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Dr. Ranchu

Dentist, Delhi

Dr. Ranchu Dentist, Delhi
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ranchu
Dr. Ranchu is a renowned Dentist in Ashok Vihar, Delhi. You can visit him/her at Shivalik Clinic in Ashok Vihar, Delhi. Save your time and book an appointment online with Dr. Ranchu on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 28 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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#11B, Pocket D, Ashok Vihar Phase 3. Landmark: Near Deep Enclave, DelhiDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have mouth ulcer problems. Due to which I am unable to eat any food and it gives me tremendous amount of pain. So kindly suggests any solutions for me.

DHMS (Hons.)
Homeopath, Patna
I have mouth ulcer problems. Due to which I am unable to eat any food and it gives me tremendous amount of pain. So k...
Hello, * do you suffer from gastric disorder. Or any sort of dental infection/injury * take, plenty of water. * take, easily digestible, liquid diet. Avoiding junk food. * take, apple, banana, spinach, carrot soup. * homoeo-medicine* @ merc sol 1000-6 pills, once a wk. @ acid carbolic 30-6 pills, thrice a day. @ calendula q -10 drops with 1//4 cup of normal water, rinse your mouth, thrice a day report your progress, wkly. All d best.
1 person found this helpful
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I have tooth problem. Which is like when ve ice cream or cold water or cool drink my tooth ache I tried changing paste also but still I have the same problem if you can provide me some solution tgat ll be very helpful..

BDS
Dentist, Mumbai
I have tooth problem. Which is like when ve ice cream or cold water or cool drink my tooth ache I tried changing past...
Lybrate-user you are having sensitivity teeth can be due to cavity formation or gingival recession. Apply sensodyne tooth paste two time in a day. Please take care of your digestion and maintain oral hygiene. Visit dental surgeon for check up.
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Main 36 yr ka hun, mere dental me 2 yr se dard rah raha hai, kya karu upai bataye?

MDS
Dentist, Kota
Main 36 yr ka hun, mere dental me 2 yr se dard rah raha hai, kya karu upai bataye?
Aap bina vilamb k kisi dentist ko apne teeth ka checkup karao. And filling ya rct k baad aapko relief milega. Treatment avoid karne se aapko tooth nikalwana bhi pad sakta hai.
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How can I cure myself of sores in the mouth, especially upper palate? I am diabetic.

BDS
Dentist, Gurgaon
How can I cure myself of sores in the mouth, especially upper palate? I am diabetic.
Dear Lybrate user, mouth ulcers are quite common in diabetics as the gum tissues are quite vulnerable. You can occasionally take some multivitamin tablets under the supervision of your consultant physician if the ulcers tend to occur frequently. Other than that, drink plenty of water and consume more citrus fruits which are a natural source of vitamin C which is very crucial for your gum health. Also avoid extremely fried or spicy food.
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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

Certified Implantologist, BDS
Dentist, Chennai
Simple and easy exercise for healthy gums: Gently bite down so as to make sure that your teeth make a clinking sound when they meet. Repeat this 30 to 40 times continously. This will maintain the health of your gums by stimulating the blood flow.
1 person found this helpful

My dental doctor completed route kenal to my teeth. Bt I am not using cap. It is safe r not?

BDS
Dentist, Katihar
My dental doctor completed route kenal to my teeth. Bt I am not using cap. It is safe r not?
In my opinion it is safe but putting cap makes you safest. Because after putting the cap tooth got a more strength. And chances of filled tooth last more.
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I had a problem in my teeth they normally used to pain when I take any hot or cold things I have a sensitivity in my teeth so I used different kinds of toothpastes.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
I had a problem in my teeth they normally used to pain when I take any hot or cold things I have a sensitivity in my ...
Antisensitive tooth paste is a good one for sensitive teeth. So use thermoseal ra or sensodyne or colgate sensitive pro relief any of which you like.
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My teeth are yellow why because I don't know and I don't have any bad habits like smoking or drinking or pan I takes brush twice a day what is my problem and how to get my teeth white.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My teeth are yellow why because I don't know and I don't have any bad habits like smoking or drinking or pan I takes ...
Get scaling polishing done by a dentist than brush twice daily especially at night avoid coloured foodstuffs.
1 person found this helpful
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Hi! My dad is 63 years old. So this problem started last August, when we noticed that he is having some speech issue. It was like as if he is eating something and talking, when actually his mouth was completely empty. Then the frequency of this slurring increased in some weeks/months (can not recall). When we met our doctor, he advised to get an MRI done. On getting the MRI he concluded that it is because of diabetes and blood pressure that some muscles of the tongue are weak. Since november, my dad is controlling diabetes and blood pressure and has also lost 10 kgs (he was overweight, with strict diet and exercise he has lost 10 kgs and now weighs 80 kgs) So, the slurring problem increased and now its not slurring but lisping. We also noticed that his tongue is not able to touch the roof of the mouth. And there is always some burning sensation on some part of the tongue. We met a few renowned doctors but nothing was concluded. We met a neurologist, who recommended the following tests. MRI, diffused and contrast RNT THYROID ECHO ULTRASOUND OF THE NECK. All the above tests were normal. On meeting our neurologist the last time, he has given the following conclusions. He said - His tongue muscles are weak, And blood supply to the blood is not appropriate. And has given us some medicines. Although on his prescription he has written the following. D/d Multi infarct state e bulbar palsy Bulbar palsy onset AHC He has also written follow up to see for evolution/ evaluation of AHC disease. As you can see what he said and what he wrote was completely different. My question is I did my research on Ahc and bulbar palsy, yes it is very scary but some symptoms are not matching with the symptoms of Ahc and bulbar palsy. He also said - there is no test to conclude this disease, if nothing happens after having the given medicines. We will conclude that he is suffering from Ahc and bulbar palsy. Symptoms that differ His walking is perfect - daily walks for more than 7 kms His muscles are strong No problem with swallowing Please help me out in this.

BDS
Dentist, Kolar
Dear lybrate user, you can try consulting a dentist who hs done masters in oral medicine and radiology or in oral pathology. With aging tongue muscles tend to become weak n also mouth gets dry making them difficult to speak properly or swallow. Moistness of mouth also plays a role in speech. Wen a person loses mutiple teeth, the space available for tongue increases n tongue seems to noticably increase in size in older patients. This again causes difficulty in speech. With aging, weak muscle n nerves coupled with slight increased side tongue n absence of muliplt teeth or complete absence of teeth may cause incomplete control over tongue. Taste buds greatly reduce in number with aging causing bald tongue. Nutritional deficiency esp iron deficiency can cause bald tongue n inflamation easily.
1 person found this helpful
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Sir I have leukoplakia (white patches in my mouth) Its has been 20 years for having this but its is growing very little in years. From last 16 year's I am not addicted to any tobacco products. These days I am very very afraid what should I do for this ,should I go for surgery ,I consulted to Dr. Ms. ent who advice that keep away from any addiction and keep eyes on that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
Vitiligo is a genetic disorder trigger by indigestion and stressful conditions. There was always confusion in patients mind regarding choosing right treatment approach for vitiligo. Allopathy can give quick results but is not very safe for long term uses if steroids are used. Homeopathic is safe but very slow and in most of cases it can not stop the spread of disease i.e old patches shows some recovery but new white patches continue to come even when we are using Homeopathy. If one think about using Ayurveda there is no good vaidya who is expertise in vitiligo. At our clinic we have integrated external Allopathic applications with internal Ayurvedic medication to give fast and long lasting results. Ayurvedic herbal medicines are used to purify blood and stop the spread of disease and external application are capable of quickly start regimentation.
3 people found this helpful
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I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcers. Pleas said me.

BDS
Dentist, Vadodara
I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcer...
Common cause of ulcer is constipation. If you have it than get it treated. Avoid oilly, spicy n hard foods. Apply dologel or mucopain ointment 3-4 times a day. You can also take b complex tablets 3 times for 5 days.
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Mere teeth me pain rehta hai koi v khati chij nahi kha sakta pani lagta hai teeth me.Please tell.

BDS
Dentist, Kushi Nagar
Mere teeth me pain rehta hai koi v khati chij nahi kha sakta pani lagta hai teeth me.Please tell.
Agr apko pain rhta hi, ho skta hi apko cavity ho iske liye apko dentist se sampark kre for chekup, sensitivity k liye ratheroseal use kre.
1 person found this helpful
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Flossing & Brushing

BDS
Dentist, Gurgaon
Flossing & Brushing
Flossing
Flossing removes plaque and bacteria that you cannot reach with your toothbrush. If you don't floss, you are missing more than one-third of your tooth surface. Plaque is the main cause of gum disease. It is an invisible bacterial film that develops on your teeth every day.

Within 24 to 36 hours, plaque hardens into tartar (also called calculus), which can only be removed by professional cleaning. Floss at least once a day, and plaque never gets the chance to harden into tartar. Getting into the habit of daily flossing is easier when you floss while doing something else like watching tv or listening to music, for example.

How to floss your teeth
Step 1
Take a length of floss equal to the distance from your hand to your shoulder.

Take a length of floss equal to the distance from your hand to your shoulder

Wrap it around your index and middle fingers, leaving about two inches between your hands.

Wrap it around your index and middle fingers, leaving about two inches between your hands

Step 2
Slide the floss between your teeth and wrap it into a" c" shape around the base of the tooth and gently under the gumline. Wipe the tooth from base to tip two or three times.

Slide the floss between your teeth and wrap it into a

Step 3
Be sure to floss both sides of every tooth. Don't forget the backs of your last molars. Go to a new section of the floss as it wears and picks up particles.

Step 4
Brush your teeth after you floss - it is a more effective method of preventing tooth decay and gum disease.

Brush your teeth after you floss - it is a more effective method of preventing tooth decay and gum disease

Flossing problems and solutions
Gums sometimes bleed when you first begin to floss. Bleeding usually stops after a few days. If bleeding does not stop, see your dentist. Floss can shred if you snag it on an old filling or on the ragged edge of a tooth.

Try another type of floss or dental tape. Ask your dentist or dental hygienist for advice. If your floss still shreds, see your dentist.

Brushing
Regular, thorough brushing is a very important step in preventing tooth decay and gum disease. Brushing removes the bacteria that promote tooth decay and the plaque that can cause gum disease.

Ideally, you should brush after every meal, because the bacterial attack on teeth begins minutes after eating. At the very least, brush once a day and always before you go to bed. Brushing your teeth isn't complicated, but there is a right and a wrong way.

How to brush your teeth
Step 1
Brush at a 45 degree angle to your teeth. Direct the bristles to where your gums and teeth meet. Use a gentle, circular, massaging motion, up and down. Don't scrub. Gums that recede visibly are often a result of years of brushing too hard.

Brush at a 45 degree angle to your teeth. Direct the bristles to where your gums and teeth meet. Use a gentle, circular, massaging motion, up and down. Don't scrub. Gums that recede visibly are often a result of years of brushing too hard

Step 2
Clean every surface of every tooth. The chewing surface, the cheek side, and the tongue side.

Step 3
Don't rush your brush. A thorough brushing should take at least two to three minutes. Try timing yourself.

Don't rush your brush. A thorough brushing should take at least two to three minutes. Try timing yourself

Step 4
Change your usual brushing pattern. Most people brush their teeth the same way all the time. That means they miss the same spots all the time. Try reversing your usual pattern.

Change your usual brushing pattern. Most people brush their teeth the same way all the time. That means they miss the same spots all the time. Try reversing your usual pattern

Step 5
Use a soft brush with rounded bristles. The right toothbrush cleans better. Choose a size and shape that allow you to reach all the way to your back teeth. There are many different types of brushes, so ask your dentist to suggest the best one for you. Dentists recommends you replace your toothbrush every three months.


1 person found this helpful

BDS
Dentist, Mumbai
Avoid getting your tooth extracted unless its non salvageable, it will help in the long run. Always insist on preserving your natural dentition.

From 2 to 3 days, while eating something I am having pain in my mouth what should I do?

BDS
Dentist, Sangli
From 2 to 3 days, while eating something I am having pain in my mouth what should I do?
Get your teeth checked clinically from dentist. It can be due to some cavities in your teeth where food must be getting stuck and you must be having pain.
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Dr. ,I brush my teeth regularly but yellowish colour appear on my teeth .I don't know what I do? I couldn't clean my tongue. Can you please suggest me an idea?

MBBS
General Physician, Jalgaon
Dr. ,I brush my teeth regularly but yellowish colour appear on my teeth .I don't know what I do? I couldn't clean my ...
Please Use dant kanti advanced tooth paste by Patanjali regularly Apply Mukta chamak regularly Twice a day.
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Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop without any medicine. What to do?

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
Hello. My mother is having burps problem. It comes from mouth and once it gets started then it is difficult to stop w...
may be your mother is suffering from acidity. Is your mother taking any other medications. we can prescribe you medications of acidity which you have take for for at least 15 days.
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I'm 62 yrs young man. Having no sugar, no bp .Now a days whole day drowsiness, loud snoring, bad breath, very bad smell from mouth.Please do help

BDS
Dentist, Pune
Please get cleaning done at nearby dentist clinic for bad breath & bad smell because they are caused due to food accumulation in the mouth also known as plaque.
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Total cost of teeth whitening and how long lasting this whiting work. And is any side effects of teeth whitening process.

M.Sc - Medical Bio-chemistry, BDS
Dentist, Jaipur
Total cost of teeth whitening and how long lasting this whiting work. And is any side effects of teeth whitening proc...
Teeth whitening will cost around 5000-6000 inr. It may last approximatly for 6 months and depends upon your eating habits. There is no harm in it, only mild sensitivity may occur initially.
1 person found this helpful
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