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Dr. A.George

Dentist, Chennai

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Dr. A.George Dentist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. A.George
Dr. A.George is a trusted Dentist in Ambikapuram, Chennai. You can meet Dr. A.George personally at st.George's Dental Clinic in Ambikapuram, Chennai. Book an appointment online with Dr. A.George on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 32 years of experience on Lybrate.com. You can find Dentists online in Chennai 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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st.George's Dental Clinic

#1, Seetha Nagar 1st Street, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

My mother age 75, suffering from sudden acute pain in left jaw to head.(like electric shock) whenever she chewing or drinking of eating any stuff. It is now unbearable for her. Kindly help immediately.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need root canal treatment or extraction. Advance procedures are done with lasers too. You may consult me in person too. 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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Healthy Mouth Healthy Child

MDS, Fellow of Academy of General Education (FAGE), BDS
Dentist, Ahmedabad
Healthy Mouth Healthy Child

Complete oral examination and evaluation, cavities risk assessment, diet counselling, brushing demonstration and other oral hygiene measures are step some of the steps your pediatric dentist would do to make your child a healthy child by ensuring a healthy mouth. Kindly contact your pediatric dentist to know more about the same and avail this wonderful initiative.

28 people found this helpful

There is a sudden sensitivity pain started in my teeth last few months. I had a very strong of those before. But now whenever I eat something very hot or cold it hurts. I m 22. I have a irregular timings of brushing teeth. Usually after my lunch and not in mornings. Moreover I m smoker usually one or two a day. Help me out. I usually eat chocolates frequently. Tea twice and sometimes coffee.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
There is a sudden sensitivity pain started in my teeth last few months. I had a very strong of those before. But now ...
It seems you might be having periodontal problem. C/as pyorrhea. You need to get rid of it. It needs aggressive therapy. You need to make a habit of rinsing your mouth everytime you eat something and brush regularly (once in the morning before meals and once at night after dinner, add a mouthwash for better oral hygiene.
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I am having blood in my mouth while sleeping. Some times the blood with saliva has yellow substance. What would be the reason.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
It is the pus discharge from your mouth. Go to anearby dentist for complete resolution of the problem.
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Why bleeding in my teeth? Whether I brush my teeth twice in a day. Can you suggest me a perfect way to stop the bleeding in my teeth.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Why bleeding in my teeth? Whether I brush my teeth twice in a day. Can you suggest me a perfect way to stop the bleed...
We need more investigations with clinical examination to decide upon treatment. You may need cleaning, root canal treatment & capping. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash.
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I have mouth ulcer in every 2 months and they heal up to 15 days. What should i do?

BDS
Dentist, Hyderabad
I have mouth ulcer in every 2 months and they heal up to 15 days. What should i do?
There are many reasons of having mouth ulcers, but you need to find out what is the root cause of the ulcers as there is no treatment unless the root cause is identified and that is fixed. All the treatments like applying lozen or creams is a symptomatic therapy. Check for stress, nutritional deficiency, hormonal imbalance, sleeplessness.
1 person found this helpful
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Sir I am 28 year old lady sir from 1 month my tongue get fold when I want to speak and I can't speak clearly.

BDS
Dentist, Ahmedabad
The condition is called' tongue tie' first of all nothing to worry about it. It can be removed by a minor surgical procedure which usually lasts for 15-20 mins. You may visit a dentist specially oral and maxillofacial surgeon. You can find them using web search practo or lybrate which is specially for finding thr doctors. Wish you a healthy and fast recovery. God bless you. Jay swaminarayan.

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

Hi I am having mouth ulcers and also cold and fever. So I am having trouble eating food as well as any kind of Medicine. Its been a week since I am having this problem. Kindly suggest any way to get rid of this problem. And while prescribing any medicine please suggest the one that is available in bangalore.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi I am having mouth ulcers and also cold and fever. So I am having trouble eating food as well as any kind of Medici...
Homoeopathic medicine---------------------------------- merc sol 30 (sbl) drink 1 drop direct on tongue every week at night ----------------------------- acid sulph 30 (sbl) drink 2 drops in 1spoon fressh water 3 times daily for 2 months----------------------------------- eat a diet rich in iron and vitamin-c and vitamin -b 12 and for this adopt following diet in your life style------------------------
2 people found this helpful
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MDS Prosthodontics, BDS
Dentist, Latur
Taking a large number of medications often leads to a dry mouth. Increase your fluid intake or ask your dentist about an artificial saliva product or chew sugarless gum after a meal to keep your mouth moist.

I use Colgate mouthwash, do I need to rinse my mouth with water after that as we do in toothpaste or can I directly eat after 20 min?

MDS, BDS
Dentist, Bangalore
I use Colgate mouthwash, do I need to rinse my mouth with water after that as we do in toothpaste or can I directly e...
you need not wash with water....if you feel the taste very strong you can dilute and use the mouth wash or rinse your mouth with water....if you are using it on a daily basis...kindly give a break of a week every month....
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I have gap between my two upper front teeth. What should I do. Which type of doctor should I consult among dentist. please suggest.

BDS
Dentist, Mumbai
I have gap between my two upper front teeth. What should I do. Which type of doctor should I consult among dentist. p...
Dear in indian mythology this is sign of good luck. Kindly visit cosmetic dental surgeon for checkup. Use colgate tooth paste and listerin mouth wash.
1 person found this helpful
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I have black spot on upper middle teeth and smell in my mouth. What to do? Please help me.

BDS
Dentist, Gurgaon
I have black spot on upper middle teeth and smell in my mouth. What to do? Please help me.
You might have stain / deposit on your teeth kindly get yourself checked by dentist and get cleaning and polishing done.
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I am planning to go for wires in my teeth as I have little gaps in between my teeth and am also wanting to have a great smile. I am confused as from where should I get it done. The metal wire (silver one) costs rs. 6000 in vydehi dental college whereas the same item costs rs 18000 at a local dental clinic in whitefield. How would I know from where to get it done?

BDS
Dentist, Ahmedabad
I am planning to go for wires in my teeth as I have little gaps in between my teeth and am also wanting to have a gre...
Orthodontic treatment is a long term treatment and in colleges, you can never be sure that the same dentist is going to treat you for the entire duration of treatment. Select a good orthodontist of repute and go with it.
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Hi Please confirm whether foul smell comes from mouth after bleaching/polishing of tenths? few people complaining of the same.

MDS - Orthodontics
Dentist,
No after through cleaning of tooth followed by good oral hygiene will restrict the local cause of bad smell and kindly get regulated for your medical condition for long term dental health wellness.
4 people found this helpful
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I am suffering from pyorrhea.Every morning gums bleed.I am 33, please advise medicine ?

BDS
Dentist, Bangalore
Get ur teeth cleaned at the clinic once every 6 months and use rexidine mouthwash twice daily for 15 days only clean ur teeth with soft toothbrush twice daily
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I am not able to open my mouth wide from last 5/6 months. Only 2 fingers I can put in my mouth. When I am trying to open widely. I am getting pain. I used to have tobacco. What may be the cause.

PERIODONTIST, B.D.S.
Dentist, Navi Mumbai
I am not able to open my mouth wide from last 5/6 months. Only 2 fingers I can put in my mouth. When I am trying to o...
Hello lybrate-user, the first thing you have to do is - stop tobacco. It's all because of it. Tobacco contains various cancerous products in it. When you take it for long time it affect your cheek mucosa initially and then the muscles. Because of muscle stiffness you are not able to open your mouth.
1 person found this helpful
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I feel strong pain in my gums while brushing my teeth. I'm using Oral-B toothpaste. Is it safe to use?

BDS
Dentist,
I feel strong pain in my gums while brushing my teeth. I'm using Oral-B toothpaste. Is it safe to use?
A tooth paste does not contribute to the pain in the tooth. You should meet a dentist soon and get to know the reason behind the pain. Hope this helps.
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Hi while I am eating frequently use to chew my cheeck so in my mouth one smal bulb kind of a clotting from last 4 year what to do for that.

Dentist, Delhi
Please specify the region. Generally it is because of wisdom tooth if it is in the posterior region or a sharp tooth. Visit a dentist.
4 people found this helpful
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Hello doctor. actually yesterday I noticed that my gum turning black colour. Plzz suggest me how to get rid of rhis problem and how can care my gums and also my lips?

BDS, MDS Prosthodontics
Dentist, Chennai
Hello doctor. actually yesterday I noticed that my gum turning black colour. Plzz suggest me how to get rid of rhis p...
I am pretty sure that your gums have not turned black over night. Black pigmentation of gums is because of a natural pigmentation called melanin.In addition Smoking can cause an increase in pigmentation and black appearance of gums. If you are a smoker then discontinuing this habit can result in reduction in pigmentation. However if you want to completely get rid of all the black pigmentation then there is a clinical procedure called gingival stripping. For this you would have to consult a periodontist who has experience in doing lazer gingival stripping.
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