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Dr. S Mitra Paul

Dentist, Delhi

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Dr. S Mitra Paul Dentist, Delhi
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. S Mitra Paul
Dr. S Mitra Paul is an experienced Dentist in Uttam Nagar, Delhi. He is currently practising at Dr Pradeep Sharma Clinic in Uttam Nagar, Delhi. Save your time and book an appointment online with Dr. S Mitra Paul on Lybrate.com.

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

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Hindi

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Dr Pradeep Sharma Clinic

F-56, Milap Nagar, Uttam Nagar. Landmark:- Near Reliance Fresh, DelhiDelhi Get Directions
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Which toothpaste is best? I want to know because I used the DABUR RED. I think this is the best one because its made in naturally.

Advanced Aesthetics, BDS
Dentist, Mumbai
Which toothpaste is best? I want to know because I used the DABUR RED. I think this is the best one because its made ...
Hi, you can use any fluoridated toothpaste from any company, try and use one with soft bristles. It is not really the brush / paste that decides the cleaning efficiency, but the technique of brushing which ensures clean teeth and healthy gums.
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Does oil pulling really whiten your teeth? And can I do it daily? How it overall affects my teeth?

MDS, BDS
Dentist, Bangalore
Does oil pulling really whiten your teeth? And can I do it daily? How it overall affects my teeth?
It doesn't whiten like bleaching. Yes it prevents staining. It's a very good healthy habit if you do it daily for both your teeth and overall health. It prevents decay and improves gum health.
4 people found this helpful
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I have some teeth problem my age 24 running and may last teeth will be grow up is it normal thing was it growing teeth is? And it was pain full so I can put out teeth from may mouth.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
I have some teeth problem my age 24 running and may last teeth will be grow up is it normal thing was it growing teet...
You may have wisdom tooth problem. Get one x-ray done to know wether wisdom tooth is erupting in normal occlusal position. If it is not erupting in normal occlusal position and there is less space for it to erupt then it will cause repeated infection and inflammation. It would be better to get it extracted.
2 people found this helpful
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I get mouth ulcers very frequently. Atleast 1 use to present every time, when I do not have motion proper, Next day I gets ulcers for sure. What should I do to not have ulcers? Do I need to consult a doctor? Can it be a big issue?

BDS
Dentist, Gurgaon
I get mouth ulcers very frequently. Atleast 1 use to present every time, when I do not have motion proper, Next day I...
yes mouth ulcers occur due to constipation.drink lots of water and liquids. add fruits and multigrains in ur diet. avoid aerated drinks. apply dologel CT ointment 3 4 times a day on the ulcers.
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Advance training in orthodontics, worked in AIIMS NEW DELHI,BDS, BDS
Dentist, Ranchi
These tips are keep your smile healthy.

-ignorance is biggest culprit for dental diseases.
Visit your dentist twice in a year.
-brush your teeth twice a day.
-rinse your mouth twice after every meal/drink.
-take advice twice before going to extensive treatment.

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

I have pain in my teeth for last 3 days and my age is 25 years and at this time my teeth grow. Please advise.

BDS
Dentist, Bhopal
I have pain in my teeth for last 3 days and my age is 25 years and at this time my teeth grow. Please advise.
Your third molar that is wisdom tooth might be erupting. See your dentist n get proper treatment done. You may even require some xrays to be done. Meanwhile you can take mild analgesic like combiflame. But visit your nearby dentist.
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How to make my tooth look white. I can see some green lines on my teeth. Please suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
How to make my tooth look white. I can see some green lines on my teeth. Please suggest.
Hi lybrate-user. You will need to consult a dentist. Till then take homoeopathic medicine Plumbum 30 tds for one day.
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Sir, my daughter age 9 years, her milk teeths are not gone. Permanent teeths found, they are unable to come out. What should I do?

Certified BPS Dentist, Certified Implantologist, BDS
Dentist, Raipur
Sometimes it happens that the permanent teeth start erupting behind the milk teeth. In such cases its better to get those particular milk teeth extracted.
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I have a dental problems that my gums are bleeding and also I had taken RCT in my one teeth over which I got a swollen point since last 3 months upper than gum. Is this a serious issue?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I have a dental problems that my gums are bleeding and also I had taken RCT in my one teeth over which I got a swolle...
Get scaling polishing done by a dentist than brush twice daily especially at night massage gums for gum boil rct may have to b done again.
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BDS, PGDFO
Dentist, Gadchiroli
Have coffee - spoil your teeth, have tea - keep them healthy! Tea consists of heavy amounts of flouride and flavonoids which keep the gums and teeth healthy and prevent harmful bacteria from sticking to the teeth.

My son have been diagnosed infection with increase in TLC and DLC. Having fever and mouth ulcer. Twice in a month. Doctor have given him ammunace syrup and aculav syrup. please let me know the reason, symptoms, and precaution about infection.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My son have been diagnosed infection with increase in TLC and DLC. Having fever and mouth ulcer. Twice in a month. Do...
At three yrs it could perhaps only b deficiency in his food c he gets a balanced diet if suffering from any stomoch ailment should b ruled out.
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I am suffering from tooth pain for last 5 days. What should I do. I took medicine but it does help me.

BDS
Dentist, Bharuch
I am suffering from tooth pain for last 5 days. What should I do. I took medicine but it does help me.
Consult nearest dentist. Do not rely only on medicine as the pain is the sign that something is bad on your tooth. Pain is not a disease. Medicing is not a treatmet. Thank you
1 person found this helpful
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I am 65 yrs & I am having inflammation in left side lower gums, resulting into mild pain. Please suggest remedy.

MDS, BDS
Dentist, Gurgaon
First you need to consult your dentist. You can take mild. It can be due to gum inflammation and can be due to bone loss. You can go for oral prophylaxis.
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I had root canal be for three years back and had cap on my molar jaw but from last 3 or 4 month there is a ulcer on the.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I had root canal be for three years back and had cap on my molar jaw but from last 3 or 4 month there is a ulcer on the.
If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water. You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too. To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water. Remember, this won’t make the ulcer disappear, but it can help reduce the pain. Honey is a natural humectant. It helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer. Chew a few leaves of tulsi along with some water about three to four times every day. This will help in getting rid of ulcers faster and also have a preventive action against their recurrence. Applying a little coconut oil directly onto the mouth ulcer or chewing some coconut (fresh or dry) helps reduce pain and inflammation and hence, ulcers heal faster. Mix some sugar to crushed khus-khus seeds and consume this mixture for instant relief from ulcers. You could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Mouth ulcers left untreated generally go away in a week or so; with these home remedies, you can expect faster relief. However, if you notice an ulcer in the mouth that is persistently present although it does not cause you any pain, do not neglect it or try to treat it with home remedies beyond a few days. Make it a point to see a doctor soon because often, a painless mouth ulcer is one of the earliest signs of oral cancer.
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Medical field investigator, BDS
Dentist, Lucknow
Dental health tip:
Use dental floss or interdental tooth brushes to clean between your teeth atleast once a day!

The sensitive tooth issue was prevailing I past 1 years before and now again its started. During last time dentist suggested me Vantej tooth paste and mouth wash. I forgot the mouth wash name which is best one and shud I take tablet for the same. Pls suggest.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
The sensitive tooth issue was prevailing I past 1 years before and now again its started. During last time dentist su...
Tabs have no role u may start tooth paste again but after brush don't rinse for about five min n than rinse
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Orofacial Pain - Sources and Symptoms

MD - Orofacial Pain Headaches & Temporomandibular Disorders, BDS
Dentist, Mumbai
Orofacial Pain - Sources and Symptoms

An unpleasant experience which not only disturbs the usual routine of a person but also the psychological peace and causes extreme discomfort is called pain. When this pain involves the region above the neck, below the orbitomeatal line and in front of the ear is called as orofacial pain.

Multiple causes for orofacial pain may exist and the symptoms may include such diverse findings as headaches, neck pain, ear pain, dental pain, facial burning or stabbing sensations, and jaw joint pain.

The complaints may either develop gradually or have a rapid onset and can originate from musculoskeletal, neurovascular or neuropathic causes.

Sources of orofacial pain may include:

  1. Trigeminal Neuropathy – ant damage or degeneration to the trigeminal nerves that supplies mainly to the facial structures causes the orofacial pain. This is commonly referred as trigeminal neuralgia.

  2. Neurovascular Disorder – migraine is the most common neurovascular disorder that causes the radiating pain to the mouth eyes and other facial muscles.

  3. Temporomandibular Disorder – the major cause of orofacial pain is the temporo mandibular joint disorder which causes pain in the lower jaws. Orofacial pain may also be caused by any temporo mandibular joint surgeries and due to failure of joint replacement surgery of the jaw.

  4. Burning Mouth Syndrome – this condition is caused due to nerve damage, lack of adequate saliva production, fungal infection, certain medications and also noted for patients with diabetes. Orofacial pain is also noted in burning mouth syndrome.

  5. Cervicalgia – pain due to spinal cord injury, damage to spinal nerve, muscle and ligaments may radiate to face and cause orofacial pain.

  6. Trauma – accident is the most common cause of temporomandibular disorder and other spinal disorder that causes orofacial pain.

  7. Sleep disorders – sleep disorders include grinding or clenching of the teeth during sleep may also cause orofacial pain.

Symptoms

Though orofacial pain is caused by several factors, its symptoms includes dental pain, ear pain, neck pain, headache, pain in the jaw joint and stabbing sensation over the face. Some patients may also experience burning sensation over the face. Other symptoms include dizziness, insomnia, tinnitus (abnormal ringing or roaring sound in ears), poor muscle coordination, abnormal itching over the face and neck and tingling sensation. If you wish to discuss about any specific problem, you can consult a Dentist.

3113 people found this helpful

I am having the problem of hypersensitivity in teeth What should I do to cure it And what are the things I should not do?

B.D.S
Dentist,
First of all consult dentist to find exact cause of hypersensitivity. If it is due to wear off of enamel than than any sensitivity toothpaste can help or go for varnishing of affected tooth. If it is due to carious lesion than dentist can help better
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BDS
Dentist, Gurgaon
Soft drinks, cordials and fruit juices should be consumed in a limited quantity because they are acidic in nature. Acidic food or drinks often soften the tooth material which leads to the dissolution of minerals into the tooth enamel, resulting in cavities (holes)
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