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Dr. Dhruv Sharma

Dentist, Delhi

300 at clinic
Dr. Dhruv Sharma Dentist, Delhi
300 at clinic
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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. Dhruv Sharma
Dr. Dhruv Sharma is one of the best Dentists in Safdarjung Enclave, Delhi. He is currently associated with The Dental Studio in Safdarjung Enclave, Delhi. Book an appointment online with Dr. Dhruv Sharma and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 44 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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B 4/220, Safdarjung Enclave. Landmark: Near Iris Park Hotel, DelhiDelhi Get Directions
300 at clinic
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B.D.S
Dentist, Gurgaon
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I have gaps between my teeth and I am 22 years old can this problem will be solve?

BDS
Dentist, Jaipur
I have gaps between my teeth and I am 22 years old can this problem will be solve?
Either you go through cosmetic treatment like composite application , veneer , or crown. If gap is more than you can go through orthodontic treatment. So you should consult to dentist for further detail.
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Dear doctor, after my morning brush it was bleeding so it s continued since last 5years. And also its coming bad smell from my mouth. Most of the moment I m hesitate to speak with my friends. Bcz in between our conversation their keeping their hand closed to their mouth. So please help me to avoid that bad smell.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
Dear doctor, after my morning brush it was bleeding so it s continued since last 5years.
And also its coming bad smel...
may be you have the payoria  for that you have to get your teeth clean by the dentist and also surgery of the gum if its require. get your teeth clean by the dentist. you can use the tongue cleaner and also the clohex mouth wash 3time in day. also make a habit to brush twice in day
6 people found this helpful
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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

I got blood in my mouth when I clean my mouth with toothbrush. Please tell me solution of my problem.

BDS
Dentist, Raipur
I got blood in my mouth when I clean my mouth with toothbrush. Please tell me solution of my problem.
Kindly get scaling done and use gum paint twice daily for 15 days. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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Best and economic option for placement of second teeth?

MDS, BDS
Dentist,
When you say the best it might be little expensive. Placement of a second tooth depends on the condition of adjacent teeth and the bite.
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Suffering from breath problem" breath smells like Fart" tried every possible medicine and diet.

MDS Prosthodontics, BDS
Dentist, Jaipur
Get scaling done by a periodontist and use a stronger tooth paste brush twice daily after meals use mouth washes and sugar free gums, I would advice you a liver and bowel checkup with an expert.
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Hi, I have pain in my teeth. Please advise. What I do?

BDS (GOLD MEDALIST)
Dentist,
Hi, I have pain in my teeth. Please advise. What I do?
Get an x-ray done. It will help to find out the cause. If there is cavity get it filled quickly to avoid further more pain and infection. For temporary relief from pain you can take ketorol dt 2 tabs dissolved in half cup of water. Or ibuprofen after meal.
2 people found this helpful
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Sir I am having bleeding gums problem.

MDS - Oral & Maxillofacial Surgery
Dentist,
Sir I am having bleeding gums problem.
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Advance procedures can be done with laser. 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.
8 people found this helpful
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my child is 9 yrs old he has cavities in 6 of his teeth what to do now any suggestions?

Certified Implantologist, BDS
Dentist, Jaipur
hi...kindly get the fillings done before they start paining and make sure proper brushing before sleep and do not let him have milk just before sleep.
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How teeth become yellowish colour and blush teeth every daily and take to blush teeth 8/9 blush teeth.

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
Please get scaling & polishing done first followed by bleaching. Your teeth will regain its white color again!
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I had rootcanal treatment 3year before. Now I'm feeling pain at that tooth. So, what I have to do. Please send me some tablet names and how to use them.

BDS
Dentist, Kolar
I had rootcanal treatment 3year before. Now I'm feeling pain at that tooth. So, what I have to do. Please send me som...
This does not seem normal. Visit a dentist asap n get a x ray done to check the status of your rct n surrounding tissue. If there is re infection, rct has to b repeated. Pain could also b due to food lodgment around crown leading to gum infection.
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My teeth is yellow in color with irregular shape and bad smell comes out. Which remedies can save my mouth from this diseases.

MDS Prosthodontics
Dentist, Howrah
My teeth is yellow in color with irregular shape and bad smell comes out. Which remedies can save my mouth from this ...
Irregular shaped teeth and irregularly placed teeth often make your oral hygiene difficult, thus becoming a major reason for yellow teeth. Visit a dentist and get it treated.
1 person found this helpful
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My mother is 64 years old .she has mouth ulcer and swollen lips .she applied candid mouth paint and had becosules syrup .but still she has problem. Moreover she is high BP patient and allergic to dust.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My mother is 64 years old .she has mouth ulcer and swollen lips .she applied candid mouth paint and had becosules syr...
Please encourage your mother to consume cool (not cold) sweetish buttermilk and alkaline foods like Kohala (ash gourde), cucumber, cold milk. She should not eat spicy or chilie and oil rich foods. She can take immunity enhancing tonics like Reimmugen Colostrum capsules that will help her ulcers to heal and also help deal with allergy discomforts. Regards.
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MY 4.5 YEAR CHILE HAVING Tooth Ache (PAIN) DUE TO CAVITY, WHAT IS THE SOLUTION TO OVERCOME ON THIS PROBLEM WITHOUT REMOVING TEETH. OR IT IS GOOD TO REMOVE TOOTH IN THIS AGE.

BDS
Dentist, Delhi
MY 4.5 YEAR CHILE HAVING Tooth Ache (PAIN) DUE TO CAVITY, WHAT IS THE SOLUTION TO OVERCOME ON THIS PROBLEM WITHOUT RE...
Which tooth is it ,you can give hm a pain killer and a tibioti s fr2to 3 days and show to a dentist if fhe decay is not deep you ca. Go for filling,
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How to drop my gudka habit which i am having more than 10 years?

Hi You should gradually taper it down. Initially you will feel difficulty but please do not lose hope.
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Which toothpaste recommend by you for teeth for cleaning. Ayurved toothpaste is good or not?

M.D.S, Post-Graduate Certificate in Oral Implantology (PGCOI) , B.D.S
Dentist, Hyderabad
Which toothpaste recommend by you for teeth for cleaning. Ayurved toothpaste is good or not?
All tooth pates do the same job. U can choose whatever flavor you like. What is important is brush bristles must be soft/ medium & proper brushing technique.
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When I drink something cold or eat sweets that time I feel pain in my back side tooth. Help sir.

BDS
Dentist, Gurgaon
When I drink something cold or eat sweets that time I feel pain in my back side tooth. Help sir.
It means you have some cavity in your teeth. Kindly get an xray done thn either a filling or rct may be advised.
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I am very fat and all body parts are very mainly and my teeth is dirty I tried many tooth powder but not effects.

BDS
Dentist, Saharanpur
I am very fat and all body parts are very mainly and my teeth is dirty I tried many tooth powder but not effects.
Get scaling done n brush your teeth twice a day n use dental floss n mouthwash n do warmsaline rinces 3-4 times a day n scrap your tongue twice day n tel me d status after 5 days.
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I have coloured teeth, I never take any tobacco. I want to do scaling. Some friends says that scaling is not good for future of teeth. Consult me what should I do.

BDS
Dentist, Mumbai
I have coloured teeth, I never take any tobacco. I want to do scaling. Some friends says that scaling is not good for...
scaling is definitely good for teeth . kindly see dental surgeon and get scaling and polishing done .
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