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Dr. Aj Thakur

Dentist, Mumbai

Dr. Aj Thakur Dentist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Aj Thakur
Dr. Aj Thakur is a popular Dentist in Worli, Mumbai. He is currently practising at Ganesh Dental Clinic in Worli, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Aj Thakur on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 42 years of experience on Lybrate.com. You can find Dentists online in Mumbai 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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2nd Floor, Ready Money Terrace, Worli Naka, Worli. Landmark: Above Maharastra Bank, MumbaiMumbai Get Directions
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I have bad smell in saliva No bad breath problem, if I gargle then everything is Ok (for 20-30 min but slowly after some time same foul smell comes to saliva) I brush daily twice a day Flossing the tongue gave some relief If I sneeze the smell is very very bad

BDS
Dentist, Bangalore
I have bad smell in saliva No bad breath problem, if I gargle then everything is Ok (for 20-30 min but slowly after s...
Dear check for you gums condition and deposit over tooth surface if they seems to be fine then it could be related to systemic as you have written when you sneeze it increases it may be due to throat or other systemic get an ent opinion apart from dentist consultation.
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I am a 27 year old guy and facing mouth ulcer from past 4 years what should I do.

dentist
Dentist,
Ulcers may have diff reasons for occurrence. They may be due to over stress, sleeplessness, change in food habits, due to some medications etc. Kindly take more fruits intake. Avoid spicy food along with that take vitamin tabs for a week. One tab for a day will b sufficient. Use ornigreat mouth gel or dento gel for applying over the ulcers. Visit your near by dentist to take advice.
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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

BDS
Dentist, Mumbai
Use of a tongue scraper a day, keeps bad breath away! Like our teeth, our tongue also develops tongue plaque which results in bad breath. So, like our teeth, our tongue also needs to be cleaned daily. Keeping it clean on a daily basis will give you a fresher breath and a fresher mouth.
5 people found this helpful
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Hi I am 22 year old man and I have problem with my teeth they become yellow. So, requesting to you kindly know me its cause and treatment. Thank you,

BDS
Dentist, Delhi
U can go for bleaching but keep in mind sometime after bleaching teeth may be sensitive. This problem is because of high fluoride in water and another option is go for veener. But first get it check sometime u got improvement with scaling and polishing also
2 people found this helpful
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I have swelling in my lip. Its been there over a month. Also Dr. said its because of Slavia. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
It must be mucocele, which can occur due to trauma to the minor salivary glands on the lip. Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need surgical removal. You may consult me in person. 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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Remove Plaque

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Remove Plaque
99% of the plaque can be removed by the use of waterjets along with daily brushing.

I have a problem that my teeth start grinding automatically during night creating voices which make me feel ashamed what could be possible reason.

BDS
Dentist, Vadodara
I have a problem that my teeth start grinding automatically during night creating voices which make me feel ashamed w...
Teeth grinding at night could be due to excessive stress during the day. You can have a night guard which you can wear while you sleep.
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Sir my friend has mouth ulcers for over 2 days can you please tell me what should I do?

M.D.S.
Dentist, Mumbai
Sir my friend has mouth ulcers for over 2 days can you please tell me what should I do?
Try to find out what is causing the ulcers. Is this happening again and again? is this related to your monthly periods? are you always biting your cheek or lip? did you bite your tongue accidently? do you have sharp, pointed teeth near the ulcers? are you under some stress? for relief of pain, just apply plain glycerin liquid three times a day and let it remain n contact with the ulcer by closing your mouth, not swallowing for at least 30 seconds after applying it.
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I hav lill yellowish teeths that i dont like at all more over i feel whn i smile the very slight gap between my teeths got visible So can i go for smile treatment what will it cost and from whr i cn get it done fr 100% result Im from Nagpur

Dental surgeon
Dentist, Ahmedabad
your yellowish teeth can be whitten by bleaching treatment and spacing in between teeth can be treated by filling or many more options depend on upto how much space u have
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Am 26 old my front tooth broken half at my school time. Is there any needs to replace that teeth or that can modified without replace. If it possible can I have the cost of it?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Am 26 old my front tooth broken half at my school time. Is there any needs to replace that teeth or that can modified...
Hello, Visit a dentist and get it checked. Get an X-ray if there is an infection get it treated and get the tooth capped. If there not any you can get a veneer (composite or ceramic) or crown done. It will cost you around Rs 2,000- 12,000/-
3 people found this helpful
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Hi. Sir. Actually mere teeth bhut zyada kharab h uper aur neeche dono hi teeth m bhut zyada gap h jo bura lgta h in k treatment m kitna kharcha ayega aur kitna time lgega kya ap bta sakte h.

MDS
Dentist, Kolkata
Hi. Sir. Actually mere teeth bhut zyada kharab h uper aur neeche dono hi teeth m bhut zyada gap h jo bura lgta h in k...
Hello, i cannot tell u the cost of the treatment as it varies from place to place,,but get clipping done i.e braces.
1 person found this helpful
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I suffered from herpes on left side of my face and inside the mouth. With the result nerves are damsged and left side of face has suffered loss of sensation. Any treatment is suggested to revert to normal.

MDS - Periodontics, BDS
Dentist, Ahmedabad
Take neurobion forte. 1 tab daily in morning for 1 month. Once nerves are damaged it will take time to heal.
3 people found this helpful
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I have a cavity of teeth but I use medicine medicine but I have not any improvement in my teeth.

Certified Implantologist, BDS
Dentist, Jaipur
I have a cavity of teeth but I use medicine medicine but I have not any improvement in my teeth.
Hii. You may have deep cavity which can not be restored by simple fillings. You may need to go for root canal treatment.
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MDS
Dentist, Nagpur
use soft/medium toothbrush for teeth cleaning twicw daily.
Rinse after every meal/snacks.
Smile designing/Teeth whitening treatment available .
Keep smiling alwayzzz...

I have puss near my wisdom tooth. It was due to not brushing early, I guess. It was paining a lot. When I removed the puss I felt better. But there was puss again. What is it and is it serious?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have puss near my wisdom tooth. It was due to not brushing early, I guess. It was paining a lot. When I removed the...
First of all there is nothing serious to worry about. It may be because the wisdom teeth usually do not erupt normally like other teeth in most poeple. If it starts giving a problem then people go to a dentist and get the tooth removed and you will be okay. Like you said the improper brushing may have added to the problem and caused an infection. So the dentist will give you tablets to reduce the pus and then remove the tooth soon after, which is the most important part. Or he may assess the situation and remove the tooth immediately if required. But please do not delay much as the infection may spread to other areas in the mouth or do not just take some medcine without consultation as medication is never a permanent solution.
1 person found this helpful
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I brush my teeth twice daily but my teeth remains yellow what should I do to my teeth to become white please give me some advice.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
I brush my teeth twice daily but my teeth remains yellow what should I do to my teeth to become white please give me ...
Go for the treatment called bleaching. By the bleaching treatment you will get the white teeth. There is no other way to get your teeth white. Either by the scaling or bleaching.
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In order to keep our teeth strong and safe what care should I take and which toothpaste should I use?

BDS
Dentist, Thane
Hello , twice daily brushing and flossing is absolutely essential for proper oral care. Besides brushing and flossing you should rinse your mouth with plain water after eating and drinking. It helps in removal of all food debris which is the main cause of tooth decay & gum problems. Plus you can use mouth rinses for additional benefit which helps in reducing bacterial count in your mouth. And finally visit your dentist on regular basis (i. E. Once in 6 months) for prevention and early treatment of the underlying problems.
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Hi sir What should I do .bleeding from teeth and does stink. Please sir give me solutions.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hi sir
What should I do .bleeding from teeth and does stink. Please sir give me solutions.
Get scaling polishing done by a dentist than brush twice daily especially at night and use betadine mouth wash drink plenty of water massage gums.
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