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Dr. Niti Malik

Dentist, Delhi

300 at clinic
Dr. Niti Malik Dentist, Delhi
300 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. Niti Malik
Dr. Niti Malik is one of the best Dentists in New Delhi, Delhi. You can consult Dr. Niti Malik at i Care Centre in New Delhi, Delhi. Book an appointment online with Dr. Niti Malik and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 31 years of experience on Lybrate.com. You can find Dentists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi
Professional Memberships
Indian Dental Association
Indian Prosthodontic Society

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i Care Centre

C-6/9, Safdarjung Development Area,New Delhi,Landmark: Behind Hauz Khas Telecom Exchange, DelhiDelhi Get Directions
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House Of Smiles

E-66, Main Press Enclave, Saket. Landmark: Near Max Hospital, DelhiDelhi Get Directions
300 at clinic
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Smile Miles Dental Care

5811, Aster Avenue, DLF Phase 4, Gurgaon, GurgaonDelhi Get Directions
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I am 26 years old and have a bad odour coming form mouth. Tried using mouthwash but lasts only for 5 min. Even if I brush my teeth and tongue the fresh smell does not last for long time. Its totally embarrassing as my job depends o oral communication.

BDS
Dentist, Saharanpur
I am 26 years old and have a bad odour coming form mouth. Tried using mouthwash but lasts only for 5 min. Even if I b...
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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Certified Implantologist
Dentist, Kolkata
Dental care should begin as soon as a child’s first tooth appears, usually around six months. “Teeth can be wiped with a clean, damp cloth or a very soft brush. At about age 2, you can let kids try brushing for themselves -- although it’s important to supervise.”
3 people found this helpful

I just wanted to know the best way to clean my teeth so that it looks Shinier. Please advice.

oral implantology, BDS
Dentist, Jaipur
I just wanted to know the best way to clean my teeth so that it looks Shinier. Please advice.
you need to brush with circular motion of brush using a soft bristle brush. for easy learning about brushing technique, you visiy youtube video
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I have some sort wounds in under lips. I thought may be it would be a mouth cancer? Please help me to know about mouth cancer and their symptoms?

BDS, MDS, MBA (Healthcare), FAM
Dentist, Hyderabad
Oral cancer symptoms are most of the time dicrectly related to habits like chewing tobacco or smoking, or chronic trauma to the tissues which causes cancer like changes. Very rarely does it arise spontaneously. To give you a correct idea about what the diagnosis is I would like a few more details about the wound you have mentioned (a little detail about the history of the problem) or you could provide a photograph of the lesion/wound.
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My front two teeth have gaps between them and my new teeth are coming crooked. What should I do?

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
My front two teeth have gaps between them and my new teeth are coming crooked. What should I do?
you may need braces for uneven teeth.And for gap you need enamel bonding. Consult an orthodontist for braces.Though it take some but give good result.
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Throat infection and ulcers (çheal) in whole mouth since three days, any suggestions?

BHMS
Homeopath, Faridabad
Throat infection and ulcers (çheal) in whole mouth since three days, any suggestions?
Hello, take homoeopathic medicines - schwabe's alpha-cf and biocombination-6 and borax 30 - all of them thrice a day for 4-5days. Avoid rough use of voice. Avoid cold food/ drinks. Avoid sitting long hours in a/c rooms.
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I am suffering from teeth yellowness and I brush daily but I don' t get any cure from yelloish teeth. Please give me some home remedy

MDS, BDS
Dentist, Delhi
Please get a round of scaling and polishing done by your dentist. Once that has been done, you can maintain your teeth just by regular brushing etc. If you are still not satisfied after the procedure, you can consider whitening (even home bleaching options are available for this).
6 people found this helpful
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I am 18 years old. I want to ask how do I whiten my tooth either by naturally or medical treatments?

Advanced Aesthetics, BDS
Dentist, Mumbai
I am 18 years old. I want to ask how do I whiten my tooth either by naturally or medical treatments?
Hi, there are various method / products available to whiten teeth. The most effective is in-office whitening done by a dental professional. It's usually a one hour procedure in which whitening gel will apply to the teeth and activate by whitening light for 10 to 15 minutes. 2 or 3 such sessions may required.
2 people found this helpful
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Last week I had sex with my girlfriend without safety (condom) and suddenly Tiny paper cut on outer part of foreskin (thought be herpes but I haven't got any infection on my mouth or lips as it happens with herpes, no tingling, itchiness on the cut as well) the cut has healed 80-90%. What it could be?

BDS
Dentist, Kanpur
If it is herpes it will not appear in oral cavity. This infection occurs in relation to the infected tissue and surrounding nerve pathways only. Please visit a skin specialist for treatment.
6 people found this helpful
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The pain in my lower jaw is pulsating and I am feeling a bad taste and that part of my jaw has turned black.

MDS
Dentist, Sangli
The pain in my lower jaw is pulsating and  I am feeling a bad taste and that part of my jaw has turned black.
You need urgent attention by oral surgeon to diagnosis and treatment of jaw condition. Please visit at the earliest to avoid complications.
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BDS
Dentist, Mumbai
Our teeth are as important as the rest of our body parts. So, cleaning them for at least 2 to 3 minutes is necessary for their health. 

I have a very bad mouth odour. I am 43 years old. Female. I have got teeth cleaned and they say there is no problem in my denture. Every half an hour once I have to use the mouth wash to get rid of this odour please help.

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
Well you need to visit a prosthodontist! you need to get a dental checkup. Get teeth cleaned. If there is any decay or cavity get them treated. Sometimes your denture act as a source of infection so I suggest you to go for flexible dentures which are without wires and easy to maintain. Discard your old denture and please visit a specialist dentist. Also drinks lots of water. Avoid eating garlic &onion, brush twice daily!
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सर मेरी उम्र 23 वर्ष है मैं बहुत दिनों से गुटखा का सेवन करता था,जो कि मैंने 2 वर्ष पहले बन्द कर दिया था। लेकिन अभी भी मेरा मुँह नही खुलता कभी कभी मुह खोलने पर बहुत दर्द होता है मैं कुछ भी नही खा पा रहा हूँ कृपया उपचार बताएं।।।

BDS, MDS
Dentist, Gorakhpur
सर मेरी उम्र 23 वर्ष है मैं बहुत दिनों से गुटखा का सेवन करता था,जो कि मैंने 2 वर्ष पहले बन्द कर दिया था। लेकिन अभी भी...
Your present condition (OSMF )is relatively progressed to a stage where mouth exercises and medicines or intra oral steroid injections will not repair or bring the situation back to normal. Good news is its curable with surgical intervention and the best results obtained is from laser surgery. For oral pain you can apply dologel or hiora-sg gel. For more detail you can connect with us. THANK YOU.
5 people found this helpful
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Having neck shoulder pain for past 6 years. For that I have put teeth braces. What is the remedy?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Having neck shoulder pain for past 6 years. For that I have put teeth braces. What is the remedy?
Neck advice neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Take frequent breaks at work. Core strengthening exercises. Use cervical pillow. Use back support. Self massage the back of neck. Shoulder advice. Regular stretching of shoulder muscles. Warm up and cool down is a must. Hot fomentation.
1 person found this helpful
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I have mouth ulcers from last 3 days. What should I do? Please tell me right and beneficial solution.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Eat lot of fruits & green leafy vegetables & drink plenty of water. We need more investigations with clinical examination to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash after every meals. 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.
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Dear Doctor, My teeth's are very sensitive. Please suggest better tooth paste for this problem.

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
Dear Doctor, My teeth's are very sensitive. Please suggest better tooth paste for this problem.
For the time being you can also use some anti sensitivity toothpaste like vantej which are easily available in medicine stores twice daily.
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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

Hello doctor. Actually I have a problem of bad breath. In morning, after brush, my mouth feels fresh for some time. But in afternoon the bad breath arrives. And continues till next morning. I do brush at night. But it is not working. So please tell me. A solution.

oral implantology, BDS
Dentist, Jaipur
Hello doctor.
Actually I have a problem of bad breath.
In morning, after brush, my mouth feels fresh for some time. B...
Get your teeth cleaned professionally by scaling and polishing. This will help you to overcome the problem of fowl smell
1 person found this helpful
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BDS
Dentist, Mumbai
Dentistry is not expensive but ignorance is. So dont ignore your dental problems and delaying it further may lead to increase in trouble , expenses and loss of tooth as well. Keep smiling
2 people found this helpful

There is a lot of pain in my teeths please suggest something to overcome this pain. I am not able to talk speak or eat properly. I'll be really greatful to you for your valuable suggestions thank you.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
There is a lot of pain in my teeths please suggest something to overcome this pain. I am not able to talk speak or ea...
Pain can be due to some conditions like cavities, dry mouth. Gum disease, and fracture of tooth. You need to be investigated and diagnosed first for proper treatment plan. For temporary relief from pain you can take ketorol dt 2 tabs dissolved in half cup of water or ibuprofen 1 tablet after meal. Rinse mouth three times with chlorhexidine mouthwash after each meal.
3 people found this helpful
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