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Dr. Akshay

Dentist, Delhi

Dr. Akshay Dentist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Akshay
Dr. Akshay is an experienced Dentist in Pitampura, Delhi. Doctor is currently practising at Krishna Dental Care Clinic in Pitampura, Delhi. Book an appointment online with Dr. Akshay and consult privately 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 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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English
Hindi

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Krishna Dental Care Clinic

#209, Shop No.2, Ground Floor, Shardha Nikethan, Pitampura. Landmark: Behind Deepali Chowk, DelhiDelhi Get Directions
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Hi doctors I am 52 and have problem gum bleeding and bad smell can you help please thank you.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
Go for cleaning of your teeth by a dentist followed by a prescribed medication course from your doctor for pyorrhea.
1 person found this helpful
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Anybody can tell me what's the approx. Cost of doing Veneers. I want to fill the space between my upper two teeth. Thank you.

FDSRCS, MOrth RCS, MDS - Orthodontics, BDS
Dentist, Sonipat
Anybody can tell me what's the approx. Cost of doing Veneers. I want to fill the space between my upper two teeth.
Th...
Two types veneers are there. Composite veneers cost approximately 2000- 3000 per tooth and porcelain veneers 6000 -10000 per tooth.
1 person found this helpful
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I have an digestion problems and weekly ulcer even though I have a normal hygienic food. What precautions should I take sir.

BDS
Dentist, Anand
I have an digestion problems and weekly ulcer even though I have a  normal hygienic food. What precautions should I t...
Try to take dal and other proteins more in food. Sleep properly at 10 pm and have lemon-honey - hot water at morning on empty stomach. If your digestion is improved ulcer will be cured automatically.
3 people found this helpful
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MDS
Dentist, Nellore
99% of the plaque can be removed by the use of waterjets along with daily brushing.

Tooth Coloured Fillings

BDS
Dentist, Mumbai
Tooth Coloured Fillings
Composite resins, or tooth-colored fillings, provide good durability and resistance to fracture in small- to mid-size fillings that need to withstand moderate pressure from the constant stress of chewing. They can be used on either front or back teeth. They are a good choice for people who prefer that their fillings look more natural.

No dental filling lasts forever. Some studies show that composite fillings can be less durable and need to be replaced more often than silver amalgam fillings.

It generally takes longer to place a composite filling than it does for a metal filling. That’s because composite fillings require the tooth be kept clean and dry while the cavity is being filled. Tooth-colored fillings are now used more often than silver amalgam fillings, probably due to cosmetics. In a society focused on a white, bright smile, people tend to want fillings that blend with the natural color of their teeth.

Ultimately, the best dental filling is no dental filling. Prevention is the best medicine. You can dramatically decrease your risk of cavities and other dental diseases simply by:

brushing your teeth twice a day with fluoride toothpaste
vigorous rinsing after any food
eating a balanced diet
visiting the dentist regularly.

169 people found this helpful

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

Mouth is not opening due to chewing of tobacco I left it from one month but its not coming to original stage hardly two fingers r going in please suggest any medicine so that it can come to original stage please doctors help me please.

BDS
Dentist, Mumbai
Lybrate-user it is so nice that you have discontinued the habit of chewing tobacco. Do not pick up any other habit as a substitute as you would be harming yourself. Reduced mouth opening can be due to thickening of the skin inside the mouth due to continuous irritation from tobacco and beetle nut. You need to get a thorough examination done by your dentist at the earliest. In most cases, with the discontinuation of habit, you can see a positive change in mouth opening in about 6 months time. Your dentist may prescribe you multivitamin / antioxidant medicines which you need to consume for your body to reverse the damage. Also, maintain a healthy & balanced diet. ]
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Hello doctor My teeth are becoming loose And my teeth are already loose since my childhood But recently I have lost my front tooth Is it possible I get my foot grow up by it self? Pls let me know the precaution to be taken for my teeth.

Certified Implantologist, BDS
Dentist, Hyderabad
Hello doctor
My teeth are becoming loose
And my teeth are already loose since my childhood
But recently I have lost m...
Dear patient teeth once lost will not come you should go for dental opg to know the bone condition if required ctscan also for mouth so based on it treatment can be planned.
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I have pain in my mouth & lips due to ulcers in my mouth, please suggest me what should I do n what should I eat because it pains me when I eat anything.

Dentist, Kolkata
Plz apply anti-ulcers oinments on ulcers 3-4 times a day n have vitamin b complex supplements. Avoid spicy food n have soft diet like rice, etc. Do consult your dentist, if ulcers persists for more than 2 days.
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My son is five months he has itching in gums can I use silicon teeth as its available online now days can we use that it is safe or not.

BDS
Dentist, Delhi
My son is five months he has itching in gums can I use silicon teeth as its available online now days can we use that...
Hi lybrate-user, the causes of itchy gums in children are: 1. Mild inflammation of gums 2. Accumulation of debris on teeth 3. Teeth pushing through gums the best home-remedy is to massage on your child's gums with a mix of mustard oil and salt twice daily for 1 or 2 days. It will sooth the gums. Hope that helps.
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T6 is extracted and now confused whether to go for bridge or denture. If bridge is selected then rct at 5 and 7 will be required I am thinking of denture what is your opinion thanks.

BDS
Dentist, Mumbai
T6 is extracted and now confused whether to go for bridge or denture. If bridge is selected then rct at 5 and 7 will ...
A bridge is a much better option if the teeth adjacent to the missing teeth are strong enough to support the bridge. Not all teeth supporting a bridge need to go for a root canal treatment.
1 person found this helpful
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Even after the rct is complete, patients must visit their endodontists

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
Even after the rct is complete, patients must visit their endodontists
Even after the rct is complete, patients must visit their endodontists or dentists to get the proper restorative work completed on the tooth.
101 people found this helpful

My teeth is very week. I have fear that it will fell down I am 18 year old. My teeth was really very week and the skin of on the teeth it was gone back. I check up. By 2 doctors that also I not satisfy please give suggestion plz.

MDS - Orthodontics, BDS
Dentist,
My teeth is very week. I have fear that it will fell down I am 18 year old. My teeth was really very week and the ski...
Teeth becoming loose in this age should be viewed seriously. This may be pyorrhea. Kindly consult a periodontist who is the specialist in the gum problems. He may take an opg xray and see the amount of bone is lost and he may decide whether you need bone replacement to strengthen your teeth after gum treatment.
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6-7 years back, my front tooth was broken little. Now it has become yellow what should I do?

BDS
Dentist, Bhopal
6-7 years back, my front tooth was broken little. Now it has become yellow what should I do?
Go to dentist and save that tooth by RCT treatment followed by capping so that your tooth colour become same as your previous one.
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Doctor there is a spongy lump at the end of the teeth on right side of lower jaw it comes and goes after a few days. Advice please.

BDS
Dentist, Hyderabad
Doctor there is a spongy lump at the end of the teeth on right side of lower jaw it comes and goes after a few days. ...
My advice is consult dentist may be your 3rd molar is showing the sign. Don't ever think at this 53 age why 3rd molar erupt. So its not the age. There is tooth migration at one stage than at that time you feel pain.
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BDS
Dentist, Delhi
Don't rush, when you brush: For maximum results, brush your teeth for atleast 2 to 3 minutes.
3 people found this helpful

My wisdom teeth is paining for the last 4 days. Should I remove it or take pain killer?

BDS
Dentist, Gurgaon
kindly take medications for the same..and if pain doesnt come down in three days then you can get it removed..
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I have tooth ache. I thought that it would be fine but it is getting more and more painful. What can I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need root canal treatment. Advance procedures can be done with laser too. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.
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BDS, PGDFO
Dentist, Gadchiroli
Hormonal changes in women which lead to increased sensitivty may become a reason behind the birth of gingivitis.
2 people found this helpful

Don't Overbrush Your Teeth

BDS, MDS - Oral & Maxillofacial Surgery, Certified Implantologist
Dentist, Agartala
Don't Overbrush Your Teeth
Don't use a brush more than three months" price adds" that is the limit. Brushing itself should be gentle, with the bristles at a 45-degree angle to the teeth, swish gently with an oval motion rather than raking the brush side to side across the teeth.
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