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Dr. Rakesh Sachdev

Dentist, Delhi

100 at clinic
Dr. Rakesh Sachdev Dentist, Delhi
100 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Rakesh Sachdev
Dr. Rakesh Sachdev is an experienced Dentist in Punjabi Bagh, Delhi. You can consult Dr. Rakesh Sachdev at Dr. Sachdeva Dental & Orthodontic Clinic in Punjabi Bagh, Delhi. Book an appointment online with Dr. Rakesh Sachdev on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 32 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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Dr. Sachdeva Dental & Orthodontic Clinic

#1A/35-8, 1st Floor, Punjabi Bagh. Landmark: Near Mandir Market, DelhiDelhi Get Directions
100 at clinic
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Dr. Sachdeva Dental Clinic

1A/35-8 , Mandir Market, Punjabi Bagh West, DelhiDelhi Get Directions
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Sir I have fever for last ten days and I have pain in my arm and nose and teeth what can I do.

Certified Implantologist, BDS
Dentist, Coimbatore
Sir I have fever for last ten days and I have pain in my arm and nose and teeth what can I do.
It wil become normal after some days as you recover. Usually patient have pain in many areas after fever. Do not worry. If the pain is intolerable then better to get it checked. It may be infected.
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I am having pain in my teeth when I brush in morning and also sometimes blood come from there, what is the reason?

BHMS
Homeopath, Faridabad
I am having pain in my teeth when I brush in morning and also sometimes blood come from there, what is the reason?
Hi, Take acid nit.30, 3 drops once daily for 7 days. plantago majorQ, 10 drops with water twice daily. Revert me after 7 days.
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I was having a mild pain in my jaw. I inspected a bit to find out that a teeth is popping out. The pain is growing hour by hour. Anyway to numb the pain? Will it be okay in few days or should I go to a dentist?

BDS
Dentist, Surat
I was having a mild pain in my jaw. I inspected a bit to find out that a teeth is popping out. The pain is growing ho...
Please visit a dentist soon. Any tablet that you get over the counter at a pharmacy would just be a temporary solution. Please get proper diagnosis and treatment.
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BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Patients who have a history of gum diseases should also consult their periodontist while undergoing orthodontic treatment.

I feel pain on my left jaws joint when chewing something like mutton and chicken. Pls advice me.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I feel pain on my left jaws joint when chewing something like mutton and chicken. Pls advice me.
It could be tmj arthralgia avoid opening mouth wide chew deciding ur food myself to both sides of the jaw
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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

Sir/madam, I suffered every year from angular cheilitis or perleche during the time of weather changes. Please tell the medicine for this infection.

MD - Skin,VD & Lepxsy
Dermatologist, Hyderabad
Sir/madam, I suffered every year from angular cheilitis or perleche during the time of weather changes. Please tell t...
Hello lybrate-user, take B complex tablets, use green leafy vegetables in your diet. Consult a general physician for further management.
2 people found this helpful
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मेरे मुह में निचे का जबड़ा ऊपर वाले जबड़े से आगे है बहार की तरफ तो मैं जानना चाहता हु क्या इसे ठीक किया जा सकता है ।

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
मेरे मुह में निचे का जबड़ा ऊपर वाले जबड़े से आगे है बहार की तरफ तो मैं जानना चाहता हु क्या इसे ठीक किया जा सकता है ।
This condition of protruding lower jaw is termed as prognathism. It is also called an extended chin or habsburg jaw. The condition can be a sign of an underlying condition if it is still protruding and if it is constant then it is inherited genetic problem and surgery is the only solution-------------
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I have braces and I find little difficult to eat and I think that I cant chew food and digest it properly because of my improper teeth alligned condition and im very lean and I think that my teeth condition is also a main reason for this. Please help me with this.

MDS
Dentist, Kolkata
take more of juices and fluids..I am sure your orthodontist must have given u a list of things that should be avoided..
1 person found this helpful
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BDS, PGDFO
Dentist, Gadchiroli
A cup of tea a day, keeps the dentist away! A single cup of tea contains high amounts of flouride and flavonoids which prevent harmful bacteria from sticking to the teeth thereby keeping the teeth and gums healthy.
3 people found this helpful

Please tell me some effective toothpastes or home remedies to get rid of gum bleeding.

BDS
Dentist, Bangalore
Please tell me some effective toothpastes or home remedies to get rid of gum bleeding.
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.
1 person found this helpful
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I am 35 years old male. My teeth require clips as they are very unevenly aligned. Kindly suggest if I can still go ahead with teeth clips at this age considering in all ways?

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am 35 years old male. My teeth require clips as they are very unevenly aligned. Kindly suggest if I can still go ah...
Yes you can definitely go for it. No issues. Only you just need to go for few blood reports which are need to be normal. Then no issues for that clipping of teeth. Take care. :)
1 person found this helpful
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I have stain on my teeth due to smoking. How can these stains be removed to get better white shining teeth.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
I have stain on my teeth due to smoking. How can these stains be removed to get better white shining teeth.
Hello, you can go for scaling (cleaning) and polishing. You can consult to a dentist for bleaching or composite veneers for brighter teeth.
7 people found this helpful
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Hello doctor I have a very bad breath even after brushing my teeth twice a day regularly. After brushing my teeth and gargling with my mouth wash which is temporary for a few minutes my mouth stinks please give me a solution to this problem.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Hello doctor I have a very bad breath even after brushing my teeth twice a day regularly. After brushing my teeth and...
Hello, bad breath could be because of deposits on teeth surface or food lodged in between teeth. Visit a dentist and get your scaling and polishing done. For more white teeth, you can go for bleaching and whitening procedure. Brush your teeth twice daily, night brushing is very important. Floss regularly. Rinse after every meal. Visit dentist every 6 months.
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I am 27 years old, am using colgate complete tooth paste regularly. Recently I consulted a dentist and asked about the best tooth paste and he suggested me do not use branded tooth pastes, recommended me use stolin-R. My doubt is, what should we verify when we choose the paste, will you please suggest tooth paste which is best for all oral problems,

BDS
Dentist, Kolar
I am 27 years old, am using colgate complete tooth paste regularly. Recently I consulted a dentist and asked about th...
toothpaste r only cleaning agents n do not cure any dental probs. they help clean ur teeth. various brands differ only in colour n flavour. using proper brushing techniques with any toothpaste 'll b sufficient.
1 person found this helpful
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When my dad going to the toilet, When he forces Blood is bleed from mouth What's his problem and what solution for this Please reply me fast as possible Emergency.

MDS - Orthodontics, LASERS, BOTOX AND DERMAL FILLERS
Dentist, Lucknow
When my dad going to the toilet, When he forces Blood is bleed from mouth
What's his problem and what solution for th...
Dear lybrate-user your dad may has bleeding gums and bad breath. Ask him to visit a local dentist and get his teeth cleaned professionally.
1 person found this helpful
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I am affectedby oraltruthon tongue for 9 to 10 Days. I am 26 Year old male. What is medicine should I take. Please refer exact medicine name.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Oral thrush is a fungal infection which occurs due to dry mouth, uncontrolled diabetes and weak immune system with debilitating disease or patient on corticosteroids. You may need fluconazole & renal safety dosage of amphotericin b (iv drugs to be used only with the advice of oral & maxillofacial surgeons). Kindly consult an oral & maxillofacial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need candid ointment until then. Rinse your mouth thoroughly with a mouth wash. Advance procedures can be done with laser.
1 person found this helpful
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I frequently affected by mouth ulcer. By month I affect by 3 or 4 time. It makes pain and can not able to eat. How to cure it?

BDS
Dentist, Delhi
I frequently affected by mouth ulcer. By month I affect by 3 or 4 time. It makes pain and can not able to eat. How to...
There are some good medicine but you need to go for private consultation meanwhile have lot offluids in your diet
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I have a serious bad breath problem mostly when I don't eat my food and even after brushing teeth and using mouth wash my bad breath problem still occurs. Give me some home remedy to get out of this problem.

BDS
Dentist, Varanasi
I have a serious bad breath problem mostly when I don't eat my food and even after brushing teeth and using mouth was...
You can do warm saline gargle twice a day. But as you r telling. It seems severe gingivitis which will only b corrected by oral prophylaxis by any expert dentist.
15 people found this helpful
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BDS
Dentist, Nagpur
dentistry is not just about filling , tooth removal, root canal treatment, its way to big than our imagination, if we know the right value of our teeth
3 people found this helpful
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