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Dr. Nikita Garg

Dentist, Delhi

250 at clinic
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Dr. Nikita Garg Dentist, Delhi
250 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. Nikita Garg
Dr. Nikita Garg is a popular Dentist in Shalimar Bagh, Delhi. You can visit her at Jain Eye & Medical centre in Shalimar Bagh, Delhi. Book an appointment online with Dr. Nikita Garg and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 42 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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Jain Eye & Medical centre

AD Block , Main road, Shalimar bagh,Landmark: All heavens, DelhiDelhi Get Directions
250 at clinic
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Can Your Toothbrush Make You Ill?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Can Your Toothbrush Make You Ill?

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

  1. Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
  2. Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children’s brushes need to be changed more often than adult’s toothbrushes.
  3. Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
  4. Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
  5. Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
  6. When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
  7. Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
  8. If possible, store your toothbrush in your medicine cabinet.
  9. Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
  10. Along with your toothbrush also clean out your toothbrush holder regularly.
  11. Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
  12. Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush. If you wish to discuss about any specific problem, you can consult a Dentist.
7138 people found this helpful

I have problem of bleeding gum. And I have also problem foul smell in my mouth? What should I do to get rid of the bed smell coming through my mouth?

BDS
Dentist, Allahabad
I have problem of bleeding gum. And I have also problem foul smell in my mouth? What should I do to get rid of the be...
Go for oral prophylaxis to your dentist also brush twice daily and use mouth wash and dental floss to maintain oral hygiene.
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Tfn implanted two years back. Implant broken (proximal end) one year back by itself. Advised revision surgery. Age 57 years.

BDS
Dentist, Pune
Implant breakage is uncommon problem in dentistry. But still there are cases of implant breakage. Probably the manufacturing defect from the company can cause it. Many reputed implants comes with warranty ranging from 5 years to 20 years these days. Ask your dentist if its in warranty. And next time chose implant from reputed company like nobel biocare.
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I have got cough and mouth ulcers. Please suggest cure for mouth ulcers, should I stop eating almond.

BDS
Dentist, Varanasi
I have got cough and mouth ulcers. Please suggest cure for mouth ulcers, should I stop eating almond.
Almond has nothing to do with it. Do not eat or drink any cold drinks or very sour food. Drink plenty of water.
1 person found this helpful
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I am 24 years female, married.from 5 days my gums are bleeding I can't find anything where blood is coming from its happening for the first time I take care of my teeth regularly I am nt getting if problem is with my teeth or gums it's bleeding so much the whole day. If any instant tip or medicine you can suggest would be great.

BDS
Dentist, Gurgaon
I am 24 years female, married.from 5 days my gums are bleeding I can't find anything where blood is coming from its h...
You might have tartar/deposit on your teeth. Kindly visit dentist and get cleaning and polishing done. Secondly you use chlohex plus mouth wash rinse two times a day for a month. If bledding is still persistent. Kindly visit dentist and take medications /treatment accordingly.
1 person found this helpful
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I having problem in my teeth and it's really tough to handle it is that any solution to this problem which helps me to reduce the stress and problem in my teeth can you please tell me that and my teeth having some problem to inside can you please solve it too.

Dentist, Patiala
I having problem in my teeth and it's really tough to handle it is that any solution to this problem which helps me t...
Dear lybrate-user, it seems your tooth has become carious and the nerve inside it has collected infection. In such a situation, it hurts even when you close your teeth together. You may experience pain on eating hot and/or cold as well. You should get an x ray of your tooth affected so that further treatment can be recommended. As far as I understand from your symptoms, the tooth concerned will need rct (root canal treatment).
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Hello Sir Is it true that brushing teeth for longer time affects tooth enamels or gums? How long should one brush at a time? And how many times a day?

BDS, MDS oral medicine
Dentist, Thrissur
Hello Sir
Is it true that brushing teeth for longer time affects tooth enamels or gums? How long should one brush at ...
Brushing will damage tooth only if you brush with excess pressure and if you do wrong brushing technique. Brushing should be done only for required time. You can visit a dentist who can guide you and help you. Its like we should brush after having food, but practically I suggest you to brush early morning and night before you go to bed. Normal brushing will never damage tooth, certain tooth pastes or powders having more abrasives or whitening tooth powders or paste can damage tooth.
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Is Jaw expansion for 30 years old person possible who is having a smokers pallet. Is it possible to cure a chain smokers pallets.

Is Jaw expansion for 30 years old person possible who is having a smokers pallet. Is it possible to cure a chain smok...
Jaw expansion is possible in adults with or without surgery it also depends on how much expansion is needed. You must approach an orthodontist for better results. And for smokers palate if you stop the habit you can see the change in colour to normal in few days. Only way of treating your palate is stop smoking. Take lot of greens and fruit in diet. Hope this helps.
1 person found this helpful
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I am 59 years old and want tore-move 20 teeth in one sitting is it risky? Are there any side effects.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I am 59 years old and want tore-move 20 teeth in one sitting is it risky?  Are there any side effects.
It depends on gen condition and capacity to take action in emergency under ga it can be easily done no side effects in particular.
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He is having ulcer in his lower lip from last one month, he cut that ulcer by his teeth so it is not cured right now also. Now two more small ulcers r coming there. I m giving him half vizayalac tablet powder in morning and evening and mausami juice two to three times daily from last two days. please give me your suggestions that I m giving him right treatment or any changes I will do. Thanks.

Post-Graduate Certificate in Oral Implantology (PGCOI), PG in Laser Dentistry, Basic Life Support (B.L.S), MDS Prosthodontics
Dentist, Gurgaon
You are giving right treatment by providing him with vitamin b and c. But we have to check for reason of ulcers. Ulcers can be removed only by treating the reason. Are the ulcers painful? please visit nearby dentist for oral examination to diagnose the problem.
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BDS
Dentist, Cuttack
Replace your missing teeth as soon as possible to ward off further loss of tooth

I am looking so handsome but I have yellow teeth, how use for white teeth pl help me.

BDS
Dentist, Bangalore
I am looking so handsome but I have yellow teeth, how use for white teeth pl help me.
There are several causes of tooth discoloration, including: foods/drinks. Coffee, tea, colas, wines, and certain fruits and vegetables (for example, apples and potatoes) can stain your teeth. Poor dental hygiene. Inadequate brushing and flossing. 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.
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I want to align my teeth ,so is there any latest technology for teeth alignment other than braces, and how much time it takes to align.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I want to align my teeth ,so is there any latest technology for teeth alignment other than braces, and how much time ...
U may opt for combined effort of surgery n braces by a team of maxillfacial surgeon n orthodontist it will depend on case to case but combined effort can yield a result in two three months.
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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, Gorakhpur
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

14 people found this helpful

There are scratches in my teeth and till date I have never gone for cleaning of my teeth. I would like to clean my teeth and remove scratches from the teeth.

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
Well you need to go for scaling (tooth cleaning)& polishing of teeth. Some dentist only perform scaling & not polishing so it is very important that you ask them to perform polishing after scaling. Minor scratches as you said will fade away.
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I am 45 year old male, there is cavity in my left side one of teeth. What should I do?

BDS, Certified Implantologist, ABCD Endo/Aesthetic Course
Dentist, Pune
I am 45 year old male, there is cavity in my left side one of teeth. What should I do?
Get it restored from a dentist. After checking t xray of tooth, one can find out whether it s deep or not.
1 person found this helpful
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My teeth Will Be Paining When I Drink Cold And I Don't Feel Hungry. I Don't Know Why. Please help me.

BDS
Dentist, Hyderabad
My teeth Will Be Paining When I Drink Cold And I Don't Feel Hungry. I Don't Know Why. Please help me.
For feeling hungry you need to ask physician and for pain in cold you can use a tooth paste contains flouride.
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I have pain while swallowing saliva and sometimes while speaking. I don't have cough and sneezing. What are the causes for this? and please suggest treatment.

MDS, BDS
Dentist, Bangalore
Tonsillitis is one of the reasons. Without ingestion alsomit may become tender. Make a routine of rinsing daily with warm salt water. See if it helps. Consult doctor if problem persists.
1 person found this helpful
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Hi I am Manish. I am suffered from Teeth Flurosis. Because of this my teeth are dark brown and yellowish. I want them be white and shining. How I do this?

MDS
Dentist, Cuddalore
Hi I am Manish. I am suffered from Teeth Flurosis. Because of this my teeth are dark brown and yellowish. I want them...
Hi, fluorosis as such cannot be treated. What can be done is, we can just mask the color of the tooth with procedure called" veneering" or we can go for" crowns" for discolored tooth.
4 people found this helpful
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I m 30 year old boy. My four upper teeth is outside. Is it possible to come own natural position? And how much cost will charge for that.

MDS Prosthodontics
Dentist,
I m 30 year old boy. My four upper teeth is outside. Is it possible to come own natural position? And how much cost w...
Hello lybrate-user, yes it is very well possible to bring those teeth back into its position provided we have adequate space. Now creating a space for moving teeth is a tried and tested method, one of them is by removing the premolar teeth on either side. After which the orthodontist fixes brackets on your teeth and with help of a wire moves teeth into position. You may have to visit an orthodontist for knowing how much time would it take to complete the treatment.
3 people found this helpful
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