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Dr. Emmanuel

Dentist, Chennai

Dr. Emmanuel Dentist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Emmanuel
Dr. Emmanuel is a trusted Dentist in Anna Nagar, Chennai. You can visit him/her at Dr Premila Dental Clinic in Anna Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Emmanuel on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 39 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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Dr Premila Dental Clinic

No 950, 13th Main Road, Anna Nagar.Landmark: Between Krishnaswamy School And Uc MAS, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Is it advisable to extract all four wisdom teeth in one single surgery or it must be done one at a time? Dentist advised us to extract all four in one sitting but we doubt if it would be too painful to handle after the surgery.

MDS
Dentist, Sangli
It will not be painful to extract all wisdom teeth at once. But tissue handling, bleeding and healing of wound may be issue of concern. But it all depens on your wife's general health status.
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Previously I chewed tobacco now I quit from 9months. But sometimes my throat is itching and cause cough for few minutes (mainly at eating time. Previously I checked to doctor but he said nothing but my worry because it happens daily and irritate me and give me tension. Please help me doctor.

BDS, MDS Prosthodontics
Dentist, Delhi
Hi lybrate-user, Happy diwali. I appreciate that you have quit chewing tobacco. This is one of the withdrawal symptom that you are having, just try and have a glass of water before having food, or try having a candy before having meal. Ai think this should solve away your problem.
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I am 18 years old. I want to ask how do I whiten my tooth either by naturally or medical treatments? please help me.

Certification In Smile Makeover, BDS
Dentist,
Get your teeth cleaned and polished by a qualified dentist. If you are not satisfied by the natural shade then ask for teeth bleaching.
2 people found this helpful
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Dental Implants - 7 Reasons Why You Should Go for them

BDS
Dentist, Delhi
Dental Implants - 7 Reasons Why You Should Go for them

Dental implants are basically replacing your teeth roots. In dental implants anchors are used which are actually a cylindrical screw like object. This is put in your lower and upper jaw bones through surgery and they work like stable bases for artificially replaced teeth. (Learn how to Avoid Yellowing of Teeth)

Dental implants can be of many types and the types of implants vary on the method of surgery.

Some prominent types of dental implants are:

  1. Endosteal: In this method screws, blades or cylinders are surgically inserted in the jawbone. Every implant can hold one or more artificial teeth.

  2. Subperiosteal: Through this process, artificial teeth are on the top of a jawbone by a metal framework. People who cannot wear artificial dentures and have a short bone height prefer this method.

Dental implants come with many advantages, some of the advantages may include:

  1. Improved Appearance: Surgically implanted teeth feels like your own teeth, at the same time they also look better.

  2. Improved Speech: With badly fitted dentures (learn more about regular care for dentures) you have chances to slur or mumble your words but with dental implants, it is easier to speak.

  3. Improved Comforts: Dental implants are very comfortable; you will not find any difference with your own teeth.

  4. Comfortable Eating: As it feels like your own teeth, you find no difficulty whilst chewing, and you can always enjoy your favourite food.

  5. Improved Confidence: After dental implants, you will smile lot more than before and that will happen because of your regained self-esteem.

  6. Durability: Dental implants last many years and if you take good care then it can last for your lifetime. Sometimes people choose dental implants for its durability.

  7. Convenience: Although this process lasts for a very long time, you can replace it or change it anytime you feel like you are having any problem regarding it.

There are also some different processes through which dental implants can be done. It depends on your problems and needs.

Some processes may include:

  1. Replacing one single tooth: if your one tooth is missing then one crown and one implant would be enough.

  2. Replacing many teeth: if you are having problems with several teeth, then a full bridge of dentures can be used.

  3. Replacing all your teeth: if it is needed then all your teeth can be replaced.

  4. Sinus Augmentation: this one is a little difficult process, it helps to develop bones for dental implants. It also develops the quality of your bone.

Dental implants are very successful now. It is durable and good looking. After the implant the artificial teeth feels like your own teeth and it is very easy to handle.

3145 people found this helpful

I am 46 years of age. From the past three days, I have got an ulcer like in my mouth. It' s situated where my wisdom teeth should be and feels like I am getting a new teeth. My question is, can it be the beginning of an oral cancer. Please advice.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
No, it doesn' t seem to be a cancer, it might be due to sharp edge of your teeth. Please consult a nearby dentist for complete resolution of the problem
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My teeth are in pale yellow( I neither smoke nor drink or even take pan). Can you suggest me any treatment to get them back to white ?

BDS
Dentist, Hyderabad
Try for bleaching treatment which can dim the colour but has to c whether the colour is intrinsic , or else can go for crowns
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My teeth is getting broken into little pieces while eating some food is that o don't have calcium or is that any other problem.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Brittleness of teeth may be due to various factors: Genetic factors: Weak teeth are sometimes passed on down the generations of a family. People belonging to these families tend to suffer brittle teeth. Dietary habits: Eating too many sugary and acidic foods weakens teeth, and causes them to become brittle. Frequent snacking is also not advisable because the pH level of saliva does not come to its normal levels because of continuous intake of food. Usually, it takes around three to four hours for the effects of enzymes present in the food to reduce and restore optimum pH of saliva. Moreover, high acidic level in the mouth damages the enamel covering the teeth, thereby causing brittleness. Aerated drinks, much intake of citrus fruit juices like lemon, tobacco usage and too much alcohol are some of the other reasons that cause brittleness. Lack of balanced diets leads to vitamin and calcium deficiency in the body. As a result, teeth lose their strength and become brittle. Also, drinking water which contains high levels of fluoride is also one of the major reasons for brittleness. Involuntary habits: Some people involuntarily grind or clench their teeth when they sleep or become emotional. When grinding happens, the outer layer or enamel covering teeth is damaged. This damage paves way to brittleness. Use of excess force while brushing teeth is another common factor for this condition. Medical conditions: Certain diseases, not necessarily of dental origin, lead to brittle teeth. Some of the common diseases that result in this condition are: Periodontal disease: This is a disease of the gum, jaw bones and teeth. If ignored, this disease affects the structure of dentures and strength of the gums. When the disease reaches advanced stages, teeth become brittle Osteoporosis: Osteoporosis is not a disease of dental origin but a condition that affects the overall structure of bones in the body. People with low bone density and inadequate nutrients suffer brittle teeth through weakening of the jaw bones and teeth Nerve changes: In some cases, nerve tissues in the teeth reduce. As a result, nervous activity in the teeth reduces. This leads to brittleness of teeth Kidney diseases: Kidney diseases can lead to bone loss or reduced bone density. Osteoporosis is one of the side effects of some kinds of renal diseases. When kidneys malfunction, bones all over the body become weak. This affects the jaw bone as well. Teeth become loose and brittle. Also, when kidneys do not function optimally, absorption of calcium from food decreases. Teeth do not receive adequate amount of calcium and hence, become brittle. Drugs: Certain kinds of drugs cause brittleness in bones because of the various side effects they cause. Some drugs contain ingredients that reduce calcium absorption in the body. Some drugs also contain high level of fluoride and can lead to brittleness. However, using such drugs for short durations does not cause this problem. The condition is common in people who use these drugs chronically. Aging: Aging can also cause brittleness. Usually, the side effects of different activities, medicines and stress that the teeth undergo cumulate over age and cause brittleness as age advances. Elderly people who follow good dietary habits and avoid unhealthy habits do not suffer from brittleness.
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My teeth are very yellowish from inside where I cannot brush even. Otherwise I have no problem till now. Pls suggest how to take care of them and to clean them from inside. Thanks.

MD - Alternate Medicine, BHMS
Homeopath, Surat
You can have an appointment with dentist and get it cleaned-up. It will be alright. Do not worry. Take care. :)
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I have a teeth infected and half of it is already broken. Hence it is paining and disturbing me a lot. Should I do the root canal treatment or I should take it out? Please suggest.

BDS
Dentist, Jaipur
Yes u should go with Rct and after that capping is required.more detail will give after examing the case. So consult to Dr.if we cannot preserve tooth then only we will extract .
1 person found this helpful
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Applying baking soda can whiten your teeth

BDS
Dentist, Cuttack
Applying baking soda can whiten your teeth
Brushing baking soda on your teeth twice a month can remove the stains of coffee or red wine and give you your pearly white teeth back.
194 people found this helpful

Why is my teeth not get whiter than others? It looks like golden teeth. Brush twice a day.

BDS
Dentist, Mumbai
Will have to check you first before diagnosing this issue. However you can get your teeth cleaned with a local dentist.
18 people found this helpful
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I have serious pain in both the extreme corners of my mouth. Kindly tell me the methods to reduce the pain,

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 filling or root canal treatment or deep cleaning along with surgical procedures. You may consult me too.
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Sir, Blood comes from my teeth during mouth wash and some times in day also .Pl suggest its remedy.

BDS
Dentist, Gurgaon
Dear lybrate user, bleeding from gums on brushing or eating indicated poor oral hygiene and gum disease. Consult your dentist soon, get a professional cleaning/scaling done. Rinse your mouth 3-4 times daily with lukewarm water with a pinch of salt. Brush gently with a soft toothbrush.
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I was met in accident 5 months ago. My upper 4 teeth gone. If I choose implant or any other treatments to replace my teeth. Give me the information about them and the cost for the treatments. Please.

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 replacement with removable or fixed (bridges & implants) type of teeth. Cost varies with dentist. You may consult me in person. 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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Teeth was little bit cracked but their is no pain if their is problem after some days ago.

MDS - Orthodontics & Dentofacial Orthopaedics, Post Graduation Certicate In Clear Aligner Therapy, Post-Graduate Certificate in Oral Implantology (PGCOI) , Certificate In Advanced Endodontics,Laser Dentistry, BDS
Dentist, Gurgaon
You shld rush down to dentist and get it fixed. If it is just a part of the tooth you just have to get simple procedure called tooth bonding. If it has reached till nerves then you mite required root canal treatment. Dentist may take xray for further diagnosis.
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MDS
Dentist, Delhi
99% of the plaque can be removed by the use of Waterjets along with daily brushing.

Dear Doctor, i am 47 years old. I am suffering mouth bad breath, pain on my right hand since long time. Presently I am suffering from much weak. Please advise me. Thanks & regards

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
How can you diffrentiate bad mouth smell between right and left side? well. In any case, consult a dentist and get your teeth cleaned. This is going to solve your problem.
1 person found this helpful
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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

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

Dental Health Tip

BDS, Certificate course in Oral Implantology
Dentist, Aligarh
Dental Health Tip

Smoking or consuming smokeless tobacco is very harmful for your teeth. It can lead to various oral diseases like oral cancer, gingivitis, periodontitis and tooth decay.

2 people found this helpful

Good afternoon noon, my problem is that I have mouth eucler (chole) on my tongue and lives for last 1 weeks, I had taken homeopathy medicine but after some time it again develop. Please suggest me to rid from this problem. Thanks

BDS
Dentist, Mumbai
This seems to be little cause of concern. Stop and remove all tension anxiety from your mind. Maintain good digestion and oral hygiene. Apply boroglycerine .orajel .ointment use listerine mouthwash.
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