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Dr. Sahila Jebastine

BDS

Dentist, Chennai

16 Years Experience  ·  100 at clinic
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Dr. Sahila Jebastine BDS Dentist, Chennai
16 Years Experience  ·  100 at clinic
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Personal Statement

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. Sahila Jebastine
Dr. Sahila Jebastine is a popular Dentist in Velachery, Chennai. She has had many happy patients in her 16 years of journey as a Dentist. She is a BDS . You can meet Dr. Sahila Jebastine personally at Jebastins Dental Clinic in Velachery, Chennai. Book an appointment online with Dr. Sahila Jebastine on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 35 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.

Info

Specialty
Education
BDS - Rajah Muthiah Dental College Hospital,Annamalai University,, - 2001
Languages spoken
English
Professional Memberships
Indian Dental Association

Location

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Jebastins Dental Clinic

116, 100 Feet Bypass Road, Near Metro Shoe, Opp HP Petrol Pump, ChennaiChennai Get Directions
100 at clinic
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Sir/mam, please suggest me which tablets are very effective to dental ache please please suggest me I am suffering from more dental ache.

BDS
Dentist, Gurgaon
Sir/mam, please suggest me which tablets are very effective to dental ache please please suggest me I am suffering fr...
Dear Lybrate user, only dental treatment is suitable for toothache. Repeated and unnecessary use of pain killers and antibiotics for dental problems is not the solution. For emergency purpose, you may take any pain killer/paracetamol. Colgate came out with their pain-out gel a few months ago, You may keep it handy. The ultimate solution is to eliminate the cause of pain. Consult you local dentist and get a dental check up done.
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I have gastric problem. At morning everyday at the time of brush my teeth, I feel like vomiting. sometime it's vomits. What is best solution for this.

BAMS
Ayurveda, Bangalore
I have gastric problem. At morning everyday at the time of brush my teeth, I feel like vomiting. sometime it's vomits...
Hi, drink a glass of plain water before brushing your teeth which dilutes the acid produced in the stomach. Take cap. Stomotone 1-1-1 after food for 2-3 weeks and himcocid syrup 2tsf 3 times daily before food to control burning sensation in the stomach and chest take. Madiphala rasayana 2tsf 3 times a day to stop vomitting.
2 people found this helpful
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My teeth are getting sharper and also little hole in it. Sensitive is also the problem. please suggest, how to get rid of it. Thanks.

BDS
Dentist, Rewari
My teeth are getting sharper and also little hole in it. Sensitive is also the problem. please suggest, how to get ri...
Sharp teeth can be smoothed easily in 1 sitting by dentist, even hole (cavity) filling can be done. With filling your sensitivity will get ok or you can use desensitising paste.
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Dear doctor, from few days onwards I am feeling some sensitivity in my teeth (front down 3teeth) I am using sensodyne tooth paste from last 4 months. I can't understand why it is happening. I have no time to go to clinic and do consultation, so please give me homely tips for my problem. Thank you.

Certified Implantologist, BDS
Dentist, Ambala
Dear doctor, from few days onwards I am feeling some sensitivity in my teeth (front down 3teeth) I am using sensodyne...
see sensitivity can be because of attrition or because of cavity. If there is a cavity then you need to see a dentist but if it is because of attrition just try this thing. Apply your tooth paste on the sensitive teeth for like 1/2 minute and then brush. even after this the problem persist do see your dentist.
1 person found this helpful
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Hi I have recently done Root Canal for one of my teeth (Molar at bottom-left mandibular 2nd molar. I want to have the idea which tooth cap should I use for my teeth as there are many brands. I am planning to use zinconia tooth caps but confused about which brand should I use. Please suggest.

MDS Pediatric Dentist, BDS
Dentist, Delhi
Hi I have recently done Root Canal for one of my teeth (Molar at bottom-left mandibular 2nd molar. I want to have the...
Hey lybrate-user zirconia is definitely a gud option as it has gud appearance and strength but it is expensive as well.
1 person found this helpful
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BDS
Dentist, Gurgaon
Taking a good meal before the rtc is advised as the process can take as long as three hours in some cases.

Hi doctor, I am suffering from cavity problem since from last 5 months. please help me out?

BDS
Dentist, Raipur
Kindly get the cavity filled before it becomes deep and painful. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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Dental Floss

MDS - Periodontics
Dentist, Thane
Dental Floss
Next to the toothbrush, dental floss is the most effective tool for the prevention of decay!

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

I have dental pain in my upper last molar area. It pains more in night. How to get relief?

BDS
Dentist, Gurgaon
I have dental pain in my upper last molar area. It pains more in night. How to get relief?
you might have a cavity on your tooth..which would be deep.. you would have to get root canal treatment done in tooth..but before thaat get an xray done for the same..
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Hello sir, This is the best platform to help patient solve their problems which really cannot be answered single handedly My teeth are very sensitive to soar Things and Dr. Says the tooth enamel is too week. They suggest toothpaste with fluoride. My age is 42 and since 30 I am using this kind of paste with no result. Kindly suggest some way out. Thanking you.

Certified Implantologist, BDS
Dentist, Chennai
1.If there is severe attrition, Get RCT done on all attrited ones followed with crowns, 2.If there is cervical aberration,if not deeper, get it filled with GIC/Composite,if its still deeper RCT and crown.
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Hello doctor, I am 30 years old male and have problem when I brush my teeth, My gums bleed, can you please suggest me any medicine or checkups?

BDS
Dentist, Bangalore
Hello doctor, I am 30 years old male and have problem when I brush my teeth, My gums bleed, can you please suggest me...
There are so many causes of bleeding gums - - brushing too hard - poor oral hygiene. - vitamin deficiency - taking blood thinners or other medications - bleeding or clotting disorders - mouth sores - other medical problems, including diabetes, heart disease, leukemia or scurvy few advice to stop bleeding gums-- - visit to a dentist for professional cleaning once in a year - use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water to keep the area clean. - avoid mouthwashes that contain alcohol, which can dry out your mouth.
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Everytime I wake up from sleep, my mouth becomes dry and feels very bad. I do not know why this happens? Please tell me the reason and solution for this? Also I get mouth ulcers frequently.

MDS
Dentist, Hyderabad
Everytime I wake up from sleep, my mouth becomes dry and feels very bad. I do not know why this happens? Please tell ...
Dry mouth may result from less salivation in to your mouth because of dehydration, very less jaw movements. It may also result from mouth breathing, that we do unknowingly while sleeping. Drink good amount of water, jaw movements while talking causes salivation. Ask someone to observe you while sleeping. If you have mouth breathing, there are certain appliances to manage it. You can contact for that.
4 people found this helpful
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I am at 19, my mouth continuously secret saliva after mean & stomach pain occurs, what should I do? Please help me.

BDS
Dentist, Mumbai
I am at 19, my mouth continuously secret saliva after mean & stomach pain occurs, what should I do? Please help me.
Precaution to have reduced saliva flow in mouth you have to maintain oral hygiene. Kindly ensure that you rinse after having meals. Brush twice a day, once in morning and after dinner and use listerine mouthwash twice a day morning and before going to bed. Visit your dentist once in six month for checkup and cleaning of teeth if required. For stomach pain you have to consult your family doctor.
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Sir, I am mahendra My gums very bad smell is coming To night Eat a chicken very bad smell is coming night and then pain full teeth So tell me original greet ment.

MFDS RCPS (Glasgow), MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Delhi
Sir,
I am mahendra
My gums very bad smell is coming To night Eat a chicken very bad smell is coming night and then pa...
Hi lybrate-user if you've had the foul breath for some time, it could be related to the plaque and calculus deposits and the associated inflammation of the gums. It may also occasionally arise from an underlying systemic problem, e. G. Poorly controlled diabetes, gastro-oesophageal reflux etc. However, if it has only started after your meal last night, it might be due to the food particles getting lodged somewhere in between your teeth, possibly in a decayed tooth. I suggest you see a dentist so that the correct cause can be identified and appropriate treatment instituted. Hope this helps.
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I have very bad smile due to front two teeth overlapping. My engagement n marriage is in February .what should I do to correct my teeth without braces. And if I use braces is it possible to correct the teeth within 4 months.

MDS - Periodontics, Certified Implantologist, BDS
Dentist, Chandigarh
I have very bad smile due to front two teeth overlapping. My engagement n marriage is in February .what should I do t...
Good morning lybrate-user As per your query you have maligned teeth and you want them to be corrected with in four months. 1. Yes it can be corrected in 4 months but after that you need to wear permanent retainer for longer duration. 2. Quick solution is RCT and crowns or Veneers on maligned teeth. It will take near about 3 sittings over a period of 10 days.
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Sir I am having sum thing on my tongue its called chala in hindi sir wat can I do plss rply me.

BDS
Dentist, Bangalore
it is ulcer on your tongue. . Usually ulcer heals by itself only within 1 week. You can take 'Becosule capsule' once in a day for 1 week for faster recovery. Temporarily you can apply mucopain gel over ulcer for relief..
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Hi, My teeth become yellow but I brush everyday 2 tym one tym in morning or one tym at night bt my teeth becomes yellow what can I do to get a white and shinier teeth.

BDS
Dentist, Bangalore
Hi,
My teeth become yellow but I brush everyday 2 tym one tym in morning or one tym at night bt my teeth becomes yell...
There are several causes of tooth discoloration, including: foods/drinks. Coffee, tea, colas, wines, and certain fruits and vegetables (for example, apples and potatoes) can stain your teeth. Poor dental hygiene. Inadequate brushing and flossing. Here is home remedy for brighter teeth--- mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid effecting enamel. If you are using just water you can leave it on for up to 3 minutes. For faster result you can go for teeth bleaching from dentist.
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Dear doctor I am 39 years old guy. Had a habit of cigarettes, but I stopped since 3 months. Now since two months I am getting blood when I spit out while after wake up from sleep, at anytime. Even in the afternoon time. Please tell me the reason for my problem.

BDS
Dentist, Vadodara
Go for scaling and polishing of teeth. This will reduce your bleeding. Use mouthwash twice daily after brushing. Maintain proper oral hygiene habits to take care of your gums.
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BDS
Dentist,
Preventive measures to any oral health problem begin with good oral hygiene. Brush your teeth at least twice a day. Use toothpaste that contains fluoride. Floss once or twice a day preferably after dinner. Flossing removes plaque from areas that the toothbrush can’t reach i.e. between your teeth and under the gum line.
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