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Dr. T.Shankar

MDS - Prosthodontics

Dentist, Hyderabad

15 Years Experience  ·  0 - 350 at clinic
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Dr. T.Shankar MDS - Prosthodontics Dentist, Hyderabad
15 Years Experience  ·  0 - 350 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. T.Shankar
Dr. T.Shankar is a trusted Dentist in Banjara Hills, Hyderabad. Doctor has over 15 years of experience as a Dentist. Doctor studied and completed MDS - Prosthodontics . Doctor is currently associated with Dr.Gowd's Dental in Banjara Hills, Hyderabad. You can book an instant appointment online with Dr. T.Shankar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 40 years of experience on Lybrate.com. Find the best Dentists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MDS - Prosthodontics - NA - 2003
Awards and Recognitions
FELLOW OF INTERNATIONAL COLLEGE OF DENTISTS
SEVA PURASKAAR AWARD
FOUNDER MEMBER AND DIRECTOR SCHOOL OF IMPLANTS
...more
GYAN PURASKAAR AWARD
FICD (FELLOW INTERNATIONAL COLLEGE OF DENTISTS)
Founder Member and Director School of Dental Implants
Professional Memberships
Indian Dental Association
International Congress of Oral Implantologists (ICOI)
DGOI(GERMANY)

Location

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Dr.Gowd's Dental

#19, Durga Enclave Road No 12, Banjara Hills. Landmark:Beside Reliance Digital, HyderabadHyderabad Get Directions
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Dr.Gowds Dental Hospital,Madhapur

C.v Towers, Flat No.402, Above Karachi Bakery, HyderabadHyderabad Get Directions
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Dr.Gowd's Dental Hospitals

C. V Towers, Flat No.402, Madhapur, Landmark: Above Karachi Bakery, HyderabadHyderabad Get Directions
350 at clinic
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Dr.Gowd's Dental Hospitals

#19, Durga Enclave Road No 12. Landmark: Beside Reliance Digital, HyderabadHyderabad Get Directions
0 at clinic
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Dr. Gowds Dental Hospital

Opp. Clock Tower, Sultan Bazar, HyderabadHyderabad Get Directions
300 at clinic
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Dr. Gowds Dental Hospital

Durgabhai Deshmukh Hospitals & Research Centre, Andhra Mahila Sabha, Vidyanagar, HyderabadHyderabad Get Directions
300 at clinic
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Tooth Brush!

BDS, Certified Endodontist, Certified Implantologist
Dentist, Siliguri
Tooth Brush!

Always rinse your tooth brush thoroughly after brushing, and allow it to air-dry before using it again.

2 people found this helpful

Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Bangalore
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

19 people found this helpful

Sir my mouth has foul smell coming from it. I have tried many toothpaste and therapy but nothing happened.

BDS, MDS
Dentist, Jaipur
Sir my mouth has foul smell coming from it. I have tried many toothpaste and therapy but nothing happened.
Consult a dentist for thorough check up and get your teeth cleaned professionally by scaling and polishing. Brush twice a day and use mouthwash regularly
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Mere uppar side ke do teeth se tooth brush karne time blood ata hai. Otherwise blood nahi nikalta hai. Ye problem 5 month se hua h par smajh nahi ata ki kaise kya karu.

BDS
Dentist,
Mere uppar side ke do teeth se tooth brush karne time blood ata hai.
Otherwise blood nahi nikalta hai.
Ye problem 5 m...
neha ji.. koi baat nahi..ho sakta hai ki jahan se blood nikal jata hai wahan ke masudhe kamjor hon ya fule hue hon..aap ek baar apne local dentist se mil kar apne daant aur masudhe ki bhali bhanti jaanch karwa hi lo..
1 person found this helpful
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Sir mere teeth main cold ,hot, lagta hai, khattaa Khanee se kuch bhe nahi khya jata.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Sir mere teeth main cold ,hot, lagta hai, khattaa Khanee se kuch bhe nahi khya jata.
Hello, it could be sensitivity. For sensitivity you ca n use any sensitive toothpaste available in market.
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I have low weight. My hemoglobin is 6, and In between in my mouth there is very pain. No. PROBLEM IN MY TOOTH. IT IS MOUTH. I cannot eat any food which is non sugar. For 3 months. Please advice.

MDS
Dentist, Guntur
I have low weight. My hemoglobin is 6, and In between in my mouth there is very pain. No. PROBLEM IN MY TOOTH. IT IS ...
The problem which you r facing might be due to gum problem between your teeth. It can be periodontal problem. Contact a dentist near your place for further assistance.
1 person found this helpful
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Dental Decay & Bleeding Gums - An Insight!

PCAD, MCID Implant, BDS, Advanced Aesthetics
Dentist, Chandigarh
Dental Decay & Bleeding Gums - An Insight!

Tooth decay is one of the most common diseases affecting the oral cavity. Dental cavities is a highly prevalent condition, especially among children. In most cases, improper hygiene leads to deposition of food on the tooth. This in turn is acted upon by harmful bacteria, thus releasing acid that dissolves the tooth structure. In most cases, the decay starts on the outside of the tooth and gradually reaches the inner layers.

Gum diseases and bad breath

One would think that if you are decay free, you have a healthy mouth. However, overall oral health requires healthy gums as well. They cover the teeth and provide anchoring support to the jawbones. Minor infection (gingivitis) can progress to a severe condition (periodontitis), which causes teeth to shake and even fall out! It is one of the main causes of bad breath or halitosis too. Swelling of the gums gradually, leads to spontaneous bleeding, which is the first sign of trouble. This can be managed by simply improving oral hygiene. It is advisable to see the dentist.

Treat cavities and bleeding gums

Listed below are some common methods to manage bleeding gums and bad breath:

1. Brushing: Advisable at least twice a day using a soft bristled toothbrush.

2. Flossing: Flossing removes plaque from between the teeth and reduces chances of decay and gum problems

3. Eating Healthy: Bad food habits are one of the main reasons of bad breath. A bad digestive system manifests as bad breath and so eating healthy is very important for healthy gums. Adequate water, fiber, calcium and Vitamin C are essential for gum health, so ensure they find a place in your diet.

4. Annual Dental Visits: Visit your dentist once in 6 months. Simple procedures that do not require time or money like regular scaling will help improve the teeth and gum health while reduce bad breath issues.

 

4847 people found this helpful

There are gaps between my teeth which makes my face look so bad and ugly. please suggest me some ways to overcome this problem and look good.

BDS (Gold Medalist)
Dentist, Gurgaon
There are gaps between my teeth which makes my face look so bad and ugly. please suggest me some ways to overcome thi...
Dear lybrate user, the gaps between teeth need to be clinically checked but be rest assured that there are a variety of treatment options available for you like fillings with tooth-colored materials, laminates, veneers etc. The treatment plan would depend on the amount of space present between teeth so consult your dentist and get a checkup done.
1 person found this helpful

I am 18 years boy. I want to get rid of swollen mouth (challa. This happens frequently to me. I addressed many doctors for this but it will not work.

BDS
Dentist, Raipur
I am 18 years boy. I want to get rid of swollen mouth (challa. This happens frequently to me. I addressed many doctor...
kindly apply orahelp gum paint twice daily for 15 days. Take multivitamins for a month. also notice that you are not constipated, stressed or having lack of sleep, having acidity problem as these are few of the reasons for ulcers. avoid hot and spicy food as this may irritate the ulcers. brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
1 person found this helpful
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I brush properly with right technique twice a day. I do flossing too. Still I get cavities, I thus have to go for many teeth filling sessions. I feel really hopeless to see cavities after doing all the care.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I brush properly with right technique twice a day. I do flossing too. Still I get cavities, I thus have to go for man...
Good evening! You may have cavity or reduced layers of normal teeth. Brush your teeth with Oral-B UltraSoft Tooth Brush in circular motion without applying much pressure. If there is cavity kindly consult a dentist and get filled. Thank you!
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