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Dr. Ajay Arora

BDS

Dentist, New Delhi

16 Years Experience
Dr. Ajay Arora BDS Dentist, New Delhi
16 Years Experience
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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. Ajay Arora
Dr. Ajay Arora is a trusted Dentist in Rohini, Delhi. He has helped numerous patients in his 16 years of experience as a Dentist. He has done BDS . You can visit him at Dr.Ajay's Dental & Nutrition Clinic in Rohini, Delhi. You can book an instant appointment online with Dr. Ajay Arora on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 37 years of experience on Lybrate.com. You can find Dentists online in Delhi 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 - Govt. Medical College,Shimla - 2001
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English
Hindi

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D 14/79, Sector 7 Rohini, Landmark: Near Sai Baba Mandir.New Delhi Get Directions
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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

My teeths are very yellow i' m doing many treatment but no better response show so please tell me solution how i' m whiten my teeth please tell me.

BDS, pg certification in aesthetic dentistry
Dentist, Gurgaon
Dear , first we need to rule out the causes of yellow teeth, if it is due to excessive fluoride in drinking water or chronic smoker or black coffee stains. Bleach do not work completely for yellow-brown stains of fluorosis so, accordingly we can choose the proper cosmetic treatment for your bright smile. Regards Dr. Nilay bhatia
3 people found this helpful
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I can't eat food talk, and do anything from my mouth, cause my molar teeth is Sharp, give me suggestion pls.

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
I can't eat food talk, and do anything from my mouth, cause my molar teeth is Sharp, give me suggestion pls.
Best is get your wisdom tooth extract because it is vestigial have no function in chewing. In most of cases we have to extract the tooth if cause problem repeatedly.
1 person found this helpful
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My teeth are turning yellow day by day even by brushing regularly two times a day. Wat should I do to reduce yellow colour on teeth?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My teeth are turning yellow day by day even by brushing regularly two times a day. Wat should I do to reduce yellow c...
Cause of discoloration – Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with whitening (bleaching) procedures and / or artificial enamel filling and / or capping. Advance procedures can be done with laser. Use Snowdent tooth paste for whitening until then. Apply SNOWDENT paste on the teeth. Wait for 10 to 15 min .Then brush your teeth with the same paste. Applying it overnight for better results. . 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. HOME BLEACH FOR THE TEETH 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.
1 person found this helpful
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My b 12 level is 220 and tongue blister/ wound problem still exist. How to improve b 12 level by food and tab.

MDS - Oral Medicine and Radiology, BDS
Dentist, Ahmedabad
My b 12 level is 220 and tongue blister/ wound problem still exist. How to improve b 12 level by food and tab.
Hi, your b 12 levels are slightly on the lower side of normal. This is common in strictly vegetarian people. You should not worry, increase the intake of fruits and green leafy vegetables. Meet your physician and start vitamin b12 tablets with his opinion. The blister / wound has nothing to do with vitamin b12 levels as tongue manifestations of vitamin deficiency are different. For tongue problem, visit an oral medicine specialist for its treatment. Regards.
1 person found this helpful
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Near the angle of my jaw on the left hands ide, when I press it hurts specially when I press it against the bone it hurts, just at the lower jaw angle the mandibular angle.

A.C.C.I - Accredited and Certified Course in Implantology, MDS - Pediatric & Preventive Dentistry, BDS
Dentist, Jammu
Dear it could be infection due to a bad tooth in the lower back region or it may be a bone problem - so a clinical examination by a dental surgeon specialist is called for here.
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I am suffering from pain in my teeth at the right side when I drink cold water from last week so please suggest me so that I can get rid of it.

BDS, MDS - Periodontics, Fellow of Academy of General Education (FAGE), Post Graduate Diploma in Healthcare Management (P.G.D.H.M)
Dentist, Noida
I am suffering from pain in my teeth at the right side when I drink cold water from last week so please suggest me so...
most likely a cavity. so get urself checked and treated accordingly. likely a root canal treatment
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I have got sore mouth. Its too much pain. What now I can do?

BDS
Dentist,
I have got sore mouth. Its too much pain. What now I can do?
If it is a periodic recurrence you need to consult your doctor for the underlying cause. As a household remedy, I recommend application of turmeric powder (haldi) on ulcers or rinses with haldi water. Works very well. But still you need to know the reason for sore mouth so that it can be avoided in future. So, definitely consult your dentist.
3 people found this helpful
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Two main disease which affect oral health.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Two main disease which affect oral health.
Two main disease which affect oral health.
You found this helpful

When I brush my teeth, it bleeds and sometime I feel sensitivity. What will I do for it?

BDS
Dentist, Mohali
When I brush my teeth, it bleeds and sometime I feel sensitivity. What will I do for it?
You need scaling (professional cleaning) of teeth to be done by a dentist. Dentist will prescribe you mouthwash and an anti-sensitive toothpaste to sensitivity in teeth.
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I am 23 years old. One of my friend have a problem. When he start speaking bad smell is come out from his mouth. Guide how to avoid it?

BDS
Dentist, Vadodara
Bad breath from the mouth can be of various reasons. Like accumulation of plaque and tartar, decay in teeth, dry mouth, smoking and tobacco chewing, consumption of caffeinated beverages and alcoholic drinks, sore throat, bad digestion. For beginning, go for scaling and polishing of teeth. Use a mouthwash after brushing twice daily. Increase intake of water. Avoid oilly n spicy foods.
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Hai Dr, am having severe pain on my wisdom teeth which already permanently filled. Still am having pain at nyt n sometimes at day tym too. One week continuously I had dolo. But still pain. Dr. said no root canal option effective n wait till pain get worse. When Dr. check with his tooth stick n beat on my teeth I didn't feel any pain. That is y he said to wait. But I can't sleep .becoz of painam female ,31 yrs Hope reply soon.

BDS, MDS
Dentist, Delhi
Hai Dr, am having severe pain on my wisdom teeth which already permanently filled. Still am having pain at nyt n some...
Please get an radio graph done, to see for any pathology or pulpal exposure, and if the pain still persists ask your dentist your remove the filling and give you a temporary dressing, and if the pain still persists you need to either get a RCT done or extraction since its 3rd molar.
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About Gingivitis

MDS - Periodontics, Certified Implantologist, BDS
Dentist, Chandigarh

Gingivitis is a mild form of gum disease which occurs because of the inflammation of the gums. It can easily be reversed with daily brushing and flossing and getting dental cleaning done regularly.

You found this helpful

I have the problem of teeth which is damage from few days and I am not feeling well.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have the problem of teeth which is damage from few days and I am not feeling well.
Advise investigation (IOPA x-ray) with clinical examination for the treatment. You may need cleaning and artificial enamel filling or root canal treatment & capping. Advance procedures can be done with laser.
1 person found this helpful
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My Mom is 48 years now and she is diabetic. She is suffering from severe tooth ache and is deprived of sleep every night. We have visited many dentists and all of them are scared to operate on her tooth due to her diabetic condition. Can you please provide a solution to this problem. Thank you.

BDS
Dentist, Ghaziabad
My Mom is 48 years now and she is diabetic. She is suffering from severe tooth ache and is deprived of sleep every ni...
Diabetes is under control then tt can b done. First control diabetes and ask your physician to give medication for controlling diabetes then dental tt can b done without any complications.
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My tooth broken half inside of the mouth. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist,
My tooth broken half inside of the mouth. What should I do?
We need more investigations to decide upon treatment. You may need artificial enamel filling or root canal treatment with a cap. Advance procedures can be done with laser. 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.
You found this helpful
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BDS, MDS, MBA (Healthcare), FAM
Dentist, Hyderabad
Brushing twice a day keeps cavities away.
1 person found this helpful

BDS
Dentist, Dehradun
Do not use your teeth for doing something other than chewing food. Using them for cracking nuts, removing bottle tops or ripping open packaging can result in chipped or broken teeth.
9 people found this helpful

I have bad breath. I tried doing many things but can not understand why it happens & how to stop.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too.
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I am suffering from gum bleeding. My teeth are so week. Please suggest me a good solution.

BHMS
Homeopath, Delhi
I am suffering from gum bleeding. My teeth are so week. Please suggest me a good solution.
Hello, you can take homoeopathic medicine kreosotum 30 (4 drops in little water) thrice a day for 3 days and update.
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