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Dr. Ranjani Iyer

Dentist, Chennai

200 at clinic
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Dr. Ranjani Iyer Dentist, Chennai
200 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ranjani Iyer
Dr. Ranjani Iyer is a popular Dentist in Kalavakkam, Chennai. She is currently practising at S.R. Smile clinic in Kalavakkam, Chennai. Book an appointment online with Dr. Ranjani Iyer on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 43 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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S.R. Smile clinic

No 34, Behind Park Sheraton Hotel, Co Operativve Colony, ChennaiChennai Get Directions
200 at clinic
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I am 62 yrs old and a diabetic & heart patient, I just want to know from a dentist that can a gap between two front upper teeth be filled, as now when I speak sp. C or s it comes with a hissing sound, please advise and approx cost. Regards.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 62 yrs old and a diabetic & heart patient, I just want to know from a dentist that can a gap between two front u...
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. 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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Dear sir, I am 49 year old man. I have problem my right teeth, some gap has been developed between my two teeth, rest of teeth portion is solid, but if I eat something it's stick between gap. Can any treatment available for this problem. Regards.

Certified Implantologist, BDS
Dentist, Chennai
There can be a cavity or bone loss between these teeth, kindly check with xray, and proceed accordingly.
1 person found this helpful
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My name is Philip and I have a history of visiting dentists. During the last visit I was suggested by the dentist to wear braces for crowded teeth. It also requires removal of my wisdom teeth as per the suggestion. Due to a certain tension I am not able to take a necessary decision. I am aged 24 and I want to know whats the next best decision that I should be taking.

BDS
Dentist, Delhi
My name is Philip and I have a history of visiting dentists. During the last visit I was suggested by the dentist to ...
For better alignment of teeth, we need to create some space in the jaw towards which the teeth will move over the course of treatment. If you go ahead without extraction, the existing teeth in your jaw will become crowded and overlap one another due to lack of space. Hence, such extractions are necessary during most orthodontic treatments (braces).
1 person found this helpful
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What are the symptoms of cavities? What are the remedies to get rid from cavities?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
What are the symptoms of cavities? What are the remedies to get rid from cavities?
•If your cavity in the tooth is caused by decay, your dentist will remove the decayed area and replace it with a filling. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection.
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Sometimes I have pain in my mouth under my tongue and I do not know what to do at that time I have eaten pain killers but it does not response good. What should I do?

MDS - Orthodontics, BDS
Dentist,
Usually a mouth ulcer may occur on the under surface of the tongue. It may be due to consumption of hot or spicy foods or may be due to injury on eating hard food items. Kindly consult your dentist to get relief.
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Hii m 26 year female having problem that I sleep with open mouth and some time at day time also my mouth gey open what can I do.

MBBS
General Physician, Trivandrum
Hii m 26 year female having problem that I sleep with open mouth and some time at day time also my mouth gey open wha...
You maybe suffering from allergic rhinitis and pharyngitis. You need to avoid the cause of your allergies and also take anti allergy medications. Please consult for prescription. If you have an infection and have fever you will need to do a course of antibiotics. For now do warm saline gargle and steam inhalation 3 times a day. You are having open mouth problem because your nose is blocked by allergy or infection.
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I am 21 year old, my front teeth broken when I was 11 year old, now it got blackish in color and I get little pain sometimes. Is there any solution so that my half broken teeth become strengthen and white in colour.

PGDHHM, BDS
Dentist, Gurgaon
I am 21 year old, my front teeth broken when I was 11 year old, now it got blackish in color and I get little pain so...
Yes your teeth can be treated. You need to get a dental X ray done to see the damage. RCT with cosmetic fillings and crowns may be helpful.
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BDS, PGDFO
Dentist, Gadchiroli
Do you keep your mouth covered while playing sports? If no, please start using a full-face helmet or a mouth guard so that any unnecessary injury can be prevented.
1 person found this helpful

I have a problem with gum recession in two teeth. Dentist advice me for cleaning. Will the problem resolved after cleaning? my gums have been come down. Can it be rectified as it was earlier?

BDS
Dentist, Jalgaon
I have a problem with gum recession in two teeth. Dentist advice me for cleaning. Will the problem resolved after cle...
Yes cleaning will definately help. Also maitain a good hygeine n get cleaning done atleast once every six months.
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I brush everyday, but my teeth are yellow. What should I do to make my teeth white and shiny? And I also get stink from my mouth.

BDS
Dentist, Gurgaon
I brush everyday, but my teeth are yellow. What should I do to make my teeth white and shiny? And I also get stink fr...
Go fr scaling and polishing it deeply removes calculus from teeth use mouthwash colgate total bleaching can be considered but only after acessing physically.
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I am 23 years old, my lips are cracking every day whenever I brush, bathing, and becoming red. And they are peeling off. So what should I do now. Does it having any remedy? Please suggest me.

MDS
Dentist, Kolkata
I am 23 years old, my lips are cracking every day whenever I brush, bathing, and becoming red. And they are peeling o...
Just simply keep on sipping fluids at regular intervals throughout the day, apply vaseline or boroline on your lips.
1 person found this helpful
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My sisters dental jaw shifting right side due to some wrong dentist treatments and she stop treatment from them now teeth are cut and very little can't eat Also dentist didn't provide caps kindly suggest what to do also contacted some prosthodontist. They have no time and giving long time wait appointment.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My sisters dental jaw shifting right side due to some wrong dentist treatments and she stop treatment from them now t...
Kindly consult an oral & maxillofacial surgeon in person for further suggestion. We need more investigations (full mouth x-ray, tmj open & closed mouth, mri) & clinical examination to decide upon treatment. Until then have soft diet. Avoid yawning. Replace posterior teeth if they are missing. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months. There are some simple measures that can help tmj problems, such as a change to a soft diet, jaw muscle exercises in exceptional cases a specialist dentist, known as a maxillo-facial surgeon, may be required to perform surgery on the tmj.
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Hi i am having Sensitivity problem. I am doesn't eating chilled Water and ice-cream bites.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi i am having Sensitivity problem. I am doesn't eating chilled Water and ice-cream bites.
Tooth sensitivity is a common dental problem that involves discomfort or pain in teeth. You can use sensodyne tooth paste. Use toothbrush with soft bristles.
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Sir, I have gap in between the two tooth in front side of top row. How to reduce the gaps between the tooth?

PG Fellowship In Microdentistry, BDS
Dentist, Thane
Sir, I have gap in between the two tooth in front side of top row. How to reduce the gaps between the tooth?
you can choose for braces to naturally close the gap or you can go for veneers or composite fillings
1 person found this helpful
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I am 16 year old my teeth is very yellow and I can't chew tobacco. so please help me to clear my teeth.

BDS
Dentist, Mumbai
I am 16 year old my teeth is very yellow and I can't chew tobacco. so please help me to clear my teeth.
Dear, you said you are yellow teeth as you chew tobacco please stop chewing tobacco. Brush twice a day have clean teeth and good oral hygiene with this you need to keep check on your digestion also. Please visit dental surgeon for checkup. Keep yourself well hydrated and use hydrogen per oxide for gargles and take tab b complex one in a day for a week. Treatment to keep mouth healthy and free from smell is cleaning and polishing of teeth and maintenance of oral hygiene. Use colgate total paste and listerin mouthwash twice a day. Do rinse your mouth with listerine mouth wash.
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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

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.
1 person found this helpful
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Seal Off Trouble

BDS
Dentist, Zirakpur
Seal Off Trouble
Permanent molars come in around age 6. Thin protective coatings applied to the chewing surfaces of the back teeth can prevent decay in the pits and fissures. To know more about this, talk to your dental professional.

When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment

BDS, PGDFO
Dentist, Gadchiroli
When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment
When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment. 
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