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Dr. Anuphama

Dentist, Chennai

100 at clinic
Dr. Anuphama Dentist, Chennai
100 at clinic
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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. Anuphama
Dr. Anuphama is a popular Dentist in Teynampet, Chennai. You can meet Dr. Anuphama personally at Dentistree Clinics in Teynampet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Anuphama on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 37 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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No.49,Kavignar Barathidhasan Road,Teynampet,Landmark: Opp To SIT College, ChennaiChennai Get Directions
100 at clinic
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I got ulcer in mouth. I have tried a lot of tubes and medicines but anything didn't helped me. Its been more than a week but there is no change. I just can't open my mouth. What should I do or which medicine I use?

BDS
Dentist, Gurgaon
I got ulcer in mouth. I have tried a lot of tubes and medicines but anything didn't helped me. Its been more than a w...
Hi lybrate-user! there could be a lot of causes for the ulcers to occur in the mouth. We need to evaluate the same. Meanwhile you can apply the gel" mucopain" to the affected areas three time a day and await miraculous results. Get your dental check-up done asap!
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BDS
Dentist, Mumbai
Do you rinse yourmouth with an alchohol-free mouth wash after every meal? If no, then start doing it because it prevents the formation of bacteria in your mouth.
14 people found this helpful

I have a ulcer like Tared skin inside my mouth, can somebody suggest me on this. Thank you.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have a ulcer like Tared skin inside my mouth, can somebody suggest me on this.

Thank you.
Eat lot of fruits & green leafy vegetables & drink plenty of water. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash after every meals. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.
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I have a high tooth sensitivity. After having 2/3 pieces of home-made olive pickle I can't even eat meal due to tooth sensitivity. Please help me.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have a high tooth sensitivity. After having 2/3 pieces of home-made olive pickle I can't even eat meal due to tooth...
The type of treatment you have for toothache/sensitivity will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache/sensitivity is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache/sensitivity is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache/sensitivity can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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My Maxilla has been removed due to cancer. Is reconstruction of it is possible ? Where ? Ahemdabad

BDS
Dentist, Bangalore
Yes it is possible and we have done a case where both Mozilla and mandible was removed on left side technology is so advanced that different kind of prosthesis us available which Wii have teeth as wel as act as pseudo maxilla
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Sir i consulted a dentist they fixed a root cap 5 years back as it is not proper they removed whole teeth and fixed another root cap for another teeth my colleagues are saying that due to root cap there is a chance of root cancer is it true?

MDS Endodontist
Dentist, Panchkula
There is nothing like root cancer. But definitely the term is root caries. If there is root caries we can restore it upto some extent. If u can send me the x ray of the tooth i can definitely help you.
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BDS
Dentist, Cuttack
Bleeding gums indicate serious health problem.
7 people found this helpful

I'm having pain in only one of my teeth. I took pain killer tablet but that didn't help. Please suggest as what should be done for the remedy?

BDS
Dentist, Cuttack
I'm having pain in only one of my teeth. I took pain killer tablet but that didn't help. Please suggest as what shoul...
Hey pain in teeth are not necessarily treated by pain killer. Please tell detail about your pain history. We will look into ita nd prescribe you certain medicine that would help u.
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Dentist, Jaunpur
The leftover food particles can wreck havoc in your mouth especially while the orthodontic treatment. Always remember to use a mouthwash after every meal.
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There is a whitish skin in side may chick, I also have some pain there and I split blood sometimes which comes out of the gums. What should I do?

MDS - Orthodontics, BDS
Dentist, Dhamtari
There is a whitish skin in side may chick, I also have some pain there and I split blood sometimes which comes out of...
It is indicative of serious underlying problem. Waste no time and get it checked by a competent dentist. Gargle, rinse & spit with salt-water after meals till you get an oral checkup.
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My all teeth r yellow nd I'm use all type of toothpaste. But noo result wht can I doo now plzz suggest me?

BDS
Dentist, Saharanpur
My all teeth r yellow nd I'm use all type of toothpaste. But noo result wht can I doo now plzz suggest me?
Get scaling done n brush your teeth twice a day n use dental floss n mouthwash n do warmsaline rinces 3-4 times a day n scrap your tongue twice day n tel me d status after 5 days.
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Hi I have bad breathing problem. Please suggest me something. Sometimes I wash my mouth with mouthwash but still issue is there? Do I need to clean tongue daily, which I started recently.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person.
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My mouth smells very dirty all the time. My teeth are yellow always. What should I do to overcome this?

BDS
Dentist, Bangalore
My mouth smells very dirty all the time. My teeth are yellow always. What should I do to overcome this?
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.
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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

Mere teeth me bleeding hoti hai brush krte time baki time nahi hoti pls tell me what I do please suggest me.

MDS - Oral & Maxillofacial Surgery, Certified Implantologist, BDS
Dentist, Ranchi
May be due either improper brushng technique, or due to inflammation of the gums. Use soft brush and learn correct brushing technique. Consult your dentist fir correct brushing technique.
1 person found this helpful
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I am Sankar Srinivasan, age 48. I was affected by epilepsy in my childhood. Had phenytoin sodium tablet. Now reducing dose. My problem is, teeth enamel is damaging in 5 teeth's. Already extracted 3 teeth. I want to save my teeth's. Please kindly guide me Sankar Srinivasan.

MDS Prosthodontics, BDS
Dentist, Mumbai
I am Sankar Srinivasan, age 48. I was affected by epilepsy in my childhood. Had phenytoin sodium tablet. Now reducing...
Mr. Lybrate-user, when your teeth enamel is damaging you immediately need to take care of it. Teeth have three layers, enamel-dentin-pulp. So when the enamel is damaged the dentin is exposed leading to weaker and caries prone teeth. See your nearest dentist and either to a filling or a crown/cap work done.
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