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Dr. Ishita

Dentist, Chennai

Dr. Ishita Dentist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ishita
Dr. Ishita is a renowned Dentist in K K Nagar, Chennai. You can consult Dr. Ishita at Chennai Smiles in K K Nagar, Chennai. You can book an instant appointment online with Dr. Ishita on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 30 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 32/C, Vaidhya Raman Street, T Nagar, ChennaiChennai Get Directions
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I am 29 year old female. I want to know about dental alignment surgery( no braces). So what would be the approximate cost for the treatment and which clinic would be good for this treatment in bangalore.

BDS
Dentist, Secunderabad
Dear . Without using braces you may get d aligning of your teeth done by going through' clear path orthodontics. Invisible they are a set of almost 20 aligners. And you need to change them after every 1 month. My practice is at secunderabad. Here charges are around 80000/- to 90000/-.(including boyh upper and lower jaw) regards.
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My teeth are paining very much from last 4-5 days. Please suggest me any medicine or any ayurvedic treatment.

BDS
Dentist, Bangalore
My teeth are paining very much from last 4-5 days. Please suggest me any medicine or any ayurvedic treatment.
medicine will give you only temporary relief. not a permanent solution. . there are so many reasons for teeth pain. you should visit to a dentist for identifying the exact reason for pain. .
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I have mouth ulcer problems. Due to which I am unable to eat any food and it gives me tremendous amount of pain. So kindly suggests any solutions for me.

DHMS (Hons.)
Homeopath, Patna
I have mouth ulcer problems. Due to which I am unable to eat any food and it gives me tremendous amount of pain. So k...
Hello, * do you suffer from gastric disorder. Or any sort of dental infection/injury * take, plenty of water. * take, easily digestible, liquid diet. Avoiding junk food. * take, apple, banana, spinach, carrot soup. * homoeo-medicine* @ merc sol 1000-6 pills, once a wk. @ acid carbolic 30-6 pills, thrice a day. @ calendula q -10 drops with 1//4 cup of normal water, rinse your mouth, thrice a day report your progress, wkly. All d best.
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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

Main 36 yr ka hun, mere dental me 2 yr se dard rah raha hai, kya karu upai bataye?

MDS
Dentist, Kota
Main 36 yr ka hun, mere dental me 2 yr se dard rah raha hai, kya karu upai bataye?
Aap bina vilamb k kisi dentist ko apne teeth ka checkup karao. And filling ya rct k baad aapko relief milega. Treatment avoid karne se aapko tooth nikalwana bhi pad sakta hai.
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How can I cure myself of sores in the mouth, especially upper palate? I am diabetic.

BDS
Dentist, Gurgaon
How can I cure myself of sores in the mouth, especially upper palate? I am diabetic.
Dear Lybrate user, mouth ulcers are quite common in diabetics as the gum tissues are quite vulnerable. You can occasionally take some multivitamin tablets under the supervision of your consultant physician if the ulcers tend to occur frequently. Other than that, drink plenty of water and consume more citrus fruits which are a natural source of vitamin C which is very crucial for your gum health. Also avoid extremely fried or spicy food.
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My dental doctor completed route kenal to my teeth. Bt I am not using cap. It is safe r not?

BDS
Dentist, Katihar
My dental doctor completed route kenal to my teeth. Bt I am not using cap. It is safe r not?
In my opinion it is safe but putting cap makes you safest. Because after putting the cap tooth got a more strength. And chances of filled tooth last more.
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Hii I am 31 years old male and I wana know what the exactly process of mouth implants. Is there any cheap rated implants are available?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hii
I am 31 years old male and I wana know what the exactly process of mouth implants. Is there any cheap rated impla...
A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. Cost of implants varies with dentist.
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My teeth are yellow why because I don't know and I don't have any bad habits like smoking or drinking or pan I takes brush twice a day what is my problem and how to get my teeth white.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My teeth are yellow why because I don't know and I don't have any bad habits like smoking or drinking or pan I takes ...
Get scaling polishing done by a dentist than brush twice daily especially at night avoid coloured foodstuffs.
1 person found this helpful
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Certified Implantologist, BDS
Dentist, Chennai
Simple and easy exercise for healthy gums: Gently bite down so as to make sure that your teeth make a clinking sound when they meet. Repeat this 30 to 40 times continously. This will maintain the health of your gums by stimulating the blood flow.
1 person found this helpful

I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcers. Pleas said me.

BDS
Dentist, Vadodara
I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcer...
Common cause of ulcer is constipation. If you have it than get it treated. Avoid oilly, spicy n hard foods. Apply dologel or mucopain ointment 3-4 times a day. You can also take b complex tablets 3 times for 5 days.
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I had a problem in my teeth they normally used to pain when I take any hot or cold things I have a sensitivity in my teeth so I used different kinds of toothpastes.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
I had a problem in my teeth they normally used to pain when I take any hot or cold things I have a sensitivity in my ...
Antisensitive tooth paste is a good one for sensitive teeth. So use thermoseal ra or sensodyne or colgate sensitive pro relief any of which you like.
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Hi! My dad is 63 years old. So this problem started last August, when we noticed that he is having some speech issue. It was like as if he is eating something and talking, when actually his mouth was completely empty. Then the frequency of this slurring increased in some weeks/months (can not recall). When we met our doctor, he advised to get an MRI done. On getting the MRI he concluded that it is because of diabetes and blood pressure that some muscles of the tongue are weak. Since november, my dad is controlling diabetes and blood pressure and has also lost 10 kgs (he was overweight, with strict diet and exercise he has lost 10 kgs and now weighs 80 kgs) So, the slurring problem increased and now its not slurring but lisping. We also noticed that his tongue is not able to touch the roof of the mouth. And there is always some burning sensation on some part of the tongue. We met a few renowned doctors but nothing was concluded. We met a neurologist, who recommended the following tests. MRI, diffused and contrast RNT THYROID ECHO ULTRASOUND OF THE NECK. All the above tests were normal. On meeting our neurologist the last time, he has given the following conclusions. He said - His tongue muscles are weak, And blood supply to the blood is not appropriate. And has given us some medicines. Although on his prescription he has written the following. D/d Multi infarct state e bulbar palsy Bulbar palsy onset AHC He has also written follow up to see for evolution/ evaluation of AHC disease. As you can see what he said and what he wrote was completely different. My question is I did my research on Ahc and bulbar palsy, yes it is very scary but some symptoms are not matching with the symptoms of Ahc and bulbar palsy. He also said - there is no test to conclude this disease, if nothing happens after having the given medicines. We will conclude that he is suffering from Ahc and bulbar palsy. Symptoms that differ His walking is perfect - daily walks for more than 7 kms His muscles are strong No problem with swallowing Please help me out in this.

BDS
Dentist, Kolar
Dear lybrate user, you can try consulting a dentist who hs done masters in oral medicine and radiology or in oral pathology. With aging tongue muscles tend to become weak n also mouth gets dry making them difficult to speak properly or swallow. Moistness of mouth also plays a role in speech. Wen a person loses mutiple teeth, the space available for tongue increases n tongue seems to noticably increase in size in older patients. This again causes difficulty in speech. With aging, weak muscle n nerves coupled with slight increased side tongue n absence of muliplt teeth or complete absence of teeth may cause incomplete control over tongue. Taste buds greatly reduce in number with aging causing bald tongue. Nutritional deficiency esp iron deficiency can cause bald tongue n inflamation easily.
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Ideal Age For BRACES

oral implantology, BDS
Dentist, Jaipur
Ideal Age For BRACES

A common question asked by parents about braces is at what age our kid should go for braces.
 Orthodontic treatment is not just corrective. We can try to avoid malocclusion by various methods. One should take their kids for a dental check up every 6 months. Sometimes it is possible to do a little bit of treatment like extraction of milk tooth to avoid malaligned teeth.
 If one has developed irregular teeth or forwardly placed teeth, the kid has to wait till all milk teeth fall. It is easy to put braces with that. Sometimes we have to remove milk teeth if it is not gelling at the right time.

2 people found this helpful

Sir I have leukoplakia (white patches in my mouth) Its has been 20 years for having this but its is growing very little in years. From last 16 year's I am not addicted to any tobacco products. These days I am very very afraid what should I do for this ,should I go for surgery ,I consulted to Dr. Ms. ent who advice that keep away from any addiction and keep eyes on that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
Vitiligo is a genetic disorder trigger by indigestion and stressful conditions. There was always confusion in patients mind regarding choosing right treatment approach for vitiligo. Allopathy can give quick results but is not very safe for long term uses if steroids are used. Homeopathic is safe but very slow and in most of cases it can not stop the spread of disease i.e old patches shows some recovery but new white patches continue to come even when we are using Homeopathy. If one think about using Ayurveda there is no good vaidya who is expertise in vitiligo. At our clinic we have integrated external Allopathic applications with internal Ayurvedic medication to give fast and long lasting results. Ayurvedic herbal medicines are used to purify blood and stop the spread of disease and external application are capable of quickly start regimentation.
3 people found this helpful
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Total cost of teeth whitening and how long lasting this whiting work. And is any side effects of teeth whitening process.

M.Sc - Medical Bio-chemistry, BDS
Dentist, Jaipur
Total cost of teeth whitening and how long lasting this whiting work. And is any side effects of teeth whitening proc...
Teeth whitening will cost around 5000-6000 inr. It may last approximatly for 6 months and depends upon your eating habits. There is no harm in it, only mild sensitivity may occur initially.
1 person found this helpful
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Dr. ,I brush my teeth regularly but yellowish colour appear on my teeth .I don't know what I do? I couldn't clean my tongue. Can you please suggest me an idea?

MBBS
General Physician, Jalgaon
Dr. ,I brush my teeth regularly but yellowish colour appear on my teeth .I don't know what I do? I couldn't clean my ...
Please Use dant kanti advanced tooth paste by Patanjali regularly Apply Mukta chamak regularly Twice a day.
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Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop without any medicine. What to do?

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop w...
may be your mother is suffering from acidity. Is your mother taking any other medications. we can prescribe you medications of acidity which you have take for for at least 15 days.
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BDS
Dentist, Mumbai
Avoid getting your tooth extracted unless its non salvageable, it will help in the long run. Always insist on preserving your natural dentition.

From 2 to 3 days, while eating something I am having pain in my mouth what should I do?

BDS
Dentist, Sangli
From 2 to 3 days, while eating something I am having pain in my mouth what should I do?
Get your teeth checked clinically from dentist. It can be due to some cavities in your teeth where food must be getting stuck and you must be having pain.
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