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Dr. Pankul Sehgal

Dentist, Delhi

Dr. Pankul Sehgal Dentist, Delhi
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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. Pankul Sehgal
Dr. Pankul Sehgal is a trusted Dentist in Vikas Puri, Delhi. You can meet Dr. Pankul Sehgal personally at Sehgal dental Clinic in Vikas Puri, Delhi. Book an appointment online with Dr. Pankul Sehgal on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 33 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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Jg 3,253b, Opp H BLK DDA Market, VikaspuriDelhi Get Directions
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I often brush my teeth regularly. But those are always yellowish how can I get out of that problem.

BDS
Dentist, Mumbai
I often brush my teeth regularly. But those are always yellowish
how can I get out of that problem.
Please go for scaling and polishing of teeth and brush twice a day with colgate total paste and use listerine mouthwash regularly.
5 people found this helpful
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Hello doctor my self pratibha jain I have cavity problem and black teeth last six months please tell me I only 20 year old girl.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello doctor my self pratibha jain I have cavity problem and black teeth last six months please tell me I only 20 yea...
• If tooth is cavitated due to decay, your dentist will remove the decayed area and replace it with a filling. • 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.
3 people found this helpful
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I am having problem with my teeth. I cannot drink cold drinks or even eat hot dishes. Please suggest me a good remedy for this.

BDS
Dentist,
I am having problem with my teeth. I cannot drink cold drinks or even eat hot dishes. Please suggest me a good remedy...
Firstly it has to be diagnosed whether it is your teeth/tooth tat bothers you. Then the bothering teeth should be taken an x-ray, has to undergo root canal treatment followed by crown or bridge placement which will relieve you.
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Whenever I eat some solid particles like apple with skin, mutton meat, or something, it get stuck between my teeth food particles. Any thing suggestion.

oral implantology, BDS
Dentist, Jaipur
Whenever I eat some solid particles like apple with skin, mutton meat, or something, it get stuck between my teeth fo...
it seems there is some space in between teeth. this could be due to problem in gums. get your teeth cleaned professionally by scaling and polishing.
1 person found this helpful
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BDS
Dentist, Lucknow
Smoking or consuming smokeless tobacco is very harmful for your teeth. It can lead to various oral diseases like oral cancer, gingivitis, periodontitis and tooth decay. 
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I have mouth ulcer problem. What do I have to do to permanently stop getting infected from mouth ulcer? Please suggest me.

BDS
Dentist, Raipur
I have mouth ulcer problem. What do I have to do to permanently stop getting infected from mouth ulcer?
 Please sugge...
Kindly apply orahelp gum paint twice daily for 15 days. Take multivitamins for a month. Also notice that you are not constipated, stressed or having lack of sleep, having acidity problem as these are few of the reasons for ulcers. Avoid hot and spicy food as this may irritate the ulcers. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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I have some problem in my tooth. I feel cold and warm in my teeth. If there any solution please tell me.?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have some problem in my tooth. I feel cold and warm in my teeth. If there any solution please tell me.?
Homoeopathic tooth paste HYPERICUM 1X ( Wilmar Schwabe India ) Chew 1 tab twice daily Homoeodent tooth paste ( SBL) HEKLALAVA TOOTH POWDER ( WHEEZAL) Use at night Precautions 1.Afways scrub teeth with above powder before sleep at night 2.Avoid extreme hot and cold things 3.Avoid sour things 4.Rinse your mouth with RINSEOUT ( SBL) ,everytime you eat or drink anything during the day.
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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

My grand daugter aged 3 years got her upper left side teeth decayed, and filling is done to pause. A poor eater. Weight is only 10 kgs. Kindly tell me how to curtail future decaying of teeth, increasing intake and weight.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Small children if have many teeth decayed could b a case of rampant carries pl show a pedodontist earlier the better.
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I am 23 years old. I have mouth ulcer continuously in lips, inside cheek and tounge, I cant take food properly. It burns. What should I do?

Advanced Aesthetics, BDS
Dentist, Mumbai
Hi, there are various reasons for mouth ulcers it could be because of spicy food, medications, bad digestion, eating hard food etc. You can go for professional check up to get the exact cause and solution for the same.
1 person found this helpful
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I need to ask a question to dentist regarding bad smell in mouth.After taking food,the taste of food is remaining in mouth.After some time some smell is coming.I consulted dentist,he suggested cleaning.After cleaning also same problem is repeating.If any one suggest good solution,I feel very happy

Oral Implantologist (New York University), Advanced Aesthetic Oral & Dental Surgeon. BDS (India)
Dentist, Mumbai
You need to improve your oral hygiene habit. Only brushing teeth is not enough. Cleaning the tongue & cheeks is also important as food does stick on the tongue also. You can use your soft/medium tooth brush to clean your tongue. Use a good non alcohol mouth wash. The problem will be taken care off.
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I am 45 years old. I have severe tooth ache since the past one month. But there is no decay. Kindly advise.

BDS
Dentist, Lucknow
Go to a dentist. He will evaluate the situation & if required can do an x-ray to assess the exact problem & guide you accordingly.
3 people found this helpful
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My teeth is bleeding at the time im brushing. Wat to do.

BDS
Dentist,
My teeth is bleeding at the time im brushing. Wat to do.
There are so many causes of bleeding gums - - brushing too hard - poor oral hygiene. - vitamin deficiency - taking blood thinners or other medications - bleeding or clotting disorders - mouth sores - other medical problems, including diabetes, heart disease, leukemia or scurvy 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.
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I am 34 yrs old. I have problem of bad breath. I dont have any dental issue. What could be the reason?

BDS
Dentist, Bangalore
I am 34 yrs old. I have problem of bad breath. I dont have any dental issue. What could be the reason?
Bad breath can be reduced or prevented if you: practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. Don't forget to brush the tongue, too. Replace your toothbrush every 2 to 3 months or after an illness. Use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. See your dentist regularly -- at least twice a year. He or she will conduct an oral exam and professional teeth cleaning and will be able to detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor. Drink lots of water. This will keep your mouth moist. Chewing gum (preferably sugarless) stimulates the production of saliva, which helps wash away food particles and bacteria.
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I am suffering from mouth ulcers since 3 years. please any remedy.

BDS
Dentist,
You take b complex capsule once a day and also apply kenacort ointment on affected area and visit to a dentist for proper treatment.
1 person found this helpful
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My teeth is paining when I use same paste regularly, what is the cause behind them?

BDS
Dentist, Mumbai
My teeth is paining when I use same paste regularly, what is the cause behind them?
Get checkup done if the cavity of you teeth are deep or whts exact reason can find out after checkup.
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My teeth is tittle yellow in colour. Previous 2 years I done cleaning of my teeth. And care well but it again become yellow. What I will do next?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
My teeth is tittle yellow in colour. Previous 2 years I done cleaning of my teeth. And care well but it again become ...
Hello, visit a dentist and get your scaling and polishing done every 6 months. He/she will teach you the proper maintenance. Brush twice a day. Night brushing is important. Floss regularly, rinse after every meal. For more whither teeth you can go for bleaching or whitening.
9 people found this helpful
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My son is 5 years of age he had a toothache painful with cavity should the dentist remove the tooth? Or else stay it as it is?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My son is 5 years of age he had a toothache painful with cavity should the dentist remove the tooth? Or else stay it ...
The type of treatment you have for toothache 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 is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. • 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.
1 person found this helpful
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I am a 15 years old boy. My teeth are not aligned correctly. Putting a clip will help me? Please advise.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am a 15 years old boy. My teeth are not aligned correctly. Putting a clip will help me? Please advise.
Kindly consult a dentist in person for further suggestion. We need more investigations (model study, full mouth & profile x-ray) & clinical examination to decide upon treatment. You may need fixed / removable braces. Requirements may depends on the age, complaint, duration of the treatment & affordability. Cost of cosmetic dentistry (braces) varies with dentist. You may consult me in person. 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.
3 people found this helpful
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