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Dr. Shimbi Ghosh

Dentist, Delhi

200 at clinic
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Dr. Shimbi Ghosh Dentist, Delhi
200 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shimbi Ghosh
Dr. Shimbi Ghosh is a renowned Dentist in Dwarka, Delhi. You can consult Dr. Shimbi Ghosh at Om Sai Dental Clinic in Dwarka, Delhi. Save your time and book an appointment online with Dr. Shimbi Ghosh on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 33 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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Om Sai Dental Clinic

#101 & 107, Plot No. 10, 1st Floor Vardhman Gee Dee Plaza , Sector 12, DelhiDelhi Get Directions
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I am suffering from piarrohea and how to emit bad and unpleasant smell and how to prevent recede gums properly.

BDS
Dentist, Kharagpur
I am suffering from piarrohea and how to emit bad and unpleasant smell and how to prevent recede gums properly.
You have to go for a full mouth oral prophylaxis. Warm saline mouthbath frequently. Chlorhexidine mouthwash 2-3 times/ day.
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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

BDS, PGDFO
Dentist, Gadchiroli
If you have a history of gum diseases and are undergoing the orthodontic treatment, it is advisable that you consult your periodontist as well.
1 person found this helpful

I am suffering tooth decay, the condition of the teeth is very bad, its paining and swollen.

Advanced Aesthetics, BDS
Dentist, Mumbai
Dear , you need to consult with a dentist. If the decay is small then it will get sorted by filling if not then root canal may be required. If you can send us your x-ray then we can comment accordingly.
1 person found this helpful
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Hello Dr. Recently 2 months back I cleaned my teeth because of plaque corners f my teeth my dentist used some tool to clean up that but gaps are formed between the front teeth n below teeth as well. I asked at that tme itself there's gap between my teeth. But Dr. Said it come to normal. But still the same problem. Pls prescribed me how to get back my gums tight again and those gaps get reduce. And I don't want to again go to dentist and disturb my teeth. Which makes my smile more ugly Thank u. Hope you answer me soon.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello Dr. Recently 2 months back I cleaned my teeth because of plaque corners f my teeth my dentist used some tool to...
Usually more calculus (deposits) will affect your gums. So scaling ie the must to remove those calculus. After scaling, most patients will experience those gaps. Gaps are due the removal of the calculus which was previously filled by calculus. Gaps will close by itself once your gums heal. If not so, you may need deep cleaning along with surgical curettage or gum strengthening procedure.
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From last 12 years by playing cricket, I have one teeth half broken and almost it is dead I mean it completely became black color but I am not having any kind of pain. I want to replace this with a new one with permanent fixed way, I don't want to remove and fix every day, week or month. Kindly suggest me what I need to do for good treatment and also what it will be for this treatment. Thank you,

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
From last 12 years by playing cricket, I have one teeth half broken and almost it is dead I mean it completely became...
You must visit a dental surgeon.He will replace it with a fixed teeth after RCT of your black teeth and now a days these are very durable and longlasting.They cant be removed.They are permanently fixed.Go for it.
1 person found this helpful
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Sir in my teeth always having sensation when I take water and taking tea so sir please solve my problem.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Sir in my teeth always having sensation when I take water and taking tea so sir please solve my problem.
Hi tooth sensitivity can be due to enamel erosion because of bruxism, hard brushing and after the orthodontic treatment. Get investigated to rule out the exact cause of sensitivity. Use desensitising toothpaste like thermoseal ra toothpaste for one month. If you cant get relief consult the dentist for laminating or veneering.
3 people found this helpful
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I am having cavity issues since the last 3 days. Is there any home therapy? What should I do?

BDS
Dentist, Agra
There is no home therapy for treatment of cavities. You need a proper filling to reverse it. And in future you should maintain proper oral hygiene to prevent getting cavities.
25 people found this helpful
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MDS - Oral & Maxillofacial Surgery
Dentist, Coimbatore
In case of trauma, there might be complete displacement of tooth from its socket. In those scenario, try to keep calm as the tooth can be reimplanted if proper precautions are taken. Avoid touching the root part of tooth. The recommended storage medium for the knocked out tooth is the patient's own saliva, that is placing the tooth under tongue or in cheek. Make sure patient is not young enough to swallow the tooth. Also glass of milk can be used as storage medium. Seek emergency dental treatment immediately.
1 person found this helpful

I am 56 yrs old. I have lost 4 teeth from front (2 on upper row & 2 on the lower row). Can I get fixed tooth replacement.

MDS, BDS
Dentist, Delhi
Absolutely. Fixed replacement is very much possible in your case. The two broad methods by which we can do a fixed replacement in your case is either by a bridge or by the use of dental implants.
3 people found this helpful
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My son who is 21 yrs. Grinds his teeth at night. What could be the reason and cure?Please tell.

BDS
Dentist, Vadodara
My son who is 21 yrs. Grinds his teeth at night. What could be the reason and cure?Please tell.
this happens usually due to stress. start some meditation to reduce it. meantime, use a nightguard made by a dentist to prevent the damage to the teeth
1 person found this helpful
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I have mouth ulcers from last 3 days. What should I do? Please tell me right and beneficial solution.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Eat lot of fruits & green leafy vegetables & drink plenty of water. We need more investigations with clinical examination to decide upon treatment. You may need coronoplasty (smoothen teeth edges) along with t. Rebagen 10, morning one tab & one at night for 5 days, c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash after every meals. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. 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. Tooth brush to be changed every 2 months.
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How to clean my teeth it has become very yellow how can I make it white I don't want to get treatment.

MDS Prosthodontics, BDS, Medicine
Dentist, Mohali
How to clean my teeth it has become very yellow how can I make it white I don't want to get treatment.
You cannot whiten your teeth yourself, you have to consult a dentist, get your teeth cleaned first followed by tooth whitening.
4 people found this helpful
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To get rid of bad breath, simply mince 3-5 cloves of Garlic and swallow with a small glass of milk. Is water is equally good for swallow Garlic?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person.
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Sir/mam mere teeth me kafi peelapan h.use kaise door kre. Koi medicine or treatment. Btaiye. Nd teeth ke kinare kinare black colour ka kuch jam gya h.use kaise remove kre.

BDS, Masters in Immediate Loading Implants, Digital Smile Degin , Fellowship in Implantology
Dentist, Gurgaon
Sir/mam mere teeth me kafi peelapan h.use kaise door kre. Koi medicine or treatment. Btaiye. Nd teeth ke kinare kinar...
Dear lybrate-user apne dentist k paas jaae aur unse daant saaf karvaae. Koi dawai ya treatment peelapan door nahi karti. Whitening k liye teeth bleaching k baare mai adhik jaankari apne dentist se le.
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Oral and Dental Care

BDS, Certificate course in Oral Implantology
Dentist, Aligarh
Oral and Dental Care

Replace your old toothbrush with a new one after every three to four months.

MDS Prosthodontics, BDS
Dentist, Pune
Steps to good oral health...brush twice, floss daily, use a regular mouthwash and most important of all get teeth cleaning done by a dentist every six months... keep smiling :)

I feel like vomiting in the morning while I brush my teeth or try to eat something dry. This effect is only in the morning when I wake up and gone later. Is this is Acidic flux? Is it a natural stuff and can be ignored?

BDS, FOI, MDS - Orthodontics, FPFA, Ph.D.
Dentist, Ahmedabad
I feel like vomiting in the morning while I brush my teeth or try to eat something dry.
This effect is only in the mo...
Just have one glass of water before you brush and during brushing breath through nose, and not through mouth.
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For the past 2 months, I am suffering from gum inflammation and lymphnode on my left cheek and have taken few antibiotics like Amoxylin, Roxy. OPG confirms nothing. Have applied dologel CT also but no cure. What to do? Is surgery required?

MDS
Dentist, Chandigarh
For the past 2 months, I am suffering from gum inflammation and lymphnode on my left cheek and have taken few antibio...
Lymph node cannot be palpated on cheek. It must be something else. Dat may be fibromatous tissue. Only excision is required that to after biopsy.
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Tooth Implants

BDS
Dentist, Ahmedabad
Tooth Implants

Most amazing thing in dentistry. Tooth implant. Those patients who don't have teeth and does not want to wear dentures. They should go for tooth implant. But it has to be a good quality implants. We can put 1 teeth with implants or multiple teeth also. That is for life time. Dental implants are good for oral health as well as bone health.

2 people found this helpful
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