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Dr. Surya Siva Gopalakrishna

BDS, Fellow of Academy of General Education (FAGE)

Dentist, kakinada

8 Years Experience  ·  50 at clinic
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Dr. Surya Siva Gopalakrishna BDS, Fellow of Academy of General Education (FAGE) Dentist, kakinada
8 Years Experience  ·  50 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Surya Siva Gopalakrishna
He has over 8 years of experience as a Dentist. He has completed BDS, Fellow of Academy of General Education (FAGE) . Save your time and book an appointment online with Dr. Surya Siva Gopalakrishna on Lybrate.com.

Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 35 years of experience on Lybrate.com. Find the best Dentists online in Kakinada. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
BDS - Mamata Dental College - 2010
Fellow of Academy of General Education (FAGE) - Manipal College of Dental Sciences, Mangalore - 2010
Languages spoken
English
Hindi

Location

Book Clinic Appointment with Dr. Surya Siva Gopalakrishna

Surya multispeciality dental clinic

Beside old busstand ramachandrapuramkakinada Get Directions
50 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hello. I would like to know the best way to treat a fractured tooth or a missing tooth. Is dental implant tops the list or any other advanced treatment technique is available? also the duration of the treatment and the cost it incurrs? also please furnish the validity of the treatment that you suggest and the necessary regulations that I have to undergo for the concerned treatment.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello. I would like to know the best way to treat a fractured tooth or a missing tooth. Is dental implant tops the li...
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need artificial enamel filling or fixed, permanent (implants or bridges) or removable type of tooth replacement procedures. You may consult me in person too. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. 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.
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I am suffering from gum pain and gum swelling. I went to visit dentist but she didn't give any medicine, just told to take an appointment for oral prophylaxis. Now I get the next appointment one week later. My swelling is increasing and she is not at all helpful in my condition. What medicine should I use to reduce the pain and swelling. Please suggest.

BHMS
Homeopath, Hooghly
I am suffering from gum pain and gum swelling. I went to visit dentist but she didn't give any medicine, just told to...
Apply baking soda paste to your gum, apply fatkiri paste over there, chew few leaves of guava, boil few leaves of guava and rinse your mouth with that water, rinse your mouth with laung water, visit another dentist for this purpose.
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Sir I am 24 year old. Mera mouth full oper nahi ho Raha hai. Me pehele Gurkha kha Raha tha. Lekin Abhi o sab chhod diya hai. Mera mouth pura open nahi hota. Aur me thikha khana aur garam garam khana ya tea nahi kha pata. Pleae sir kuch tablet ya injections batai ye. Plese sir.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Sir I am 24 year old. Mera mouth full oper nahi ho Raha hai. Me pehele Gurkha kha Raha tha. Lekin Abhi o sab chhod di...
Hi lybrate-user. Pehle to iske liye kabhi bhi injections mat lena. Vo steroid dete he jo ki apki health ke bahut kharab ho sakte he. Second ap homoeopathic medicine consult karke le sakte he agar sure results chahiye. Fir bhi agar ap try karna chahte he to ap Thiosinaminum 1X tds Le sakte he. Or physiotherapist ko bhi consult kare.
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MDS - Periodontics
Dentist, Thane
Taking a large no. of medications often leads to a dry mouth. Increase your fluid intake or ask your dentist about an artifical saliva product or chew sugarless gum after a meal to keep your mouth moist.

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 am 5 months pregnant and I am facing a problem with bleeding gums and plaque what should I do? Can I use stolin gum paint?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 5 months pregnant and I am facing a problem with bleeding gums and plaque what should I do? Can I use stolin gum...
Better Consult a dentist and get scaling and cleaning. And use Homoeopathic toothpaste heclalava by wheezal. Take Multivitamin tablet with vitamin C high.
1 person found this helpful
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I have teeth ache when I wake up after sleep. I usually brushes 2 times in a day. Why it happened. I don't drink any cold drink or some other else food that damage teeth.

BDS
Dentist, Vadodara
I have teeth ache when I wake up after sleep.
I usually brushes 2 times in a day.
Why it happened. I don't drink any ...
teeth pain can be due to decay or fractured teeth, gum infection or sensitivity. get your teeth x-rayed n go for needful treatment. for decay, you might require rct n cap or removal n replacement by implants or bridge. for gum infection, go for scaling and polishing of teeth. for sensitivity, use desensitizing toothpaste twice daily.
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Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.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

15 people found this helpful

He has fallen while riding his bike. Due to which his front tooth has broken. So what can be done about his tooth. A new tooth can be placed? instead of broken tooth?

BDS, Post Graduate Diploma in Clinical Research, Certified Implantologist, Certified LASER dentist
Dentist, Kolkata
He has fallen while riding his bike. Due to which his front tooth has broken. So what can be done about his tooth. A ...
An xray will confirm the status of the damaged teeth and then can be treated accordingly as per cosmetic needs. Either a composite filler of the same colour of yr damaged teeth can be used to reconstruct or root canal treatment with colour matched crowns can be made for the teeth depending on tooth conditions.
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