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Dr. Jain

Dentist, Delhi

at clinic
Dr. Jain Dentist, Delhi
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Jain
Dr. Jain is a popular Dentist in Mayur Vihar, Delhi. You can visit him/her at Vandana Dental Clinic in Mayur Vihar, Delhi. Book an appointment online with Dr. Jain and consult privately 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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29/103, East End Apartment, Mayur Vihar Ph-I, DelhiDelhi Get Directions
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I have mouth ulcers what I have to do? And what are the medicines I have to take?

BDS
Dentist
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There are many reasons for ulcers for ex:- stress ulcer, drug allergy, systemic disease, multi-vitamin deficiency, stomach upset etc. I suggest you visit a dentist to find the etiology of ulcer for proper treatment.

There is sometime bleeding from my teeth. I am very scared about it. Is there any solution for this.

DGOI, Aesthetic , M.Sc - Master of Oral Implantology (MOI), MDS - Orthodontics & Dentofacial Orthopaedics, BDS
Dentist
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There is sometime bleeding from my teeth. I am very scared about it. Is there any solution for this.
Hello there it's a genuine concern the bleeding cud be from the gums rather than the teeth. Of course sometimes you feel it cud be from the teeth. But that cudnt be the case in any case this means that your gums are getting weak. Please pay a visit to your dentist and get your teeth cleaned and also he would suggest you other options depending on the severity of your case hope it helped.

I have pain in my tooth tried many medicine but my pain is getting more which medicine should I take.

MDS - Oral & Maxillofacial Surgery
Dentist
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I have pain in my tooth
tried many medicine but my pain is getting more which medicine should I take.
The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.

Hello Doctor, I am 24 year old man I have teeth cavity and back pain problem what should I do please tell me.

BDS
Dentist
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Hello Doctor, I am 24 year old man I have teeth cavity and back pain problem what should I do please tell me.
Dear please visit a dental surgeon for filling of cavity in your tooth and for back pain you can have tab combiflam twice a day for three days.

How costly is bleaching and scaling polishing of teeth and for how much days it will work.

MDS - Oral & Maxillofacial Surgery
Dentist
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How costly is bleaching and scaling polishing of teeth and for how much days it will work.
All individuals requires scaling (cleaning) to be done atleast once in 6 months to maintain our oral hygiene clean. Our toothbrush is not much finely designed to clean all the plaque and calculi in the interdental areas of the teeth, which is the area where most of the calculus accumulate much and has to be removed regularly using scalers by the dentist.

My mother had lost 2 of her back teeth (removed as they were weakly held) and the doctor said that the bone hold on the teeth has weaken and she is suffering from pain in back tooth in other side of teeth also. What type of treatment can be done is it neccesary to replace the back tooth. And what is this problem of the bone losing grip on the teeth.?

B.D.S
Dentist
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My mother had lost 2 of her back teeth (removed as they were weakly held) and the doctor said that the bone hold on t...
Hello, to replace the missing teeth one can go for fixed or removable artificial teeth choice is yours. For the tooth of other side you must visit dentist for proper check up. All teeth are held by the bone of jaw as the age advances the bone resorption occurs leads to weakend the tooth to hold in there place and causes the tooth mobility. Thank you drjagrati.

Everyday I will brush my teeth but it will turn into yellow I Do not understand why and I had an habit of smoking because of this will there be any effect to teeth.

BDS
Dentist
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Everyday I will brush my teeth but it will turn into yellow I Do not understand why and I had an habit of smoking bec...
Only brushing can not save you. You will have to go for scaling by a dentist and get your stains removed. If after that stains still remain, you can go for bleaching.

Dengue Vaxia

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

I got my teeth in badly condition. It appears like black so what I should do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I got my teeth in badly condition. It appears like black so what I should do?
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need filling or root canal treatment along with surgical procedures. You may consult me too.

Bleeding in my gums what can I do?

BDS
Dentist
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Bleeding in my gums what can I do?
few advice to stop bleeding gums-- - visit to a dentist for professional cleaning once in a year - use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water to keep the area clean. - Avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums.

I have a maculopapular rash over edge of tongue.what should I do?

MDS - Oral & Maxillofacial Surgery
Dentist
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Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may consult me in person too. 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.

Hi I am himanshu sharma age 22 I am having problem related to teeth. What is the simplest way to whiten our teeth?

oral implantology, BDS
Dentist
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Hi I am himanshu sharma age 22 I am having problem related to teeth. What is the simplest way to whiten our teeth?
Get your teeth cleaned professionally by scaling and polishing. if you are not satisfied with the results go for bleaching of teeth.

I have my wisdom tooth coming up which has become very painful in the left area of my mouth. Intake of food is hard. Some swelling also can be felt. Please let me know what is to be done. Thankyou.

MDS - Orthodontics, BDS
Dentist
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It will be there for few days later disappear, but till than if you have more problem you can have good antibiotic and pain killer that will give you instant relief, for more you can share photos with me and come to a private counsultation.

I chewing tobacco last 4year and closed my mouth I quit tobacco please help open my mouth.

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I chewing tobacco last 4year and closed my mouth I quit tobacco please help open my mouth.
you are suffering from oral submucous fibrosis, you have to visit our clinic to get cured from this problem as I have done my masters in this subject.

My teeth shows yellow pls tell us some treatments.

MDS - Oral & Maxillofacial Surgery
Dentist
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My teeth shows yellow pls tell us some treatments.
Cause of discoloration ? Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics. 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.

Want to make teeth white n clean dnt want any type of stain on my teeth so please advice.

BDS
Dentist
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Want to make teeth white n clean dnt want any type of stain on my teeth so please advice.
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...

I am suffering from mouth ulcer from my childhood What is the permanent solutions for it can you please suggest me?

BDS
Dentist
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I am suffering from mouth ulcer from my childhood What is the permanent solutions for it can you please suggest me?
Mouth ulcers are normally due to vitamin deficiency or bad digestion. Other causes includes stress, allergies to certain foods and medication, change in lifestyle, increased body heat, consumption of oilly, spicy n junk foods. So start taking vitamin supplements. Avoid outside food, oilly n spicy foods. Increase your water intake. Eat a healthy n balanced diet. Include more raw vegetables and fruits. Reduce your stress level.

P.G. DIPLOMA IN ENDODONTICS, FELLOWSHIP IN AESTHETIC DENTISTRY, BDS
Dentist
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Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado. 

I need a clean up for my teeth. Does scaling really help. Does it damage our teeth. Enamel.

MDS - Periodontics, BDS
Dentist
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I need a clean up for my teeth. Does scaling really help. Does it damage our teeth. Enamel.
Surely you can do for scaling without any doubt. It is must. You need to get it done 6 monthly. No clinical level damage to tooth.

BDS
Dentist
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Using an appropriate tooth paste is very necessary for the health of our teeth. Tooth pastes which contain flouride help in keeping the teeth healthy by reducing the risk of tooth decay.
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