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Dr. L. P. Mohan'S Dental Hospital

Dentist, Chennai

Dr. L. P. Mohan'S Dental Hospital Dentist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. L. P. Mohan'S Dental Hospital
Dr. L. P. Mohan'S Dental Hospital is an experienced Dentist in Adyar, Chennai. You can visit him at Dr.L.P.Mohan's Dental Hospital in Adyar, Chennai. You can book an instant appointment online with Dr. L. P. Mohan'S Dental Hospital on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 28 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.12, MG Road, Shastri Nagar, ChennaiChennai Get Directions
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My teeth looks yellow . I brush my teeth daily I take care of them but still they dnt look white what should I do.

MDS Prosthodontics, BDS
Dentist, Hyderabad
My teeth looks yellow . I brush my teeth daily I take care of them but still they dnt look white what should I do.
hello amey..yellowish white is the natural colour of teeth..getting professional scaling done once in every 6 months and regular dental checkups helps you maintain good oral hygiene
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After taking the paracetamol and antibiotics for fever and joint pain I am feeling bitter taste always in my mouth moreover my all gums gets swelled and white patches also seen. On around and below my neck red spots also emerging. Please suggest should I switch to homeopath. Please also suggest any doctor near New Ashok Nagar New Delhi.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
It's the after math of fever n will settle down in a short while drink plenty of water get scaling polishing done by a dentist.
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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

My all the teeth enamel has been removed by unknown cause. What can I do can to repair it?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My all the teeth enamel has been removed by unknown cause. What can I do can to repair it?
It can go by bruxism like habit, acidity or heavy chewing or by stay in desert you can full mouth rehabilitation by going to a prosthodontist.
4 people found this helpful
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Hello Dr. I lost my front two teeth by a accident but the teeth roots is present. What is the treatments I take.

MDS
Dentist, Kolkata
Hello Dr. I lost my front two teeth by a accident but the teeth roots is present. What is the treatments I take.
get an xray done and your dentist will tell u if the tooth roots can be kept or not,,perhaps in my opinion they shd be extracted and get implants done.
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My brother have teeth problem in the teeth he can't eat cold thing like ice cream, cold water, etc-etc.

B.D.S
Dentist, Siliguri
My brother have teeth problem in the teeth he can't eat cold thing like ice cream, cold water, etc-etc.
The problem can be due to any carious tooth present in the mouth or dirty teeth (stains and calculus present on the teeth)
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My lips remain chapped always from last 12 years. and my corners of mouth are cracked from both sides that's too from last 12 years. Please suggest me.

BDS, MDS Prosthodontics
Dentist, Mumbai
You have most like a vitamin deficiency (B group and E) along with a fungal (Candidal) infection. Since your age is showing 90 years I am assuming you either have no teeth or very few teeth which results in something called 'loss of vertical dimension' that is face height decreases and saliva drooling occurs. So you need both dental and medical treatment for this condition. A prosthodontist such as myself can treat your problem well.
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I had an impacted wisdom tooth in upper jaw. I never get it extracted. Some people suggested me that it can deform my teeth alignment and cause teeth crowding. I do not have any pain? Should I get it extracted?

Certified Implantologist, BDS
Dentist, Mumbai
I had an impacted wisdom tooth in upper jaw. I never get it extracted. Some people suggested me that it can deform my...
If you do not have any discomfort and the tooth is impacted completely you can let it be it will cause no harm. It causes crowding only when it is erupting and putting pressure on the front teeth.
1 person found this helpful
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I am suffering from Dental plaque.What is the Role of Saliva in Maintaining Healthy Teeth?

Certified Implantologist, BDS
Dentist, Chennai
Saliva coats and lubricates tissues in the mouth, making it easier to speak, chew and swallow. Saliva helps remove oral waste and cavity-causing bacteria, protects teeth from decay by neutralizing harmful acids, and helps re-mineralize tooth enamel. Saliva also keeps oral tissues healthy by preventing infection by controlling bacteria and fungi in the mouth.
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Advanced Aesthetics
Dentist, Jammu
Keeping your brush at a 45 degree angle while brushing so that the bristles do not hurt your gums.

My question is if I use the whitening of colgate company with colgate tooth brush will I get any harm in my teeth or corrosion? Please tell me fast.

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
My question is if I use the whitening of colgate company with colgate tooth brush will I get any harm in my teeth or ...
No but if you use it for an year does make any differenence as it contains abrasive silica which has the tendency to roughned the polished surface of the teeth. Roughness -directly proportion to more plaque accumulation.
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BDS, MDS
Dentist, Delhi
Eating chocolate is not that a bad habit.Just gargle your and your child,s mouth so that chocolate does not remain sticked to your teeth.In this way you can enjoy chocolate without any risk for caries/cavities.Happy chocolating

I got a wisdom teeth near my jaws, they are not bothering me at all. But one of them was growing at a different angle than usual. Should I consider removing it. Please help me:/

MDS
Dentist, Kota
I got a wisdom teeth near my jaws, they are not bothering me at all. But one of them was growing at a different angle...
If the different angulation of erupting third molar allows food to stagnant there, then you should plan extraction of the tooth as per you comfort. But if the tooth is not causing any harm, easy to clean then there is no hurry for removal.
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What are the symptoms of malaria and how I will reduce the pain of teeth in winter season.

BHMS
Homeopath, Faridabad
What are the symptoms of malaria and how I will reduce the pain of teeth in winter season.
Hello, Malaria is an acute febrile illness. In a non-immune individual, symptoms appear 7 days or more (usually 10–15 days) after the infective mosquito bite. The first symptoms – fever, headache, chills and vomiting – may be mild and difficult to recognize as malaria. If not treated within 24 hours, P. falciparum malaria can progress to severe illness, often leading to death. Children with severe malaria frequently develop 1 or more of the following symptoms: severe anaemia, respiratory distress in relation to metabolic acidosis, or cerebral malaria. In adults, multi-organ involvement is also frequent. In malaria endemic areas, people may develop partial immunity, allowing asymptomatic infections to occur. Toothache: Apply Plantago Q/ few drops on cotton swab, place it on the affected tooth/ teeth and press it tightly, do it thrice a day. Orally, take Mag. Phos. 6x/ after every 2 hours. Do visit a dentist for proper diagnosis, share the reports with me. In case possible, will help you in treating your problem.
5 people found this helpful
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My front tooth was broken uneven in an accident now I would like to set my tooth uniformly.

BDS
Dentist, Bangalore
My front tooth was broken uneven in an accident now I would like to set my tooth uniformly.
Broken tooth can be restored to its normal shape and color by restorative material like composite. Visit to a dentist for examination and proper treatment plan.
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I am 39 years old I have pain in the back teeth when I bite the tooth or eat anthing.

MDS
Dentist, Lucknow
I am 39 years old I have pain in the back teeth when I bite the tooth or eat anthing.
Hi pain on eating can b due to various causes. 1. Wearing of posterior teeth. 2. Periodontal pockets. 3. Proximal caries of teeth leading to apical infection. Kindly visit a oral physician nearby for appropriate diagnosis. Thanks.
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BDS, MDS - Oral & Maxillofacial Surgery, Certified Implantologist
Dentist, Agartala
Vigorous brushing with a hard bristled toothbrush can lead to gums becoming weak and result in sensitivity. I recommend to use ultra-soft toothbrush to avoid trauma from faulty brushing.Visit your dentist and learn the proper brushing techniques.

I have lost two teeth. Is it necessary to go for denture? Is there any alternative? If I do not do anything will it affect my digesting system? Please advice. Thanks.

BDS
Dentist, Mumbai
Hi! any lost teeth requires replacement either by way of denture, fixed brigde or implants.Loosing teeth n not replacing them can result in the movement of ur other teeth and can change the overall bitting pattern of ur mouth as well as causes changes in the musculature of ur jaw joint. It is highly recommended that u replace them .
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I am 21 years old. I used to get blood frequently from my teeth although I use the soft brush. Can you suggest me something.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 21 years old. I used to get blood frequently from my teeth although I use the soft brush. Can you suggest me som...
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use gum paint for 2 to 3 weeks. Advance procedures can be done with laser. 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.
1 person found this helpful
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I have pimples with pus in (prickly heat) hand, head, teeth. Problem occurs in every summer. Please advice some treatment.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have pimples with pus in (prickly heat) hand, head, teeth. Problem occurs in every summer. Please advice some treat...
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.
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