: The combination of these two medicines is known as one of the best when it comes to treating bad breath. The other symptoms that call for the prescription of these medicines include Gingivitis or gum infection related problems and symptoms. When there is bleeding and pus in the gums due to the infection, then this medicine is usually prescribed. Excessive salivation is also another symptom that is treated by this medicine combination. Hepar Sulphur can be used if there is a throat-related infection or ailment that can lead to the problem of bad breath.
  5. Carbolic Acid: A homeopathic doctor will usually prescribe this medicine if the problem of bad breath is accompanied by intense and perpetual pain in the abdomen. The patient will also complain of gas in stomach due to the ailment that affects the stomach in such cases. This gives rise to many symptoms including bad breath. Loss of appetite is also treated by this medicine. If you wish to discuss about any specific problem, you can consult a homeopath.
5309 people found this helpful

Hi, I am having mouth ulcer so if i having kissing with my friend, is there any chance of getting infections.

BDS
Dentist, Jaipur
Hi, I am having mouth ulcer so if i having kissing with my friend, is there any chance of getting infections.
Hello Well, if you are suffering from some kind of infection then it may affect her. But it's actually suggested not to make oral contact when there is some lesions in mouth. So it's better if you wait. For quick results use honey on ulcer and let it flow by itself.
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BDS
Dentist, Mumbai
They say, prevention is better than cure. So why not prevent yourself from the consumption of cigarettesĀ  or smokeless tobacco and reduce the risk of oral health diseases lilke tooth decay, gingivitis, oral cancer and periodontis.

I had done a root canal on my teeth right lower back .I am not able to open my mouth fully even after 10 days. There is pain when I try to fully open my mouth. Please advice.

MDS
Dentist, Kolkata
I had done a root canal on my teeth right lower back .I am not able to open my mouth fully even after 10 days. There ...
Usually some pain does exist even after a root canal treatment is completed and there may be difficulty in opening mouth, so wait for some more time before contacting your previous dentist.
1 person found this helpful
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Sir, I feel pain in my tooth when I drink cold water. Also my tooth pains a lot when I chew some hard things. Any suggestions?

BDS
Dentist,
Sir, I feel pain in my tooth when I drink cold water. Also my tooth pains a lot when I chew some hard things. Any sug...
It's due to cavity or loss of enamel. Visit dentist to get the filling done, meanwhile use can use toothpaste for sensitive teeth.
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BDS
Dentist, Thanjavur
Flossing is as important as brushing on a daily basis. Taking the floss all the way down to the point where the teeth and gums meet is the appropriate way of doing it.
2 people found this helpful

H kya r.t.c. teeths ki life long karti hai mene apne one side me 6+1 me teath ko dead kar diya hai but I am comfortable no problem but 2nd side me bhi problem ho rhi hai meetha khane me kaafi pan hota hai.

BDS
Dentist, Vadodara
H kya r.t.c. teeths ki life long karti hai mene apne one side me 6+1 me teath ko dead kar diya hai but I am comfortab...
Rct definitely increases the life of teeth but do remember to get a cap done on it. The other side which is paining can be due to decay.
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Hi i have gap Between my two teeth so much gaps are there. And I want a good smiling face. So, please help me.

Bachelor of Dental Surgery, Master of Dental Surgery
Dentist, Chennai
Hi i have gap Between my two teeth so much gaps are there. And I want a good smiling face. So, please help me.
Gap between the two teeth if inside can be corrected by Tooth colour filling materials. If the teeth are outside then you will require orthodontic treatment.
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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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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

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