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Dr. Sheetal Khangwal

Dentist, Gurgaon

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Dr. Sheetal Khangwal Dentist, Gurgaon
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Personal Statement

To provide my patients with the highest quality healthcare, 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 healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sheetal Khangwal
Dr. Sheetal Khangwal is an experienced Dentist in Sector-14, Gurgaon. He is currently practising at Dr. Garima's Dental Care Centre in Sector-14, Gurgaon. You can book an instant appointment online with Dr. Sheetal Khangwal on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 25 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.

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English
Hindi

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Dr. Garima's Dental Care Centre

C-47, Basement, Old DLF Colony, Gurgaon Sector 14. Landmark: Near Sector 14 Market, GurgaonGurgaon Get Directions
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Hi, My mom is having dentures so now doctor is recommended to fix the below teeth is this recommended is this good for her or removable teeth are better this is her second dentures, the one is using is 15 years old has she is replacing it now with new ones. Please suggest.

MDS - Oral & Maxillofacial Surgery
Dentist, Ahmedabad
Hi, My mom is having dentures so now doctor is recommended to fix the below teeth is this recommended is this good fo...
What is your mothers age does she suffer from diabetes or other conditions if not then fixing the teeth is a good option as it preserves bone n keeps it good for a long time due to direct function.
1 person found this helpful
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I have a dental problem which is paining very much due to having sweet food but I have also done root canal but still not recovered.

MDS Prosthodontics
Dentist, Delhi
I have a dental problem which is paining very much due to having sweet food but I have also done root canal but still...
Go back to your dentist or take a second opinion from another dentist. Sometimes there are issues in the adjacent teeth which could have gone unnoticed.
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Muje ek dentist ki salah chahiy please Masooro se blood aata hai badboo hai aur dant peele ho gay solution bata do plz.

BDS
Dentist, Delhi
Muje ek dentist ki salah chahiy please Masooro se blood aata hai badboo hai aur dant peele ho gay solution bata do plz.
Dear lybrate-user, the bleeding gums and foul smell are due to accumulation of food debris, which is a result of inadequate maintenance of oral hygiene. I suggest that you get thorough professional cleaning/scaling done from a dentist, and use antibacterial mouthwashes thereafter. Following all these measures will solve your problem. Also, you can consult pe privately on lybrate so that I can send across prescriptions that will help you maintain a better health of your gums. Hope that helps.
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I have improper teeth. My front teeth are bending and there is also a gap between the front ones. I don't want to put on braces. Is there any other solution to my problem? what should I do?

BDS, MDS Prosthodontics
Dentist, Mumbai
I have improper teeth. My front teeth are bending and there is also a gap between the front ones. I don't want to put...
If you dont want to go for braces then we can consider other cosmetic treatments like composites and laminates.
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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

Mera teeth main cavity ho gaya he. Dard bhi kar raha he. Teeth me black spot ho gaya hai. Aur teeth main gaad ho gaya he. Please doctor ji jald iske ilazz bataye. Kuch anti bacterial medicine ho to iske liye batayie.

BDS
Dentist, Gurgaon
Mera teeth main cavity ho gaya he. Dard bhi kar raha he. Teeth me black spot ho gaya hai. Aur teeth main gaad ho gaya...
Dear Lybrate user, tooth caries ka ilaaj sirf filling ya RCT se hi hota hai. Isme koi anti bacterial medicines kaam nhi karti. Apne dentist ko dikhayiye aur daant mein sadan badhne se pehle uska ilaaj karayiye.
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I feel like vomiting sometimes. While doing tooth brush and chewing gum etc. Why is it. I want to gain weight and want want to be hungry every time.

MDS, BDS
Dentist, Chennai
I feel like vomiting sometimes. While doing tooth brush and chewing gum etc. Why is it. I want to gain weight and wan...
Few ppl feel like vomoting while brushing. Go for tooth paste like glitzer in order to avoid vomiting
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This problem is my teeth from last few days I feel some pain at bottom of my teeth. Should I go to doctor?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
This problem is my teeth from last few days I feel some pain at bottom of my teeth. Should I go to doctor?
The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •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. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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I don't know why my mouth stinks I daily brush then also smell is coming out what should I do?

BDS
Dentist, Agra
I don't know why my mouth stinks I daily brush then also smell is coming out what should I do?
Bad breath can happen due to many reasons. Dry mouth is also one of it. If your saliva production is less halitosis occurs but this can be treated. Deposition of plague in your tongue also causes bad breath. You should visit a dentist to know the sole reason.
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I have uneven teeth andi want to make it even, so please give the solution how can I fix this problem and how much will it cost?

BDS
Dentist, Raipur
What is your age? for mal aligned teeth there are many treatment options today. This depends on the case severity, patients requirements, duration of the treatment etc. The very basic treatment is metal brackets. If you don't want metal there is ceramic braces. Both work same with only difference in looks. Duration in these treatment varies from 1 year to 2 average. You need to visit every month for activation. Other is clearpath aligners which are invisible, take lesser time lesser visits and you can follow a virtual treatment where you can see your results even before the completion of the treatment. You can write to me privately for their charges. Metal braces are most economical. You can send me your pictures for proper treatment plan.
2 people found this helpful
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I have oral lesion for 18 months and I consult with head and neck oncologist Dr. Says nothing but observation take long time. No biopsy and no treatment.

MDS Prosthodontics, BDS
Dentist, Chandigarh
I cant say anything without examination. Take advice from any mds oral pathologist as well. Or you may consult me in person as well.
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I have mouthulser long times. Please give me good medicine for this. My age is 34. Thank you

BDS
Dentist, Tumkur
Mouth ulcer occurs because of so many reasons. Assuming that you are not using any form of tobacco. Most common is traumatic or because of tension. I suggest you to take cap eldervit zc for 3 months once daily. Take plenty of vegetables and fruits daily.
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Hello sir /maam. How to get back the calcium in our teeth if teeth are loosing calcium?

Certified Implantologist, BDS
Dentist, Mumbai
Hello sir /maam. How to get back the calcium in our teeth if teeth are loosing calcium?
The tooth cannot loose calcium..there are some specialized tooth pastes available that help form a layer of hydroxyapatite that helps prevent caries(cavity) formation.
1 person found this helpful
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My teeth are somewhat outside n I had braced it. But still now they are. I can't do it again. Can you plzzzz help me.

BDS
Dentist, Rewa
My teeth are somewhat outside n I had braced it. But still now they are. I can't do it again. Can you plzzzz help me.
To move the teeth inward you need to visit an orthodontist. He will check and see whether you need braces or without that can your problem be cured.
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I am suffering from a dental problem. A white layer is being formed on my teeth of lower jaw or I should say that a white material is getting sticked on my teeth. I don't know it is due to cavities or something else. Kindly let me know the reason behind it and some tips to get rid of it.

oral implantology, BDS
Dentist, Jaipur
I am suffering from a dental problem. A white layer is being formed on my teeth of lower jaw or I should say that a w...
get your teeth cleaned professionally by scaling and polishing. maintain oral hygiene by brushing twice a day and use mouthwash regularly
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Iam 24 years but still I didn't got mature jaws. Two years back I got to remove my left upper jaw due to cavity. But now my last jaw is paining. Is dis pain bcoz of not having support. Iam having frequent pain in dt last jaw. Nd dt gum will also get swollen some times.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Iam 24 years but still I didn't got mature jaws. Two years back I got to remove my left upper jaw due to cavity. But ...
I think u r talking about molar n not jaw jaw is the upper or lower whole face if it's last molar consult a maxillofacial surgeon if it's not in correct direction it may have to b removed
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Hello I am 16 years old. Is it possible to make my teeth shiny white as film actresses hv? If yes pls suggest some tips. I will be tremendous happy.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello I am 16 years old. Is it possible to make my teeth shiny white as film actresses hv? If yes pls suggest some ti...
Hi lybrate-user, Here is home remedy for brighter teeth--- mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid effecting enamel. If you are using just water you can leave it on for up to 3 minutes. For faster result you can go for teeth bleaching from dentist. You may consult me in person!
6 people found this helpful
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Hi I am 19 years old. My teeth color is getting yellow. What should I Do? please help me, please give me some solution plz.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hi I am 19 years old. My teeth color is getting yellow. What should I Do? please help me, please give me some solutio...
Get scaling polishing done by a dentist than brush twice daily especially at night avoid coloured foodstuffs.
1 person found this helpful
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I am having toothache since 2 weeks. What toothpaste or other advice will you give?

BHMS
Homeopath, Delhi
I am having toothache since 2 weeks. What toothpaste or other advice will you give?
Hello, you can take homoeopathic medicine plantago q (10 drops in little water) thrice a day for 3 days and update.
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