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Dr. Shika

BDS

Dentist, Chennai

0 - 100 at clinic
Dr. Shika BDS Dentist, Chennai
0 - 100 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shika
Dr. Shika is an experienced Dentist in Selaiyur, Chennai. Doctor has completed BDS . Doctor is currently practising at Sree Raghavendrar Dental Hospital in Selaiyur, Chennai. You can book an instant appointment online with Dr. Shika on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 42 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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BDS - - -

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13 A1 IOB Colony,1st Main Road,Selaiyur Camp Road,Landmark:Near IOB College, ChennaiChennai Get Directions
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13 A1 IOB Colony,1st Main Road,Selaiyur Camp Road,Landmark:Near IOB College.Chennai Get Directions
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I have problem with bad smell. I want to avoid halitosis. Please suggest a way to avoid halitosis or suggest any medicine for it.

Advanced Aesthetics, BDS
Dentist, Mumbai
I have problem with bad smell. I want to avoid halitosis. Please suggest a way to avoid halitosis or suggest any medi...
Hi, there are various reasons of bad breath, like impurities in blood, inefficient digestive system, dry mouth (lack of saliva production), gum disease, cavities, plaque and tartar formation around teeth and gums, kind of diet, improper brushing / cleaning of mouth etc. I would advise you to get a thorough physical and dental examination to rule out the cause of bad breath and to solve it permanently. Regards
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My teeth is not proper. Can I good teeth with clib. But it should not visible to others.

BDS
Dentist, Pune
My teeth is not proper. Can I good teeth with clib. But it should not visible to others.
Yes it is possible to get your teeth aligned with invisible braces. Contact your nearby dentist for more information.
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When he wake up in the morning his neck, back & teeth is paining so much what to do?

BDS
Dentist, Gurgaon
When he wake up in the morning his neck, back & teeth is paining so much what to do?
For pain in teeth you can have tab keterol dt. If pain still persists kindly visit. Dentist. And take medications/ treatment for the same.
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I went on a diet to reduce my weight. After that I feel some pain in my teeth. Can the two things be related?

Certified Implantologist, BDS
Dentist, Kolhapur
During diet usually fibrous foods and vitamin c foods are recommended. Which are considered to be healthy for teeth. Fibrous food avoid food to stick on teeth and vitamin c helps gums to strengthen. Check for other reasons of getting the pain. Further queries call 9890232345
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My teeth are not in white. I want to change it. How many days it will taken to change? Is there any esi card option for hospital?

BDS, Certification in Full Mouth Rehabilitation, Certified Implantologist
Dentist, Surat
Color of teeth are due to various factors treatment depends on the diffrenet factors. So kindly visit a dentist.
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Is it possible to whiten the teeth which look yellowish now by applying any solution. Is it possible to close gaps between teeth and gums.

MDS Prosthodontics, BDS
Dentist, Hyderabad
Is it possible to whiten the teeth which look yellowish now by applying any solution. Is it possible to close gaps be...
hello sastry ..you can get bleaching done for yellowish teeth to look white..gaps in the teeth can be closed by placing crowns over your teeth..you can go for smile designing as well.
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My friend's jaw is paining for last 4-5 days. He don't have a medical history. What should be done to reduce this pain?

BDS
Dentist, Delhi
My friend's jaw is paining for last 4-5 days. He don't have a medical history. What should be done to reduce this pain?
Chances are his/ her wisdom teeth is erupting. Take antibiotics and pain killers, consult a doctor for xray and then judgement whether there is enough space for eruption of that teeth. Otherwise go for removal of that tooth.
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I have space between teeth. I just wants to know how much amount to be for the treatment.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have space between teeth. I just wants to know how much amount to be for the treatment.
Kindly consult an orthodontist in person for further suggestion. We need more investigations (model study, full mouth & profile x-ray) & clinical examination to decide upon treatment. You may need fixed / removable braces. Requirements may depends on the age, complaint, duration of the treatment & affordability. Cost of cosmetic dentistry (braces) varies with dentist. You may consult me in person.
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doctor, I have my teeth colour is now yellow, what cause of this, and white dot on my teeth what can I do?

BDS
Dentist, Gurgaon
doctor, I have my teeth colour is now yellow, what cause of this, and white dot on my teeth what can I do?
The white dot is called hypoplastic enamel..that is deficiency in formation of enamel layer on the tooth...and for yellow teeth you can get teeth cleaning done to remove all tartar/deposit from teeth and later teeth bleaching to change the shade of teeth
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Hello doctor, I am having white patchy lesions in my mouth which us responsible increased sensitivity towards spicy food and I'm not able to eat even little spicy foods. Some doctors said that it is oral lichen planus. But it is auto immune disorder and can't be treated. Pls help with proper medications and prevention.

BDS, MDS
Dentist, Delhi
Hello doctor, I am having white patchy lesions in my mouth which us responsible increased sensitivity towards spicy f...
Yes it can be managed, first we need identify the cause in most cases it is due to stress that is why middle aged women are more prone to it, avoid spicy food, have more of green veges, raw tomato salads, some anti oxidant supplements followed by local application of immunomodulators, and if required mood elevators. Every individual reacts differently, so am sorry cannot be of much help to you online, we need to have a weekly then monthly and then yearly followup.
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Sir I am suffering from toothache n my teeth are also gets dirty on even proper care.

Advanced Aesthetics, BDS
Dentist, Mumbai
Sir I am suffering from toothache n my teeth are also gets dirty on even proper care.
Hi, there are various reason for toothache like worn down enamel, tooth decay, gum issue. I would advise you to visit dentist who can give you exact cause and solution of your problem after a physical check up. Without checking you clinically we can't suggest you anything. Regards
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Ways to Protect the Teeth of Your Little One

BDS
Dentist, Delhi
Ways to Protect the Teeth of Your Little One

Children are much more susceptible to tooth decay and gum disorders than grown-ups. This is because the gum and teeth in toddlers are very delicate. Moreover, children are more attracted to sweets and other food items, which cause damage to the teeth.

Here are several ways to protect the teeth of your little one:

  1. Have a dental checkup: You should take your child to a dentist on his first birthday. Early prevention is important as any kind of problem in the teeth will be detected and this will save you from a lot of trouble in the future.
  2. Teaching healthy habits: Brushing is very important and you should teach your child to brush regularly, more than once a day. Before the development of teeth in your baby, you should brush his gums gently by using water on a soft baby toothbrush or with a clean and soft cloth. After developing teeth, brushing must be practiced with delicate toothbrushes and fluoridated toothpaste. If several teeth touch against each other, you should use flossing. Brushing is essential before going to bed, and no food should be taken after brushing.
  3. Prevent "baby bottle decay": You should not let your child go to sleep with a bottle of juice or milk. The sugar contained in these liquids sticks to the child's teeth, which activates bacteria and may lead to tooth decay.
  4. Avoid giving juice to your child: Juice may be healthy for the body, but it leads to tooth decay in little kids. The amount of regular juice intake should never be above four ounces.
  5. Avoid excess use of a sippy cup: Sippy cups enable children to shift from bottles to a glass. However, all day long usage of sippy cups should be restricted as it may cause decay on the front and back portions of teeth, when the drinks are rich in sugar.
  6. Be careful about sweet medicines: Many medicines meant for children are sugary and stick to the teeth, increasing the chance of cavities. Several antibiotics cause overgrowth of Candida or yeast and cause an oral disease known as oral thrush. This disease causes creamy patches on the tongue. In case your child needs sweet medicines, brushing should be increased.
  7. Stop using a pacifier by the age of 2 or 3: Pacifiers are good for children, but using pacifiers for a long period of time affects the lining of teeth. The shape of the mouth may also change. Hence, do not let your child use pacifiers after 2 or 3 years of age.

Children are quite prone to teeth disorders and decay in the teeth. Hence, measures must be taken to protect the teeth of children from any kind of disorder.

4395 people found this helpful

I have a teeth which is having germs and it needs root canal treatment, what should I do?

BDS
Dentist, Bilaspur
Hello whatever your age be. Saving a tooth is always recommended as extraction can be done anytime in life but chance for saving that tooth would come only once. I haven't seen the xray but if a dentist has advised root canal better do it.
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I had percutaneous injury while extracting molar tooth of HIV positive child (Child's CD4 count is 650 and is on ART). Injury is superficial but was bleeding, I immediately removed gloves and washed in running water for about 2 mins. Do I need PEP ?

BDS
Dentist, Jhansi
Is this a doctor asking a question. Obviously! For an HIV+ve patient, you should always wear double gloves.Precautions should be your major priority. And, yes you need PEP
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My teeth is so yellow and gap between front two teeth how can reduce gap and become teeth whiter.

Certified Implantologist, BDS
Dentist, Mumbai
My teeth is so yellow and gap between front two teeth how can reduce gap and become teeth whiter.
Visit a dentist and get scaling (cleaning) done, use a mouthwash before bed and brush twice a day.Your teeth may have plaque accumulation giving it a yellow appearance.
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What is pyria but it is related to teeth. So what is the cure for it. And why this cause .and effect.

BDS, Basic Life Support (B.L.S)
Dentist, Pune
What is pyria but it is related to teeth. So what is the cure for it. And why this cause .and effect.
You should consider getting a professional cleaning done by the dentist. This is simply a name for gum disease where there is bleeding due to poor hygiene.
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I have teeth pain. I take many kinds of medical treatment but no relif, sir what can I do to remove pain.

BDS
Dentist, Vadodara
I have teeth pain. I take many kinds of medical treatment but no relif, sir what can I do to remove pain.
Painkiller are a temporary solution. If your teeth is paining, it can be due to decay which has reached the nerve endings. Get your teeth x-rayed to determine the extent of damage done by the decay. Depending on it, you might require rct or removal of teeth.
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If we have any problem of teeth how we can help ourself example like I have sensitivity in teeth?

BDS
Dentist, Bangalore
If we have any problem of teeth how we can help ourself example like I have sensitivity in teeth?
Here are few steps to avoid sensitivity of teeth: - Practice good oral hygiene. - Use a sensitivity toothpaste like Sensodyne. - Don't brush too hard. - Use a softer toothbrush. - Take care while consuming acidic foods. - Use fluoridated dental products. - Avoid grinding your teeth. - See your dentist regularly for professional tooth cleaning, dental care recommendations and advice on treating your sensitive teeth.
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I want to whiten my teeth. I used baking soda once or twice after brushing but I read somewhere that it can adversely affect in long run. What is the right treatment for whitening?

BDS
Dentist, Vadodara
I want to whiten my teeth. I used baking soda once or twice after brushing but I read somewhere that it can adversely...
Go for scaling and polishing. It will remove the yellowness from teeth. For more brightness, you can go for bleaching.
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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

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