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Dr. Bhavani

Dentist, Chennai

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Dr. Bhavani Dentist, Chennai
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Bhavani
Dr. Bhavani is a trusted Dentist in Thiruvanmiyur, Chennai. Doctor is currently practising at RAMS DENTAL CLINIQ in Thiruvanmiyur, Chennai. You can book an instant appointment online with Dr. Bhavani on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 42 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 512 A, Natesan Colony Opp To Mega Mart Kottivakkam, East Coast Road, Thiruvanmiyur, Chennai, ChennaiChennai Get Directions
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I have hypothyroidism and recently got operated for cholecystectomy. I have pain in lower rights jaw radiating to neck and ribs. sometimes its intolerable. What should i do to cure?

BDS
Dentist
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I have hypothyroidism and recently got operated for cholecystectomy.
I have pain in lower rights jaw radiating to nec...
Your problem needs to have a thorough check up. I would advice you to get it checked as soon as possible. It could be due to some infected molar, or tmj problem but its difficult to tell anything for certain without more information.

I am suffering from the problem of tooth sensitivity. I am not able to eat icecreams please give me a solution for it.

BDS (GOLD MEDALIST)
Dentist
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I am suffering from the problem of tooth sensitivity. I am not able to eat icecreams please give me a solution for it.
Use thermoseal ra toothpaste. Rub gently on sensitive area wait for 5 minutes and then rinse. If you cant get relief after one month. Then you need to go for laminating or veneering. Sensitivity can be due to enamel erosion because of bruxism, hard brushing and aging, and after the orthodontic treatment.

Brush twice a day and floss daily even when your braces are on

BDS (GOLD MEDALIST)
Dentist
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Brush twice a day and floss daily even when your braces are on. The food particles get stuck into the braces very easily. It is very important to keep them clean.
Brush twice a day and floss daily even when your braces are on

I have remove one of my tooth six months back. I want to put new artificial tooth now. I am confused regarding should I go for implant or I should go for tooth bridge?

BDS
Dentist
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Going for an implant would be a better option as it would preserve the adjacent teeth. However the best option can be suggested after thorough examination and x rays.

I am always troubled by tooth ache as soon as I eat chocolate or sweets. Tough I brush twice a day I m not satisfied with it. Please help me to sought out this problem.

BDS
Dentist
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I am always troubled by tooth ache as soon as I eat chocolate or sweets. Tough I brush twice a day I m not satisfied ...
Tooth ache after having sweets indicates that you might be having cavity problems. Visit your dentist for proper examination and diagnostic xrays for better diagnosis. Depending upon cavity dept treatment will be performed either simple filling will b needed or it will go for root canal treatment.

Gap in between my front teeth suddenly created how to fix this problem I'm from chennai 23 year old.

BDS
Dentist
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Gap in between my front teeth suddenly created how to fix this problem I'm from chennai 23 year old.
At this age the gap between the front teeth is unlikely, the main reason for this can be localized periodontitis of these teeth. It need to be check properly with clinical and radiographic examination before treatment planning so I advice you to please visit your dentist.

I am suffering from mouth ulcer from last year and when I was go to the doctor they told me that the problem is all about digestion and thay had gave me a tablets which works only for few weeks after again it becomes started.

MDS - Oral & Maxillofacial Surgery
Dentist
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Ulcer might be due to various causes. Once you find out the cause the treatment is done perfectly. Get a consultation from the dentist of your choice and be free from this problem. Meanwhile you might use topical ointments like Mucopain.

Hello doctor I am Rakesh I am 30 yrs old man n I have suffering from cavity problem so what should I do.

BDS
Dentist
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Hi you need to do fill that tooth i. E. Restoration. If you hv no pain. If you hv pain/ sensation go for an xray to confirm whether cavity has reached your pulp. After that go for root canal treatment.

I got my teeth in badly condition. It appears like black so what I should do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I got my teeth in badly condition. It appears like black so what I should do?
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need filling or root canal treatment along with surgical procedures. You may consult me too.

Wisdom teeth is coming in my lower jaw from 2 days it's very painful. That's why I'm suffering from ear, throat and head ache. I can't eat and talk. My mouth become large what should I do?

BDS
Dentist
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Wisdom teeth is coming in my lower jaw from 2 days it's very painful. That's why I'm suffering from ear, throat and h...
Do warm water gargles, avoid anything cold. Get X-ray done to check if the wisdom tooth is erupting normally. A small surgery to remove flap over tooth may be require if tooth erupting in normal position. If tooth is impacted surgical extraction may be required.

I have a habit of cracking my teeth (like continuously chewing motions) when I'm asleep, I was unaware of it until recently when it was pointed out to me. I worry that in the long term, this could affect my teeth and cause them to flatten, and already I can see that my canines have flattened considerably. I am unsure whether to consult a dentist or a sleep clinic in this regard, please advise a course of action.

MDS - Pediatric Dentistry , Certificate Course in Conscious Sedation, BDS
Dentist
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I have a habit of cracking my teeth (like continuously chewing motions) when I'm asleep, I was unaware of it until re...
Kindly see a dentist at the earliest. He will first make a bite-guard after which he/she will assess the cause for grinding and help you correct the same. Some common causes of grinding - stress, improper fillings/crowns with high-points (bite not set properly) etc.

I cannot feel my smile and taste for past 7 month I got accident before 7 month from that date I cannot feel smile and taste.

MDS - Oral & Maxillofacial Surgery
Dentist
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We need more investigations (full mouth x-ray) & clinical examination to decide upon treatment. 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.

I have cavity in my teeth so how I can be cured and give me a good advice and there is a muscle tearing in my leg.what to do for these

MDS - Oral & Maxillofacial Surgery
Dentist
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I have cavity in my teeth so how I can be cured and give me a good advice and there is a muscle tearing in my leg.wha...
•If your cavity in the tooth is caused by decay, your dentist will remove the decayed area and replace it with a filling. •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.

Dengue Vaxia

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

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Dengue Vaxia

Sir, I have mouth ulcer from 5 days I have tried complex and rixidin i'm gel but it is not working it is paining to also please sir tell which type of medicine I should take.

MDS - Oral & Maxillofacial Surgery
Dentist
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Sir, I have mouth ulcer from 5 days I have tried complex and rixidin i'm gel but it is not working it is paining to a...
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.

My teeth is yellow? What should I do. I can brush teeth properly then how it happened?

BDS
Dentist
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My teeth is yellow? What should I do. I can brush teeth properly then how it happened?
U need dental scaling done every 6mnths in a year there is a slight debris accumulation which changes yellow

My age is 16. In my teeth I am having pyorrhea and I am feeling a slight movement in one of my front tooth. My gums are reddish and swelled. I am having calculus. I had a history of dental trauma 6 years ago. My teeth are not at all straight. I am in a fear of loosing my teeth. What has happened to my teeth? What should I do now? Will I really loose my teeth?

M.D in Homoeopathy, B.H.M.S
Homeopath
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My age is 16. In my teeth I am having pyorrhea and I am feeling a slight movement in one of my front tooth. My gums a...
You are having mild symptoms of pyorrhoea. To clear the disease you should brush your teeth regularly twice a day. Change your toothbrush every 3 months. This can be due to vitamin c deficiency. So take lemon juice oranges guava even banana daily. After effects of injury can be solved by homoeopathic medicines like arnica 1m, phosphorus 200 and hekla lava 30.

I am suffering from tooth ake from 3days they said they have to do root canal treatment is there any alternative for this.

Master of Clinical Dentistry, Bachelor of Dental Surgery
Dentist
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I am suffering from tooth ake from 3days they said they have to do root canal treatment is there any alternative for ...
If the nerve is infected, the only 2 treatments possible are root canal treatment or extraction of the tooth.

How to remove yellow spots from teeth easily?

BDS
Dentist
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Kindly get scaling and polishing done and if you r still not satisfied with the color you can get bleaching done.
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