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Dr. R K Gulati

Dentist, Delhi

100 at clinic
Dr. R K Gulati Dentist, Delhi
100 at clinic
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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. R K Gulati
Dr. R K Gulati is an experienced Dentist in New Delhi, Delhi. You can meet Dr. R K Gulati personally at Oro Dental Clinic in New Delhi, Delhi. Book an appointment online with Dr. R K Gulati 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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Hindi

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D-43, East Of Kailash, Near Sapna Cinemas, New Delhi, DelhiDelhi Get Directions
100 at clinic
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My teeth is being cavity. I tried all toothpaste but no effect yet. Can you help me how to relief from cavity?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My teeth is being cavity. I tried all toothpaste but no effect yet. Can you help me how to relief from cavity?
•If your cavity in the tooth is caused by 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.
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Regular Follow up Check ups

MDS Endodontist
Dentist, Rohtak
Regular Follow up Check ups
Even after you got all your dental treatment completed, you need to visit your dentist regularly every 6 month to ensure your oral health remains as desired.

I am 54 years old gents. I am having tooth decay problem . Each month I am losing some part of my teeth due to decay . I expect it will finish within next 5/6 years . Why such thing happening and what to do. Shyam sundar Rout - e amil address bonaisgupsng"gmail.Com. Please help me.

Oral Implantologist (New York University), Advanced Aesthetic Oral & Dental Surgeon. BDS (India)
Dentist, Mumbai
Your teeth might be breaking because of wear n tear as per your age not just cavities. You need to get fillings done, but if your tooth has badly broken down fillings will not stay. In that case you will have to get multiple crowns done. Please get a proper check up done & then proceed for treatment.
1 person found this helpful
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Goodafternoon sir, a big gap infront of my teeth how can i close it plz tell me sir

Certified Implantologist, BDS
Dentist, Jaipur
hi...either you can go for composite veneering ( best way to get desired results without damaging much tooth structure. ..or orthodontic treatment... It depends upon case to case....feel free to ask further
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My teeth is yellowish in colour what I want to do to remove that. I had tried a lots of ways still it persists. Can you pls provide me suggestions.

DNB, MDS Endodontist, BDS
Dentist, Bangalore
My teeth is yellowish in colour what I want to do to remove that. I had tried a lots of ways still it persists. Can y...
If the yellowish discoloration caused by some food items like tea coffee, you can reduce the consumption. Bleaching of teeth is an option you should consult your dentist. Also get an oral prophylaxis (scaling) done if there are deposits (calculus)
24 people found this helpful
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I have problem in my teeth that is going to black and I want to replaceone teeth please suggest me better treatment for this and which is give me better look of my teeth.

BDS
Dentist,
I have problem in my teeth that is going to black and I want to replaceone teeth please suggest me better treatment f...
If its decayed due to carris thn you have to go for cleaning of particular teeth either rct or filling.
2 people found this helpful

I have my right testis bigger than left one? I am 28 years old. 2. My front teeth broke 1 year ago. I have not done capping yet. Done root canal. Will it create problem? Or should I do capping as soon as possible?

BDS
Dentist, Bangalore
I have my right testis bigger than left one? I am 28 years old. 2. My front teeth broke 1 year ago. I have not done c...
it is better that you get capping done..it will give extra strength to tooth and there will no problem in future. ..
1 person found this helpful
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My 18 years daughter suffering from toothache so many time in month please. Advice me for her.

BDS
Dentist, Mumbai
My 18 years daughter suffering from toothache so many time in month please. Advice me for her.
See a doctor. She is young and she needs to save her teeth. More you neglect, more her teeth will decay.
3 people found this helpful
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BDS, PGDFO
Dentist, Gadchiroli
Chewing food from the affected side can cause pain.

My molar tooth are getting black these days. Will I be need to have root canal done or any kind of fillings? Please advise.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
My molar tooth are getting black these days. Will I be need to have root canal done or any kind of fillings? Please a...
Hi teeth can be black may be because of two reasons like either tooth is dead or due to any staining. If tooth is dead rct is the option or any discolouration or staining then bleaching is the option. You need to be investigated and diagnosed for proper treatment plan.
1 person found this helpful
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My one teeth is very yellow, even after brushing many times, it's still the same. What should I do?

BDS
Dentist, Raipur
My one teeth is very yellow, even after brushing many times, it's still the same.
What should I do?
Kindly get scaling and polishing done and if you want you can also get bleaching done. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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I can't eat food talk, and do anything from my mouth, cause my molar teeth is Sharp, give me suggestion pls.

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
I can't eat food talk, and do anything from my mouth, cause my molar teeth is Sharp, give me suggestion pls.
Best is get your wisdom tooth extract because it is vestigial have no function in chewing. In most of cases we have to extract the tooth if cause problem repeatedly.
1 person found this helpful
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I have problems in my teeth. I have some black spot in my teeth. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have problems in my teeth. I have some black spot in my teeth. What should I do?
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need artificial enamel filling. Advance procedure can be done with laser too. 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.
6 people found this helpful
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I am having cavity problem so is it necessary to do RCT if pain is not happen. Please advice me.

BDS
Dentist, Raipur
kindly get the cavity filled before it becomes deep and painful. avoid having sticky food and sweets before going to bed. brush your teeth twice daily using correct brushing technique to maintain your oral hygiene. If the cavity is deep and not painful then kindly get an x-ray done of the tooth. may be you will have to get root canal treatment done if the caries is close to pulp but if it is not then you will just require filling.
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I want to replace 3 teeth of mine. What will be the minimum expenditure in the whole process?

MDS - Periodontics, BDS
Dentist, Ahmedabad
I want to replace 3 teeth of mine. What will be the minimum expenditure in the whole process?
It depends. On the treatment option selected. Whethr you want to go for fixed or removable prosthesis. Or an implant.
1 person found this helpful
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Dengue Vaxia

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

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I am 23 year old male. Last friday I met with an accident and my right front teeth is broken and left one also have pain. Right one was also operated back 4 years. In x-ray everything was fine in the jaw. But it have pain still. I took some antibiotics and painkillers under Dr. Prescription. Please help me out what should I have to do now.

MDS, BDS
Dentist, Bangalore
I am 23 year old male. Last friday I met with an accident and my right front teeth is broken and left one also have p...
Get it checked near dentist again. Continued pain means the tooth is affected. It will require treatment. If you have x-ray. It will help us to advice better.
1 person found this helpful
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Sir I suffering from pairiya (dental problem) aprox 10 years so that I request please provide details. How to do clean pariya ?

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
Please get cleaning done by a dentist and follow proper oral hygiene instructions given by your dentist to maintain a healthy mouth.
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Dear sir I AM having jaw pain on left side from last two months, I had refer to dentist and had X Ray of mouth and also refer to bone doctor and had MRI of TMJ and taking medicines from last 1 month but still I am not relived with pain please suggest me where should I Refer.

MFDS RCPS (Glasgow), MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Delhi
Dear sir
I AM having jaw pain on left side from last two months, I had refer to dentist and had X Ray of mouth and al...
Hi lybrate-user if you are suspecting a tmj problem, you should probably see an oral and maxillofacial surgeon, or another dental surgeon with an interest in tmj.
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