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Dr. Major C. Prakash

Dentist, Gurgaon

Dr. Major C. Prakash Dentist, Gurgaon
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Major C. Prakash
Dr. Major C. Prakash is a trusted Dentist in Sohna, Gurgaon. He is currently associated with Kreative Dental & Implant Centre in Sohna, Gurgaon. You can book an instant appointment online with Dr. Major C. Prakash on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 39 years of experience on Lybrate.com. You can find Dentists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Languages spoken
English
Hindi
Professional Memberships
Indian Dental Association
Academy of Oral Implantology (AOI)

Location

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UG-22, Malibu Town, Sec-47, Sohna Road. Landmark: Malibu Shopping Arcade, GurgaonGurgaon Get Directions
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Dear sir I am 28 years old and suffering from headache (sir Dard) since 13/04/2013 about 3 years some month .when I set up the bridge of teeth in my mouth in front upper side. Because one tooth exited in childhood. After bridge set up more pain continue sustain in head .I complain the dentist about this but she told that there is no relation to pain in head due to set up of bridge of teeth .I said to that may be which aloy or chemicals are used to set up the bridge is expire or not suitable for me .but she did not care. After this I went several time before her when I puzzil by pain in head. She ignored to say that this is not my problems please check up any physician. I made check up a local physician but not became benefit. I feel that my memory is also being week. And feel chagrin and short temper. Pls sir suggest me which types of specialist I could check up and which types of test is require for analysis of such type illness. I hope you sir that you suggest me a better advice because I am a link of my family if link will broken then whole chain will be spread.

BDS
Dentist, Gurgaon
Dear sir I am 28 years old and suffering from headache (sir Dard) since 13/04/2013 about 3 years some month .when I s...
Dear lybrate-user first of all don't get panic at all. There are many types of headaches like migraine or cluster headache etc. A proper counselling with a good physician is requierd so that he can diagnose which type of headache you have and what is the right approach to give a treatment for it. And do not worry every type of headache has a proper treatment and can be cured permanently. I like to clear few things alloys used in dentistry are biocompatible and doesn't cause any harm to the body. Still if you have any doubts you can get a xray called OPG frm ny diagnostic centre it will give a clear picture of your dentition and peri apical areas. U can show me d opg thru this link only. I will tel you if you have any problem with the denture or teeth ot bones around d area. Thanx.
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I have a dental problem in my last teeth injured with brush & I not able to eat food properly please suggest me good treatment.

MDS - Periodontics
Dentist, Jaipur
I have a dental problem in my last teeth injured with brush & I not able to eat food properly please suggest me good ...
Just do warn saline rinses by taking a glass of water and put half table spoon common salt in it and rinse 5-6 times for 7-8 days and use a mucopain gel ointment and apply it locally at the site of injury.
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My teeth are in yellow color. So that I'm feeling so irritating when I see my teeth what should I do for my teeth to see the teeth are in white color. Please suggest me.

Certified BPS Dentist
Dentist, Trivandrum
My teeth are in yellow color. So that I'm feeling so irritating when I see my teeth what should I do for my teeth to ...
Two treatments one is bleaching if it is yellow in colour and if yellow colour is due to defect in teeth then you can do metal free ceramic crowns which will give excellent colour.
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I am smoking from three years now and my dad's saying I have lever problem because bad smell is coming from my mouth. And it's due to smoking is that possible?

MDS Prosthodontics
Dentist, Delhi
I am smoking from three years now and my dad's saying I have lever problem because bad smell is coming from my mouth....
Smoking can surely cause bad breath and I think you very well know the will effects of smoking. Smoking can have bad effect on whole of the body.
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I am suffering from geographic tongue from last couple of months tel me how to get rid of it ?

BDS
Dentist, Mumbai
You can apply boro glycerin regularly with candid mouth paint and take b complex and folic acid regularly.
1 person found this helpful
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Ive been chewing tobacco since too long but now my jaws and skin has so much stiffed up that I can not open my mouth properly. If I try to do so it pains alot. My dentist told me to remove the last tooth of the upper side, Is it safe to rove upper tooth? Can it effect the brain?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Ive been chewing tobacco since too long but now my jaws and skin has so much stiffed up that I can not open my mouth ...
Quit habits strictly. Seems like you have oral submucous fibrosis (OSMF). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of OSMF .Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day.
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Sir I have teeth problems. My teeth become cavitated and very pen give me advice.

Advanced Aesthetics, BDS
Dentist, Mumbai
Sir I have teeth problems. My teeth become cavitated and very pen give me advice.
Hi, you need to go for a check-up and x-ray to figure out extent of decay to get a clear idea of the treatment plan.
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I visited my dentist for straightening of my 26 years old sister' front teeth. He advised me for pre molar teeth extraction and told that it may take 2 years in complete treatment. Before that he is going to start pyorrhea treatment. I want to know has my dentist advised me right? how pyorrhea is treated? is this a surgical treatment? how much it costs? is teeth extraction 100 % safe or there is any risk? will after teeth extraction my sister smile/eat like normal?

BDS
Dentist, Durgapur
Upper arch expansion is newer approach for gaining space instead of extractiing premolars. So i' ll advice you not to go for extraction. Pyorrhea is infection of gums that makes your teeth weak & associated with bad breath. It is treated by nonsurgical means, scalling( cleaning debris deposit over your teeth) & root planing. Adjunct: chlorhexidine mouthrinse & warm saline mouthrinse.
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Teeth Grinding

BDS
Dentist, Mumbai
Teeth Grinding
Grinding your teeth or clenching your jaws? it's called bruxism, and often it happens as you sleep and is often caused by stress.

Teeth grinding can be caused not just by stress and anxiety but by sleep disorders, an abnormal bite or teeth that are missing or crooked. The symptoms of teeth grinding include:

Dull headaches
Jaw soreness
Teeth that are painful or loose
Fractured teeth
Your dentist can fit you with a mouth guard to protect your teeth during sleep. In some cases, your dentist or physician may recommend taking a muscle relaxant before bedtime. If stress is the cause you need to find a way to relax. Meditation, counseling and exercise can all help reduce stress and anxiety.

Teeth grinding is also common in children. However, because their teeth and jaws change and grow so quickly it is not usually a damaging habit that requires treatment and most outgrow it by adolescence.

Although in adults teeth grinding is often the result of stress, the same is not always true with children. Other possible causes of teeth grinding in children include:

Irritation in the mouth
Allergies
Misaligned teeth

Keep smiling
Be happy
83 people found this helpful

I am 22 years old I am suffering from mouth ulcer frequently. It remains for few days and automatically recover. What should I do now?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 22 years old I am suffering from mouth ulcer frequently. It remains for few days and automatically recover. What...
If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water. You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too. To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water. Remember, this won’t make the ulcer disappear, but it can help reduce the pain. Honey is a natural humectant. It helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer. Chew a few leaves of tulsi along with some water about three to four times every day. This will help in getting rid of ulcers faster and also have a preventive action against their recurrence. Applying a little coconut oil directly onto the mouth ulcer or chewing some coconut (fresh or dry) helps reduce pain and inflammation and hence, ulcers heal faster. Mix some sugar to crushed khus-khus seeds and consume this mixture for instant relief from ulcers. You could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Mouth ulcers left untreated generally go away in a week or so; with these home remedies, you can expect faster relief. However, if you notice an ulcer in the mouth that is persistently present although it does not cause you any pain, do not neglect it or try to treat it with home remedies beyond a few days. Make it a point to see a doctor soon because often, a painless mouth ulcer is one of the earliest signs of oral cancer.
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BDS
Dentist, Surat
Tooth decay happens when the enamel and dentine of a tooth become softened by acid attack after you have eaten or drunk anything containing sugars.
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Sir my age is 22 years now, near about from ten years, continues problem for cavity in my teeth, Please tell me How to reduce problem now?

BDS
Dentist, Raipur
Kindly get the cavities filled before they become deep and painful. Avoid having sticky food and sweets before going to bed. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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I am 23 years old. In my left side two teeth came out by dentist due to hole. Now same hole came on right side teeth. Why its happning in my teeth. Please suggest me

BDS
Dentist, Hyderabad
If the teeth r grossly decayed the teeth can be removed but if the teeth r not grossly decayed than they r root canal treated with cap replaced.
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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

How to make teeth healthy and whither?

Certified Implantologist, BDS
Dentist,
How to make teeth healthy and whither?
Maintain proper oral health visit your dentist every 6 months once. Have a clean oral habits. Do scaling and flossing, have beautiful teeth.
3 people found this helpful
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Some time when I eat cold foods then my teeth are getting ache.

BDS
Dentist,
Some time when I eat cold foods then my teeth are getting ache.
Try applying sensitivity paste. For 3 to 5 minutes over the affected area. For a period of one month. And if still your problem doesnt get fine kindly get it checked by dentist you might have a cavity.
4 people found this helpful
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I usually have bad smell coming out of my mouth. Please suggest me something.

MDS - Orthodontics, BDS
Dentist,
Bad smell has many reasons. Deposits/tartar/calculus/stains inflammed/unhealthy gums bleeding gums decayed teeth also can be due to systemic reasobs like gastric irritation, acidity and habits like smoking and drinking. Visit a dentist to see what is your cause and get a remedy.
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BDS
Dentist, Cuttack
Severe dental pain in seemingly healthy tooth should be properly evaluated. Patient history of past illness is important as simply chicken pox might affect your healthy teeth and cause severe pain in otherwise healthy tooth.
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HelloDoctor I am facing very painful in my mouth due to swelling in my gums. I think It is because I am doing tooth brush at least 15 minute in 2 times a day. So please help me and recommended me some medicine and prevention.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
HelloDoctor I am facing very painful in my mouth due to swelling in my gums. I think It is because I am doing tooth b...
Get scaling polishing done by a dentist than brush twice daily especially at night ask your Dr. to give you a demonstration of correct brushing.
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