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Dr. U.K. Bhardwaj

Dentist, Delhi

Dr. U.K. Bhardwaj Dentist, Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. U.K. Bhardwaj
Dr. U.K. Bhardwaj is one of the best Dentists in Gagan Vihar, Delhi. He is currently practising at Bhardwaj Dental Care Centre in Gagan Vihar, Delhi. Book an appointment online with Dr. U.K. Bhardwaj and consult privately 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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Bhardwaj Dental Care Centre

F-12, Jagatpuri, Parwana Road, DelhiDelhi Get Directions
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Hello sir, there is akal daad growing in my mouth. Wht should I do its giving too much pain.

MDS - Orthodontics, BDS
Dentist, Jamshedpur
Hello" akal daad" or wisdom teeth are notorious for causing pain and discomfort in most people. The most common cause for the problem is insufficient space in the jaws for the eruption of teeth. The tissue covering the tooth often gets inflamed due to trauma or poor oral hygiene and causes pain and difficulty in mouth opening. If your problem has persisted for more than six months I will advise you to visit an oral surgeon who will take an x ray and analyse its chances of eruption. If it looks unlikely that the tooth will erupt then it will be prudent to get it surgically removed. For the time being try to maintain good oral hygiene by brushing after every meal. All the best.
3 people found this helpful
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Hello sir, I am 21 years old. I have gum infection on my teeth and for that my teeth muscle is not healthy and my teeth and teeth muscle become ugly day by day. Plzzz give me some advice with medicine name to prevent this. Thank you.

BDS
Dentist, Ujjain
Hello lybrate-user, the condition is known as periodontitis. It is caused due to improper oral hygiene which leads to continues deposition of plaque and debris which can not be removed with your daily brushing and leads your gums shift down and down. Consult nearest dentist for scaling. Thank you.
1 person found this helpful
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BDS
Dentist, Bangalore
‪Smoking‬ can stain your ‪‎teeth‬ yellow, cause ‪Bad‬ Breath, and increases your risk of Gum ‪‎Disease‬, Breathing ‪‎Problems‬, Lung Cancer and Mouth ‪‎Cancer‬
5 people found this helpful

I'm 21 years old male. I have mouth ulcer for 10 years what can I do I don't know sir? please help me to solve this problem.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Eat lot of fruits & green leafy vegetables & drink plenty of water. Kindly consult a dentist in person for further suggestion. We need more investigations 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. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. 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.
2 people found this helpful
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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

Replace your missing teeth from further loss

BDS
Dentist, Cuttack
REPLACE YOUR MISSING TEETH TO PREVENT FURTHER LOSS OF TOOTH AND DISTURBANCES IN ORAL FUNTION
78 people found this helpful

Sir mere teeth ke mashudhe se blood & pip (wbc) nikalta hai please iska thik hone ka upaya bataye.Please tell sir .

BDS
Dentist, Mohali
You most probably need professional cleaning (scaling) of teeth. Jo daanton ke upar pathri jam jati hai use nikalna padega. Blood bhi usi ki wajah se aa rha hai.
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I am 20 year old and I got problem with my right jaws, thing is the gums are paining severely both lower n upper jaw' s. Please suggest me the solution ?

B.D.S
Dentist, Jaipur
It may be due to erupting molars or decayed tooth. Go get your check up done by dentist. Take diclomol 2 times a day.
2 people found this helpful
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I have too much pain in my teeth due to infection so should I do now pls. Tell me?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
We need more investigations with clinical examination to decide upon treatment. You may need cleaning, root canal treatment & capping. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash.
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It started to bleed with my mouth and my neck gets pain when I cry or shout, what should I do? What is it and how to prevent it?

oral implantology, BDS
Dentist, Jaipur
Bleeding gums are due to the deposits over teeth surface. get your teeth cleaned professionally by scaling and polishing . nexk pain could be due to wisdom tooth also. consult a dentist near you for thorough check up and treatment accordingly.
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Dear Dr. I'm chewing tobacco and pan masala from last many years now I'm not using all this nonsense. There are some black spots is in my chicks under mouth. I went to cancer specialist for checkup. He told that this is not a cancer it is just reaction of pan masala. He gave me a gel named placenta extract gel (placentrex gel. For my mouth. He told me to apply this gel 5 to 6 times daily. So will be I fine soon?

BHMS
Homeopath,
I think this will..bt u need homoeopathic treatment for permanent solution of ur problem...maintain ur oral hygiene.brush atlst twice daily..at night brush with baking soda and rinse ur mouth with lemon water...this along with homoeopathic treatment will be beneficial fr u.
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I am suffering from fever for last 2 day , I take medicine but my mouth test is change completely. . So plss suggest me.

BDS
Dentist, Kolkata
Once your fever gets ok and you stop taking medicines it will be ok. Its just a temporary situation due to fever.
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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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White color is forming on my tongue. Why its happening? What should i do to clean it?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
You may need deep cleaning, polishing along with whitening (bleaching) procedures and / or artificial enamel filling and / or capping. . We need more investigations with clinical examination to decide upon treatment.
1 person found this helpful
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I have teeth pain from last 2 months nd even my teeth muscles feel lyk cold nd start paining whenever I drink water or eat nd my teeth are also being rubed please tell me useful medicine or any paste to brush with so that this problem could be end.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic tooth paste HYPERICUM 1X ( Wilmar Schwabe India ) Chew 1 tab twice daily Homoeodent tooth paste ( SBL) HEKLALAVA TOOTH POWDER ( WHEEZAL) Use at night Precautions 1.Afways scrub teeth with above powder before sleep at night 2.Avoid extreme hot and cold things 3.Avoid sour things 4.Rinse your mouth with RINSEOUT ( SBL) ,everytime you eat or drink anything during the day.
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My cousin has just got a tooth removal what should he opt for bridge or an implant?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Implant can be placed only when there is good bone density and good healing process in your body,needs proper investigations before the treatment.But bridge can be placed if the tooth is strong in its place itself.And implant is costlier than bridge.Benefit of implant is-it donot involves the adjacent tooth.Both has its own pros and cons.Prognosis of both depends upon your case study.Kindly consult me in person.
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Something inappropriate with my teeth that does not makes me look good. I wish to get it in shape like others. What should I do?

MDS - Orthodontics
Dentist, Mangalore
You can shape the teeth by trimming it or by giving crown. The best option is to put veneers and crowns.
1 person found this helpful
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I am a 22 years old boy. When I am drinking cold water then a little bit of pain is occurring in my teeth. What should I do?

Certified Implantologist, BDS
Dentist, Ambala
See a dentist and check for cavities. In between if no cavity try a desensitizing paste like vantej or thermoseal for interim relief.
1 person found this helpful
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I want capping on my front lower and upper 4each total 6 teeths. What will be cost with best capping material

Dentist, Trichy
Cost of treatment depends upon the material of choice. Full ceramic is the best option for front teeth if aesthetics s of prime concern. You haven't specified which teeth r missing, n so how many teeth require intentional RCT cant be said. Cost includes capping of the RC Treated teeth also.
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