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Dr. Dheeraj Vohra

Dentist, Delhi

500 at clinic
Dr. Dheeraj Vohra Dentist, Delhi
500 at clinic
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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. Dheeraj Vohra
Dr. Dheeraj Vohra is a popular Dentist in Khan Market, Delhi. He is currently associated with Vohra Clinic in Khan Market, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Dheeraj Vohra on Lybrate.com.

Lybrate.com has an excellent community of 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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Hindi

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# 62, Khan Market.Landmark: Near Lodhi Road Khan Market & Lok Nayak Bhavan, DelhiDelhi Get Directions
500 at clinic
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I am 55 year old have a problem regarding my teeth \mouth having some smell and teeth pain gum pain.

BDS
Dentist, Mumbai
If you don't brush and floss teeth daily, food particles can remain in your mouth, promoting bacterial growth between teeth, around the gums, and on the tongue. This causes bad breath. In addition, odor-causing bacteria and food particles can cause bad breath if dentures are not properly cleaned. Smoking or chewing tobacco-based products also can cause bad breath, stain teeth, reduce your ability to taste foods, and irritate your gums. Visit your dentist and get teeth cleaned.
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B.D.S. (Dental Surgeon) , House Surgeon
Dentist,
To lessen the degree of pain or soreness in the mouth during the orthodontic treatment, you can gargle with 8 ounces of lukewarm water with one teaspoonful of salt dissolved in it. Swish it around your mouth and then spit it out. It will dull the pain and provide relief.
1 person found this helpful

I am 30 years old male and having pain in my teeth from last 3 days what I will do?

Certified Implantologist, BDS
Dentist, Jaipur
I am 30 years old male and having pain in my teeth from last 3 days what I will do?
Hi. There could be cavity in tooth causing pain. Mostly it might go for root canal treatment or if its wisdom tooth then go for extraction. A xray would surely confirm diagnosis.
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Right Brushing technique

MDS Prosthodontics, BDS
Dentist, Mumbai
Right Brushing technique

Right Brushing technique

10 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

I am having mouth ulcer and it's irritating me very much please help me in these case.

MDS
Dentist, Sangli
I am having mouth ulcer and it's irritating me very much please help me in these case.
Please apply pain relief gel on ulcers. Also improve nutrition (vitamin c and b complex) of your diet, take optimum rest, reduce stress, increase water intake, quit smoking like habits.
4 people found this helpful
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BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Bad breath or halitosis as it is caused is an unpleasant smell from the mouth of a person as he breaths out, when breathing in n out r normal essential functions, the causes can b basically decided into two a local causes b gen causes. Mostly it is due to local causes which r a poor cleaning of teeth, mouth tongue,lodgement of food in cavities , in between teeth , chewing on some thing which smells eg paan masalas,chewing gums , sound, ills hie etc. When some smells may b pleasant but stagnant u cleaned smells r always bad as the come from decaying food stuff etc it's like u r passing around a dustbin . As mouth is not dustbin keep it clean n always, the other local causes r gum infections, infection of tonsils, infection of sinuses basically maxillary sinus situated in middle face two of them behind nose.Other sinuses may also contribute but to very little extent, some nose infection may also contribute to the smells. Unclean skin like black heads type on nasal skin , very oily skin may also contribute n enhance the smells.
THE BASIC CAUSE BEING UNCLEAN BASIC REMEDY IS ALSO THE SAME KEEP CLEAN , REGULAR CHEWING , CONSUMPTION OF TOBACCO RELATED STUFF eg CHEWING SMOKING WILL ADD TO THE SMELLS. ANS AGAIN STOP BAD HABBITS, USE STANDARD TOOTH PASTE, BRUSH N USE CORRECT TECHNIQUE CONSULT DENTIST FOR DEMON. MOST OF UR PROB OF BAD BREATH WUOLD B SOLVED.
IN NEXT WILL DISCUSS OTHER CAUSES
3 people found this helpful

I have a ulcer in my mouth (near my tooth) which not heal up. Is it a sign of cancer?

MD - Oncology
Oncologist, Pune
Non healing painless ulcer which is present for long duration can be cancer. You need to show your doctor.
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Wht kind of test is suitable for teeth. I just want to know that, my teeths were healthy or not ?

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
Visit a good dentist and get a check up done. I can help you in a better way if u can send me your opg xray.
1 person found this helpful
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Tooth Removal - Really Required?

BDS
Dentist, Bangalore
Tooth Removal - Really Required?

Teeth are one of the most precious parts of the human body.  By playing a significant functional and structural role in aesthetics, facial appearance, and food habits, digestion and chewing, all efforts at maintaining them should be undertaken. As we all know, we have two sets of teeth, primary or deciduous and the permanent set. Let us discuss tooth removal in these two sets separately.

Primary Teeth
In the primary teeth, the main indication would be dental decay.  If the tooth is severely damaged beyond repair with fillings, then removal could be an option, with two things considered. The primary successor will erupt within the next 6 months; if not, a space maintainer would be put in place.

Another reason would be if the tooth is beyond its lifecycle and is blocking the eruption of the successor, then it requires removal.

The permanent teeth, however, are a set that are meant to last for a lifetime and removal should be considered only as a last resort. With advances in dental treatment methods, gone are the days when removal would be an option for severe decay. 

Some of the absolute indications for removal would be:

  1. Wisdom teeth: if it is erupting in abnormal position (flattened or crooked), then removing them to avoid infection and impingement on other teeth needs to be considered. Wisdom teeth infection is one of the most common causes requiring tooth removal. 
  2. Recurrent infections: If a tooth has been root canal treated, but continues to have ongoing chronic infection, it could be a case for removal.
  3. Malformed or supernumerary teeth: These may also block eruption of other teeth into the mouth. 
  4. Orthodontic treatment: In cases where the jaw size is really not sufficient to realign the mal-positioned or crooked teeth, the first premolar is often sacrificed, and this space is used to align the other teeth. 
  5. Injuries: In case of accidents or injuries with jaw fractures, teeth in the line of fracture may need to be removed. 
  6. Preparation for dentures: In cases of severe periodontal disease, where the mobility of the teeth is high and complete dentures are being considered as an option, teeth removal may be planned.  Also, if there are teeth which are in the line of fixed partial dentures, again removal might be planned
  7. Radiation therapy: For head and neck cancer patients, if there are teeth in the line of radiation, then removal might be planned.

Unlike in the earlier years, the absolute indications for removing tooth have changed.  A thorough examination, both oral and radiological, should be done before zeroing on extraction.

3664 people found this helpful

Sugar free treats for children

BDS, Certified Implantologist
Dentist, Delhi
Sugar free treats for children
11. If your child has a sweet tooth, look for sugar free sweets.
239 people found this helpful

Recurrent pericoronitis (dental infection)

BDS
Dentist, Cuttack
Recurrent pericoronitis (dental infection) is often deadly.
76 people found this helpful

I am having toothache since last night. I have used painkiller but does not cured. What should I do?

MDS Prosthodontics, MDS Endodontist
Dentist, Ahmedabad
I am having toothache since last night. I have used painkiller but does not cured. What should I do?
It won't be cured by medicine. Visit your dentist, I think you have pulpitis which needs to be treated by rct (root canal treatment) and it's cause is mainly infection in your tooth.
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Hello Doctor, I have heard that when it burns use tooth paste on it so that it will not bulge. Is this true?

BHMS
Homeopath, Howrah
Hello Doctor, I have heard that when it burns use tooth paste on it so that it will not bulge. Is this true?
It only reduces the burning by providing coldness. Instead use turmeric powder mixed in water. It has healing property.
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I am suffering from all tooth pains. Exactly at 1am in the morning i start getting tooth ache and not able to sleep after that.

BDS
Dentist, Asansol
As you said .You start getting tooth ache in the night.Based on your complaint. .I think you are having deep dental caries in one of your teeth . Visit your dentist. If required you should go Root canal treatment.
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Always wear a full-face helmet or a mouthguard while playing sports

BDS, PGDFO
Dentist, Gadchiroli
Always wear a full-face helmet or a mouthguard while playing sports. It will protect your mouth from any unnecessary injury.
54 people found this helpful

My all teeth I have is like unequal and there is small small spaces between them. What can I do for it. Does it need any surgery? bcoz I am afraiding from any kind of operations.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
My  all teeth I have is like unequal and there is small small spaces between them. What can I do for it. Does it need...
Hi Braces will help you in this regard. Consult a good orthodontist. He will suggest you the type of braces you need .
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My teeth are yellow. When, I consulted the docter he insisted me for root canal treatment and he made holes in my front 6 teeth and he told me that he will cut the teeth and he will keep the caps then I rejected for that. After making holes in my teeth the teeth got reddish colour from yellowish. I want my own teeth to become white if you have any treatment pls, suggest me other than root canal, because I want permanent teeth not artificial.

Master in Dental Surgery, BDS
Dentist, Jaipur
after starting root canal . . . its not possible to get the natural white color without using artifical thing. i doubt y all front 6 rct were done for u. u should have taken second opinion at that juncture only
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