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Dr. Shiva Hariharan

Dentist, Chennai

Dr. Shiva Hariharan Dentist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Shiva Hariharan
Dr. Shiva Hariharan is an experienced Dentist in Chromepet, Chennai. You can consult Dr. Shiva Hariharan at KH Nursing Home in Chromepet, Chennai. You can book an instant appointment online with Dr. Shiva Hariharan on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 36 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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KH Nursing Home

#93, Radha Nagar Main Road, Chrompet. Landmark: Near State Bank of India, ChennaiChennai Get Directions
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Hi sir I am 22 years younger in my mouth upper part of the tongue small ulcers is formed due body fully heating how to control.

BDS
Dentist, Bangalore
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.
1 person found this helpful
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One of relative's upper bone which supports gums and teeth got removed due to Cancer Tumor. Could you please assists how it can be reconstructed.

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
One of relative's upper bone which supports gums and teeth got removed due to Cancer Tumor. Could you please assists ...
there are many reconstruction protocols. I can help you in a better way if you can send me a pic of the patient
2 people found this helpful
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My teeth are not perfect. I mean the front four teeth are not in a line and there is size difference between them. What will be the overall cost and time to get them perfect.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My teeth are not perfect. I mean the front four teeth are not in a line and there is size difference between them. Wh...
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.
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My wife suffer tooth pain. One teeth fell apart with no pain and blood, another in upper chin is shaking cause acute pain during sleep. Now she uses ultra soft tooth brush and Colgate sensitive paste after 15 days of its usage now her pain is somewhat improves but root of this teeth is still weak cause much pain during sleep when pain side on contact with pillow.

BDS
Dentist, Jaipur
My wife suffer tooth pain. One teeth fell apart with no pain and blood, another in upper chin is shaking cause acute ...
Hello Take your wife to the nearest dental clinic and they will treat this condition nicely. The bones around the tooth are losing. The poor oral hygiene is the main cause of tooth paining and loosening. This can be fixed. Regards
1 person found this helpful
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Hello respected sir/mam, now a days I am seeing bit plaque has started setting on my teeth and teeth color is also converting yellow. This is in 24 years I am seeing for the first time and I have changed my tooth brush too. Pls suggest and tips to prevent in future. Is teeth cleaning would be helpful or it will harm later. Pls suggest.

BDS
Dentist, Gurgaon
Hello respected sir/mam, now a days I am seeing bit plaque has started setting on my teeth and teeth color is also co...
Hi lybrate-user, As your complaint of plaque deposition, you can go for scaling and polishing now and then follow up with anti plaque mouthwash once a day before bedtime.
1 person found this helpful
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Hello I want to ask that after getting braces is there any side effects some people say that teeth get weak some say that it pains and feels sensitivity. So is it good to have braces or not.

BDS
Dentist, Akola
Hello I want to ask that after getting braces is there any side effects some people say that teeth get weak some say ...
There is no problem in going for braces it is a simple and a routine procedure There is movement of your teeth whilr the treatment is done so you feel mobile teeth and a slight pain after you change the wire for just 2 to 3 days
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Bad breathing was my issue, even I use mouth freshness and brush twice it doesn't stops. Please help me.

Certification in Full Mouth Rehabilitation, Certification in Rotary Endodontics, Certification in Esthetic Dentistry & Fixed Prosthodontics, BDS
Dentist, Ahmedabad
Bad breathing was my issue, even I use mouth freshness and brush twice it doesn't stops. Please help me.
Hi, bad breadth occurs due to many reasons. In most cases, it is due to plaque or calculus or tartar over your teeth n gum line. You should check if there is any yellowish or grayish layers around the teeth especially near gum area. For the proper diagnosis of the reason, you should consult a dentist near by and take a deep cleaning of your teeth, it should be done at least once per year. However there may be some other reasons for bad breath like decayed teeth, lack of saliva, some blood impurities. Drink plenty of water, brush twice properly, use mouthwash, properly clean your tongue, gargling after eating especially after eating sticky or sugary food or drinks will help you reducing it, but to get it diagnosed the proper reason for bad breath is necessary and for that consult a nearby dentist.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Which paste is best for senstive tooth and gums bleeding and pain in tooths when i went to doctor he suggest me for cleaning byt after that also no improvment deep cleaning done 4 tyms in 6 months but no improvement So suggest me paste for all these

MDS ORAL MEDICINE AND RADIOLOGY
Dentist, Bangalore
Which paste is best for senstive tooth and gums bleeding and pain in tooths when i went to doctor he suggest me for c...
Thanks for your query. The sensitivity in the teeth can be because of decay, abrasion, attrition or receded gums. So we need to confirm the diagnosis later it can be treated accordingly. Till then you can use desensitising tooth paste like sensoform. Take care.
1 person found this helpful
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What is the correct time of brushing teeth .just after getting up in the morning or after having breakfast. N how many times we should brush our teeth. Is it OK if I brush 3 times a day. Because after every meal I feel like I should brush.

BDS
Dentist, Gurgaon
What is the correct time of brushing teeth .just after getting up in the morning or after having breakfast. N how man...
after getting up in the morning you should brush your teeth...two times daily everyday...you can rinse your mouth with ...water after meals...so that soft debris doesnt get collected on teeth...
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Hi doctor. How can be slove my teeth problem. Mere teeth bhut loose ho gye h aur daily 2 time brush krta hu fir Bhi smell aati h koi solution ho to btao na plzzzz.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
Hi doctor. How can be slove my teeth problem. Mere teeth bhut loose ho gye h aur daily 2 time brush krta hu fir Bhi s...
May be you have the pyorrhea for that you have to get your teeth clean by the dentist and also surgery of the gum if its require. you are welcome to consult for the more detail.
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My mother got sensitivity problem from 1 year. Frequently felt unbearable pain. please give a solution to get relieve from sensitivity.

Dentist, Delhi
My mother got sensitivity problem from 1 year. Frequently felt unbearable pain. please give a solution to get relieve...
There may be multiple reasons like attrisions, abrasions. Basicallydammage of teeth in such a way that the protection of nerves with outer hard bony dentine and enamel is brisked. Visit the nearest dentine.
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Hi my teeth's are becoming yellow and red color because I use to chew pan masala daily. Now I want my teeth to become white. So please help me out with the good options.

MBBS
General Physician, Mumbai
Hi my teeth's are becoming yellow and red color because I use to chew pan masala daily. Now I want my teeth to become...
I will suggest you to use sparkling white toothpaste from himalaya and avoid any stain causing food items.
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Hi, I am suffering from bad breathing. Earlier I was using colgate but when bad breathing started I shifted to patanjali product 'Dantkanti' but still no progress is seen . Kindly get me out from this embarrassment. Please suggest me some good toothpaste Thanks.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hi, I am suffering from bad breathing. Earlier I was using colgate but when bad breathing started I shifted to patanj...
Most of the time bad breath is because of local reasons like tartar n it can't b removed by brushing or tooth pastes get scaling polishing done by a dentist massage gums use betadine mouth wash drink plenty of water.
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My baby boy of 13 month has developed dental carries & out of his total 7 teeth his 2 teeth are of yellowish colour with 1-2 dots on each tooth. Pl suggest.

BDS, MDS
Dentist, Delhi
My baby boy of 13 month has developed dental carries & out of his total 7 teeth his 2 teeth are of yellowish colour w...
Nothing much can be done in so young child but do maintain oral hygiene of a child. Limit sticky food. Gargle after every meal. And after he takes milk.
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Sir what causes (reasons) of tongue infection (white tongue) and what kind of taken precautions to avoid the problem. So much facing pain. How to reduce this kind of problem totally. What type of food we taken? What I taken tablets and solution and tubes.

BDS
Dentist, Lucknow
These are symptoms of serious disease as may also be related to pre cancerous lesions. So visit your dentist as soon as possible as it is very difficult to diagnose such condition on the basis of few symptoms so visit a dentist for proper evaluation and treatment.
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I have painless swelling under my left tongue that comes n go. Doctor give me some antibiotics.

MDS
Dentist, Sangli
It may be rhanula i.e. Cystic collection of saliva in salivary glands. Antibiotics may not help you. Surgery to remove that swelling will be ideal treatment.
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Is brushing twice a day with fluoride toothpaste will help keep your teeth and mouth healthy?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Is brushing twice a day with fluoride toothpaste will help keep your teeth and mouth healthy?
All toothpaste have nearly similar ingredients like Abrasives, Fluorides, Surfactants, Antibacterial agents, Flavourants, Remineralizers, Fluoride, Diethylene glycol, Triclosan etc. Only the wrong brushing technique that we follow harms our teeth and gums. So consult your dentist, learn proper brushing technique, Brush your teeth twice a day, up & down short vertical strokes, with ultra-soft bristles, indicator brush to protect your teeth and gums from plaque and calculus. Floss your teeth inter dentally once a day. Tooth brush to be changed every 2 months. Consume a healthy diet rich in vegetables and lean protein. Reduce your intake of sugary foods and beverages. Gargle your mouth thoroughly after every meal. Drink plenty of fluoridated tap water. Drink not consume alcohol drinks. Don’t smoke.
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My age is 34//and from 3 days I have problem in my right upper back teeth. Light pain and discomfort. please suggest what to do.

oral implantology, BDS
Dentist, Jaipur
My age is 34//and from 3 days I have problem in my right upper back teeth. Light pain and discomfort. please suggest ...
you need to visit a dentist for thorough check up. pain xan be taken care by analgesics tablet for time being
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Mere daant me bahut dard hotaa hai aur neeche ke daant bahut tede mede hai unhe seedha kiyaa jaa sakta hai yanhi mai bahut pareshaan hu isi kaaran mai hansta nahi hoo mujhe bahut niraasha hoti hai apni hansi dekhkar mujhe upaay bataayein.

BDS
Dentist, Hyderabad
Mere daant me bahut dard hotaa hai aur neeche ke daant bahut tede mede hai unhe seedha kiyaa jaa sakta hai yanhi mai ...
Aap ka problem bhaut simple hain. It can be treated, aap ka age kya hain. Daanth seeda karne ke liya clip daalna padtha tho uske liye aap ka age ki jaankare zaroorie hain. Aap uthna neersha hone ki zaroorath nahi hain. Daanth ka dard ke liye aap hifenac p tablet lejiyae.
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