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Dr. Sanjay Goyal

BDS

Dentist, Delhi

12 Years Experience  ·  100 at clinic
Dr. Sanjay Goyal BDS Dentist, Delhi
12 Years Experience  ·  100 at clinic
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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. Sanjay Goyal
Dr. Sanjay Goyal is a trusted Dentist in Rohini Sector 24, Delhi. He has had many happy patients in his 12 years of journey as a Dentist. He studied and completed BDS . You can consult Dr. Sanjay Goyal at Delhi Dental Clinic in Rohini Sector 24, Delhi. Book an appointment online with Dr. Sanjay Goyal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 37 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.

Info

Specialty
Education
BDS - Gurunanak Institute of Dental Science Sunam, - 2005
Languages spoken
English
Hindi
Professional Memberships
Indian Dental Association

Location

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Plot No 292, Pocket-2, Sector -24. Landmark: Near St Digital Studio, DelhiDelhi Get Directions
100 at clinic
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I am 55yrs old man. I am having a tumor in side of my tounge. As I am an sugar patient. I have consult an e. N. T he referd an opration and at the sane time another doctor advised me to continue the madicin. Please suggest me what is better and usefull for me.

MDS
Dentist, Kota
Whether to go for surgery of any tumor or not it depends upon many factors. - Patient physical status - in your case you are diabetic. If your sugar level is very high, then any surgical procedure is contraindicated, First your sugar level should control by medications then you can go ahead for surgery (Medical supervision is must) - Tumor Stage - early stages have good outcome. - Tumor location - Extending into deeper structure has more prone to recur even after surgery. - Tumor size - if it is small then a simple small surgery can make you healthy. So without knowing the details its very difficult to suggest accurately.
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MDS Prosthodontics
Dentist, Chennai
A smile can solve all problems
But for a good smile you need a teeth with no problems.
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I have some problem in my teeth. How much amount will be required if I want to wash my teeth?

MDS
Dentist, Kolkata
I have some problem in my teeth. How much amount will be required if I want to wash my teeth?
Washing teeth may be charged depending upon the type of machine used, expertise of the doctor, I cant tell you exact charge, but may be somewhere around rupees 1500 or so.
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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 have white spots on my tongue. What is the percentage probability of having cancer?

PG Hom, London, BHMS
Homeopath, Mumbai
Hi going by your age, the chances of cancer are low. However if you have the habit of eating tobacco or smoking, one should not rule out the possibility. You can undergo a biopsy which will confirm if it is or isn't cancer.
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I am 28 years old I have gum infection got bone loss will you advise the best treatment.

BDS
Dentist, Hyderabad
I am 28 years old I have gum infection got bone loss will you advise the best treatment.
Seeing to the complaint I noticed that there is bone loss, flap surgery is the procedure to be performed along with adding bone graft but if the bone is angular then the bone graft will resist on the bone, once if you can send me your full mouth xray I can tell you otherwise see a dentist.
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MDS
Dentist, Nellore
When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.& nbsp;
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I have yellow teeth I do brush everyday what I have to do to make them white please help me.

Advanced Aesthetics, BDS
Dentist, Mumbai
Hi, you need to get a professional cleaning done. If that does not help then you may go for teeth whitening.
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Hello sir! I have a problem that is my teeth are getting pain from yesterday on words. And my teeth are not in correct order. What would I do?

BDS
Dentist, Delhi
Hello sir!
I have a problem that is my teeth are getting pain from yesterday on words.
And my teeth are not in correc...
The toothache you are suffering from may be due to a variety of causes, the most common being: 1. Tooth decay 2. Tooth fracture 3. A damaged filling 4. Infected gums the most common cause is a long-standing cavity or tooth decay, which usually requires a root canal treatment (rct). The same treatment applies to a tooth fracture as well. In case of a damaged filling, there may be two possibilities: either the filling can be removed and replaced with a new one after applying a soothing base material; or if the damaged filling is placed deep near the nerves of the tooth, it may require an rct. Infected gums usually are treated with deep cleaning/scaling after which there is permanent relief from pain. Send across images of your aching tooth/teeth, and looking at them will help me be in a better position to solve your problem. I will also be able to check the order/alignment of your teeth. Hoe that helps.
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Hi my mother is 55 yr old. She has bed smell into her mouth while taking. Smell is very stinking. When she talks, smell blows 2 or 3 feet far around her. Kindly suggest me what to do? and what are the causes for the above problem.

DNB (ENT), MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Hi This is called as halitosis. It can be due to gum related problems such as gingivitis or periodontitis. Get a dental evaluation. For the time being use chlorhexidine mouth washes before and after every meal.
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Tongue cleaning is as important as brushing and flossing

BDS
Dentist, Hyderabad
Tongue cleaning is as important as brushing and flossing
Tongue cleaning is as important as brushing and flossing. Use of a proper tongue scraper every morning will remove tongue plaque and freshen your breath.
161 people found this helpful

I have a cavity in my teeth and its paining, what should I do? I have tried painkillers but they are not making a difference.

FDSRCS, MOrth RCS, MDS - Orthodontics, BDS
Dentist, Sonipat
I have a cavity in my teeth and its paining, what should I do? I have tried painkillers but they are not making a dif...
I think caries is reached pulp. You need to consult dentist. Need to take x ray. And I think rct may be required.
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I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2 is completely infected and m1 is infected but in the outermost layre of enamil.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2...
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need root canal treatment. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash or take c. Amox 500mg 1-1-1, thrice daily, t. Metrogyl 400mg 1-1-1, thrice daily, t. Imol 1-1-1, thrice daily (contraindicated in conditions with gastric ulcer, asthma, wheezing, allergy), c. Becosules 1-0-0 once daily all for 3 days only. Advance procedures can be done with laser. You may consult me in person. 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.
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I have pain in my teeth. Which is paining from past one month. Previously it is filled with cement.

BDS
Dentist, Morbi
I have pain in my teeth. Which is paining from past one month. Previously it is filled with cement.
It may be possible that your previous filling is dislodged and there is decay in that tooth. Go to your dentist he will take a xray and may suggest a root canal treatment of that particular tooth.
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My decay is increasing how to stop without doing root canal because it pains a lot.

MDS Prosthodontics, BDS
Dentist, Pune
My decay is increasing how to stop without doing root canal because  it pains a lot.
Hi. Unfortunately nothing can be done except physically removing the decay. If the pulp/nerves are involved then rct becomes a must otherwise not. Visit a dentist, get a radiograph made. If needed take a second opinion before you do the treatment.
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I am having recurring mouth ulcer for 5 years. And my vitamin b12 level is 367 it is normal or I am suffering from vitamin b12 deficiency.

BDS
Dentist, Gurgaon
I am having recurring mouth ulcer for 5 years. And my vitamin b12 level is 367 it is normal or I am suffering from vi...
Dear Lybrate user, your vitamin B-12 levels are absolutely normal. Recurrent mouth ulcers can also be due to stress, dehydration, smoking, excess alcohol consumption or some underlying medical condition. Get your blood sugar also checked once. Keep yourself hydrated by consuming plenty of water and fluids. You may also consult a general physician for further queries.
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My inside cheek of the left jaw is swollen from inside. The swollen is not much but it's very difficult to chew the food as sometimes it comes between the teeth and Pains. What should I do?

BDS
Dentist, Chennai
If it is lower jaw it can be due to wisdom tooth eruption or any deep cavity it can be check out the exact problem.
3 people found this helpful

How to prevent the blood flow from teeths are come out.What can i do to control ?

MDS Prosthodontics, BDS
Dentist, Pune
Oral prophylaxis. Removal of probable causes. Oral hygiene maintenance. Gums should never bleed on brushing.
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I have bad breath. The problem is so severe that even I don't talk also people experience this. I am so disappointed in life. I tried many but in vain. Please help me out.

BDS
Dentist, Ahmedabad
2- Scaling First of all undergo scaling (cleaning of teeth) by a dentist - Use proper brushing technique. - Brush twice a day which is most important (at night specifically just before sleep and avoid any food or liquid except water when you finish your brush at night) - After each meal (i. E breakfast, lunch, dinner and any time when you take snacks) rub your finger on all tooth surfaces inside and outside and than do forcefull gargles 2-3 times. - Maintain good oral hygine - Undergo scaling every 4-5 months for long term results and preservation of other oral structures....
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Hi I want to have the braces on teeth's. I want to know about it's cost estimation as well as any risk related to that.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
The cost varies between 20000 to 35000 depending upon the duration of treatment. There is no associated risk with the treatment.
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