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Dr. Rajini

Dentist, Chennai

Dr. Rajini Dentist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Rajini
Dr. Rajini is a popular Dentist in Anna Nagar East, Chennai. You can consult Dr. Rajini at Dr.Smilez Group of Dental Centers ANNA NAGAR in Anna Nagar East, Chennai. You can book an instant appointment online with Dr. Rajini 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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English

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No:13,M Block,8th Street,Anna nagar east, ChennaiChennai Get Directions
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77, 1st Floor. Naidu Shop Road, ChennaiChennai Get Directions
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No.2, Jawaharlal Nehru Street, PuducherryChennai Get Directions
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#Flat No 3,Door No 10, Archana Apartments, Sarangapani Street, Landmark: Near Suriya Sweets and next to Grand Sweets & Snacks (Road opposite Bengal Association), ChennaiChennai Get Directions
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Hello! My friend have teeth like Dracula & He is 19 years old. Is there any way to make his teeth like normal person ? Please! Help him.

BDS
Dentist, Delhi
Hello!
My friend have teeth like Dracula & He is 19 years old. Is there any way to make his teeth like normal person ...
Yes it can be done by orthodontics. He will have to wear braces. If he don't want to wear, it can be done without braces as well visit a dentist and ask for aligners.
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Continuous pain in tooth ( lower molar whose upper part had broken some days ago). what is the medicine? it is very urgent.

BDS
Dentist, Bangalore
HI, kindly go to the dentist if the pain is too severe time being you can take a course if antibiotics and pain killers but sad to say we can't give the exact meds without asking you certain question as the meds we say u May be allergic etc
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Dear Doctor, What is the cost of RCT in Bangalore? What is the cost for implant surgery?

BDS
Dentist, Mumbai
It is different at different places consult a qualified person and check with others before accepting treatment .
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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
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While preparing for rct

BDS
Dentist, Dehradun
While preparing for rct
While preparing for rct: getting to know from a dentist if consuming an antibiotic medicine is advisable, as it can help in reducing the infection and swelling. 
89 people found this helpful

My teeth are bleeding when I was brushing. I am 31 years old. What is the problem?

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
My teeth are bleeding when I was brushing. I am 31 years old. What is the problem?
Bleeding is the sign of gum disease known as gingivitis. It happens due to plaque or tarter deposition between gums and teeth which causes infection in gum and supporting tissues and further causes pyria. Get scaling done for plaque or tarter removal. Rinse your mouth with chlorhexidine mouthwash. Brush regularly two times daily with soft bristle toothbrush.
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मेरे दांत पयरिया हाे गया है मुझे कोई उपाय बताइए ताकि मैं अपने दांत को खराब होने से बचा सकूं धन्यवाद

BDS
Dentist, Mumbai
मेरे दांत पयरिया हाे गया है मुझे कोई उपाय बताइए ताकि मैं अपने दांत को खराब होने से बचा सकूं धन्यवाद
Salahuddin having pyorrhea means deposits , bad breath from mouth . . The best way to get rid of bad breath & improve oral health is to maintain good oral hygiene,like brushing your teeth twice a day with colgate fresh mint tooth paste ,regular rinse with Mouthwashes (listerine )after meals . this will help to avoid the bacteria in plaque,that accumulates in the mouth, you have to visit dental surgeon for scaling and polishing ,and maintain oral cleanliness to make sure your teeth stay healthy.
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Dear dr, I am 40 years old and have 3 milk teeth at lower jaw and 1 at upper. I seen a dentist recently and after x-ray he found 4 original teeth inside the chin. As such I don' t have any pain or other problem. Any suggestion?

B.D.S
Dentist, Jaipur
Milk are supposed to be exfoliated at the age of 7 to 8 yrs as it is the age for permanent tooth to erupt. You have over retained teeth.
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Healthy Mouth Healthy Child

MDS, Fellow of Academy of General Education (FAGE), BDS
Dentist, Ahmedabad
Healthy Mouth Healthy Child

Complete oral examination and evaluation, cavities risk assessment, diet counselling, brushing demonstration and other oral hygiene measures are step some of the steps your pediatric dentist would do to make your child a healthy child by ensuring a healthy mouth. Kindly contact your pediatric dentist to know more about the same and avail this wonderful initiative.

28 people found this helpful

I have gaps between my front teeth. How do we fix that? Do I need to get veneers or braces?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
I have gaps between my front teeth. How do we fix that? Do I need to get veneers or braces?
Hello, the gap between teeth can be closed by: 1. Orthodontic (braces) treatment which is the best and most conservative treatment. This is the right age to get it done. Visit an orthodontist and get it checked. 2. Veneers 3. Crowns.
4 people found this helpful
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I am 22 years old. I am having teeth pain and some teeth are yellow in colour inner side of the teeth. How can overcome this.

BDS, MDS
Dentist, Secunderabad
Tooth pain could be due to various reasons, the most common being dental caries that forms a cavity within the tooth exposing the underlying nerve. Treating the tooth is the best option for which you need to consult a dentist and emergency treatment includes to run a course of antibiotics and pain killers. But not all pain killers work on tooth pain so please avoid self medication. You can consult me for this.
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She is having pain in her teeth. She is just 8 years old. Some spot is on her teeth. So what is the reason. She is using mineral water. But eat chocolate and ice cream. Waiting for your reply. Thank you.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
She is having pain in her teeth. She is just 8 years old. Some spot is on her teeth. So what is the reason. She is us...
It's dental caries which usually occurs due to consumption of sticky items like chocolates and biscuits. Presently she needs filling by a pediatric dentist. Later you can prevent by proper brushing of teeth twice daily and avoiding such foods.
2 people found this helpful
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I'm a 21 years old guy, and my milk teeth haven't dropped yet. Should I get them removed and new teeth will come?

BDS
Dentist, Pune
I'm a 21 years old guy, and my milk teeth haven't dropped yet. Should I get them removed and new teeth will come?
If you have milk teeth still retained please get them extracted. But permanent teeth are usually mistaken as milk teeth, so get that confirmed by visiting your near by dentist.
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Throat/neck/jaw pain on left side hurts randomly but much worse if I turn my head to the right *

oral implantology, BDS
Dentist, Jaipur
Throat/neck/jaw pain on left side hurts randomly but much worse if I turn my head to the right *
The possible reasons could be many. But common problem are due to wisdom tooth or tmj. Could be associated with vertebral ptoblem. You need to visit a doctor for thorough check up.
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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
Sir, Blood comes from my teeth during mouth wash and some times in day also .Pl suggest its remedy.
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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Whatever I am eat, I vomit it within hours but not the food but saliva only. Then isn't know for what But I as always sneeze and my foot is burning from inside without any rashes.

BHMS
Homeopath, Delhi
Whatever I am eat, I vomit it within hours but not the food but saliva only. Then isn't know for what But I as always...
Hi you need to get your blood glucose levels checked along with liver function test. Possibility of diabetes is there. These problems may be due to that.
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I brush my teeth regularly and properly but still its inner side become yellow .moreover little black colour deposit in corner. How can I avoid it? My teeth are clear white from outside.

PGDHHM, BDS
Dentist, Gurgaon
I brush my teeth regularly and properly but still its inner side become yellow .moreover little black colour deposit ...
1. Brush twice daily, morning and at night. 2. Rinse your mouth after all meals. 3. Use a mouthwash. 4. Get regular cleaning of teeth done by your dentist, once in 6 months. 5. Have a healthy balanced diet. 6. Dental check up every 6 months.
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I am 26 years old. I have tooth mobility problem since 3 months. Mobility is about 1mm. What should I do now?

BDS
Dentist, Mumbai
Tooth mobility could be due to periodontitis. Periodontitis can be easily treated by simple gum surgery. Please visit a dental professional asap.
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