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Dr. Tanika

B.D.S., M.D.S.

Dentist, New Delhi

10 Years Experience
Dr. Tanika B.D.S., M.D.S. Dentist, New Delhi
10 Years Experience
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Personal Statement

To provide my patients with the highest quality dental care, I’m dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I’m dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Tanika
Dr. Tanika is one of the best Dentists in Lajpat Nagar, Delhi. She has been a successful Dentist for the last 10 years. She is a qualified B.D.S., M.D.S. . You can consult Dr. Tanika at Dr.Sabherwal Dental & Orthodontic Center in Lajpat Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Tanika on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 39 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
B.D.S. - Dental College Muradabad - 2007
M.D.S. - ITF Medical College - 2009
Languages spoken
English
Hindi

Location

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Dr.Sabherwal Dental & Orthodontic Center

E-7, Part-3, Lajpat NagarNew Delhi Get Directions
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What are affects of chewing paan masala on body without tobacco on it? Is there any serious causes ?

BDS
Dentist, Hyderabad
Pan masala causes cancerous conditions in mouth on using for long duration, since the masala has few chemical composition which burns the mucosa in mouth.
1 person found this helpful
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My teeth is being cavity. I tried all toothpaste but no effect yet. Can you help me how to relief from cavity?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
•If your cavity in the tooth is caused by decay, your dentist will remove the decayed area and replace it with a filling. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection.
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My teeth have suddenly become very sensitive. What might be the reason? Very difficult to eat hot or cold items. Mostly the molar teeth region.

BDS
Dentist, Delhi
If you have sensitivity you can go for sensodyne toothpaste and still if you don't get relieve go for rct.
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Who is Responsible For Lingual nerve damage during 38 surgical removal of impacted teeth? What to do after Half tongue paralysis! What are possible investigation for checking lingual nerve damage?

MDS - Orthodontics
Dentist, Gurgaon
During traumatic extraction of 38 lingual nerve gets traumatized hence result in numbness of the posterior 2/3 rd of the tongue particularly on left side, it usually takes 4-6 months to get things normal.
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My mother is suffering from leg pain and back pain and recently these days her gums problem also started so please advice some exercise or any other treatment of possible.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Quadriceps strengthening exercises- Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day.
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Sir/Madam Due to regular use tobacco. My teeth looking bad like a bad black dots in my some teeth. Pls suggest any medicine or cream for cleablac purpose please.

BDS
Dentist, Mohali
You need complete scaling (professional cleaning) and polishing of your teeth. Get it done by a dentist. If there are caries (decay) in your teeth then those have to be filled by cosmetic fillings. Brush your teeth twice daily in vertical motion. Avoid doing it horizontally. Use a soft bristle toothbrush. Be gentle to your teeth while brushing.
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My teeth is paining and I try all the colgate and some medicine but it still pain so what I have to do.

Certified Implantologist, BDS
Dentist, Mumbai
Off course you need to visit a dentist because any painkiller would always give you a temporary relief. You need to get x ray done and get the required treatment done.
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I am , 27 years old. My problem is fear. I do not want to get any escalation and so I finish the tasks perfectly but also with fear. Because of this attitude, I tend to skip the food often, not eating for so long time. I got ulcer also. I do meditation and tried a lot to reduce the fear. But result is negative. Please help me how can I get rid of this fear?

BHMS
Homeopath, Faridabad
Hello, You are having anxiety-disorder. There are few yoga poses which helps in calming your mind and relieves stress, but first learn these under a qualified yoga-teacher as many poses are prohibited in certain diseases or medical conditions! Exercises: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Anuloma involves inhaling through both nostrils together and exhaling each breath alternately between the left and right nostrils. The thumb of the right hand is used to manipulate the right nostril, while the pinky and ring finger are used to control the left nostril. Take Bakson’s Calm Aid tablet/ 1 tablet daily once for 4 weeks.
1 person found this helpful
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BDS
Dentist, Mumbai
For complete oral health, keeping your tongue clean is as important as keeping your teeth clean. Remove tongue plaque and bad breath by using a proper tongue scraper daily.

My gum is swollen and it hurts. I took enzoflam for three days but now also it is hurting.

Dentist, Jammu
This could be due to erupting tooth or because of a deep cavity in the same . Please get a proper check up done and avoid self medication.
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Hello Dr. Mai 23 year ka hu or roj subah uthne ke baad jab Mai kulla karta hu tab mere muh se thoda thoda blood aata hai.

BDS, FICOI, Fellow of Academy of General Education (FAGE)
Dentist, Bangalore
I think you may require cleaning, kindly consult near by dentist soon, make sure you clean your tongue while brushing, brush twice a day, consume water frequently, include fresh fruits and vegetables in your diet, rinse your moth with water each and every time after you eat.
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I am suffering from gums swelling and bleeding from a week. It is very painful for me. I am facing problem in brushing and eating. So advice me tip to overcome fastly from this problem.

BDS
Dentist, Vadodara
bleeding gums are sign of gum infection due to accumulation of plaque on teeth. go for scaling and polishing of teeth. use mouthwash twice daily after brushing. maintain proper oral hygiene.
1 person found this helpful
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How to get whiter teeth by home remedies? I am having uneven teeth because of that my teeth looks bad n yellow.

BDS
Dentist, Jaipur
Hello First visit a dentist and ask for cleaning and then get treatment for alignment of teeth if possible. Brush twice daily and use mouthwash after brushing. Regards
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There is some black dots in my tongue and I think this is the reason that I am not able to speak fluently, can you suggest me what should I do?

BDS
Dentist, Durgapur
its yours concern not the black spots that is barring your from speaking fluently. get rid of that concept of yours.
1 person found this helpful
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My mouth be small in size pls hepl me I will eat tobacco from 10years what was problem.

Certified Implantologist, BDS
Dentist, Mumbai
The most important is to complete stop tobacco visit a dentist who after a through examination recommend an appropriate treatment.
2 people found this helpful
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I have done my root canal in the teeth in a last year now in that teeth my swelling is come and the pain is going on so I consult to Dr. and it says to me to take it out the 7th and 8th number teeth is there any other way to recovery it.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Take your antibiotics as prescribed by your dentist. Relieve pain with anti-inflammatory medication that allows for reduction of inflamed periodontal fibres during your root canal recovery as tooth heals. Give the tooth that has had a root canal started or completed some time to settle down and become more comfortable. Avoid crunchy, hard or tough foods on a recently treated root canal tooth for several days afterward. Staying with softer foods and chewing on the opposite side are helpful suggestions to reduce pain after root canal treatment. Having a crown made for a root canal treated tooth helps to maintain it, keep it intact, functional, and less likely to develop pain from fracturing. The final step of a root canal is often placing a crown.
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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

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14 people found this helpful
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