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Dr. Dinesh K Daftary

Dentist, Mumbai

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Dr. Dinesh K Daftary Dentist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Dr. Dinesh K Daftary is one of the best Dentists in Sion, Mumbai. He is currently associated with Dr Dinesh K Daftary Dental Clinic in Sion, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Dinesh K Daftary on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 36 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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Dr Dinesh K Daftary Dental Clinic

Shop No 49, Kapoor Mansion, Hughes Road, Opposite Gajana Jewelers, Grant Road, MumbaiMumbai Get Directions
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Hi I want white shiny teeth but my teeth are yellow in colour. Please suggest me how to get white shiny teeth.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi I want white shiny teeth but my teeth are yellow in colour. Please suggest me how to get white shiny teeth.
You will have to go for scaling and cleaning of teeth followed by polishing... As the advertisement you see on TV are just scams... No toothpaste can do that... And also remove the causes of yellowness like Bleeding from gums Excessive tea drinking Smoking etc...
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Dental Health Tips For Parents!

MDS
Dentist, Mumbai
Dental Health Tips For Parents!

Though your child's first set of teeth are not permanent, they are still critical to the development of healthy gums, jaws, permanent teeth, and dental hygiene habits. From first teething to the development of permanent adult teeth, you can help your child to develop and maintain strong healthy teeth and gums.

THE FIRST TEETH

The first teeth usually erupt at around 6-8 months beginning with the lower front teeth and working back towards the molars, usually in pairs. A full set of baby teeth usually appears by the age of 2.5 years and remains stable until the age of 5 or 6 when baby teeth begin to be replaced by permanent teeth

TEETHING PAINS

As these first teeth begin to push through the gum, your child may experience teething pain. Redness or rash on the cheeks, increased drooling, restlessness, irritability, and loss of appetite can all be indicators that your child is teething. If however your child also experiences fever, vomiting, or diarrhea you should take them to a physician as these symptoms are often caused by ailments other than teething.

Once you've established that your child is teething, you can ease their pain in a number of ways. Allowing your child to chew on a chilled teething rings or other cold hard objects can help numb the gums and cause the tooth to erupt sooner. Teething gels can also help reduce the pain through numbing and can be found in most pharmacies. Finally, you can also massage your child's gums

with a clean finger, reducing the pain with light pressure on and around the location of the erupting teeth. Teething cookies and other food (or alcohol) based home remedies are not recommended as they may lead to tooth decay caused by food debris left in the gums or new teeth.

Teething can be a trying time for parents and child alike, but it will not last forever and there are several simple effective ways to manage your child's discomfort.

FIRST DENTAL VISIT

As soon as your child has her first teeth you can begin to think about scheduling a first dental appointment. The appointment should be made on or before your child's first birthday. Before the appointment you may wish to bring your child into the dental clinic for a short tour and a chance to get acquainted with the space and the staff. If you or one of your other children has an appointment, you can bring the younger child along to help get them familiar with the clinic.

In preparation for the first visit, try not to over-prepare your child or say things like "it won't be too bad" as these behaviours often just trigger fear and nervousness rather than providing comfort. When you get to the appointment, be sure to discuss an oral health plan for your child with either the dentist or dental hygienist.

Most importantly, do not wait for an emergency to bring your child to the dentist. The additional stress of pain or injury will make an unfamiliar experience even more difficult for your child.

CHILD ORAL HEALTH CONCERNS

Though baby teeth will be replaced by permanent teeth as your child grows, proper maintenance of their baby teeth can not only prevent child oral health concerns and ensure healthy gums and jaws but also helps to develop good oral hygiene habits that will follow your child through life.

BABY BOTTLE TOOTH DECAY

Allowing your baby to fall asleep while nursing or sucking on a bottle allows sugary liquids to pool around the teeth and may lead to extensive tooth decay. To ensure that tooth decay does not progress unnoticed you should check your child's teeth regularly for any brown spots along the gum line. Frowns or tears when eating cold, sweet, or hard foods may also be signs that your child is experiencing tooth decay.

tips2.jpg

SNACK CHOICES

Just as with adults, sugary snacking habits in children can greatly increase the likelihood of cavities and tooth decay. Foods which contain high levels of sugar or which are soft or chewy and stick to the teeth are the most harmful as they cause the natural bacteria in your child's mouth to produce high levels of acid which may erode teeth. It is also important to remember that, though more nutritionally sound, natural sugars such as those in fruit can still cause dental decay if the teeth are not brushed regularly and thoroughly.

Along with healthy eating choices, you should try to reduce your child's consumption of sugary foods that are held in the mouth for a long time such as lollipops, hard candies, etc. If your child is going to eat something sugary, it is best to pair it with a meal so that the additional saliva production helps to wash the sugar off the teeth. Generally however it is best to avoid sugary foods to prevent the formation of a sweet-tooth and choose instead healthier options such as:

  • Popcorn
  • Vegetables
  • Fruits
  • Nuts & Seeds
  • Meat
  • Cheese
  • Coleslaw
  • Pizza
  • Plain yogurt
  • Eggs
  • Enriched or Whole-wheat bread
  • Whole grain cereal
  • Plain milk
  • Tossed salads
  • Plain muffins

Though snacks such as raisins, dried fruits, and granola bars are healthy, they tend to stick to the teeth and so are not an ideal choice for snacks.

ORAL HYGIENE HABITS FOR CHILDREN

tips3.jpg

Even before your child's first tooth appears, you can and should begin an oral hygiene routine. Use a cloth to wipe down your baby's face and gums after every feeding. Once the first tooth appears, use a soft bristled brush to clean the tooth after every meal but do not use toothpaste as children tend to swallow most of it which can be harmful. If you are having difficulty brushing your child's teeth, you may want to try having your child lie down with their head in your lap, or have them stand in front of you with their back leaning against your body while holding a mirror so that both you and your child can see what you are doing.

Children require smaller brushes than adults and flossing should begin only when the teeth begin to touch each other. You child will likely not have the manual dexterity to brush and floss their own teeth until the age of 8 or 10. Establishing a good routine from the very beginning will help your child to get into a habit of oral hygiene.

Once your child begins brushing their own teeth, you may want to use a timer to ensure they are brushing for long enough as well as providing rewards such as stickers for regular brushing and flossing. The best way to get your child to adopt good oral hygiene habits is to model them yourself. If you and your child brush your teeth together ever morning and evening the practice is more likely to be kept up than if you expect your child to form the habit all on their own.

2 people found this helpful

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

I got a wisdom tooth but it has not completely come out as there is no space for it to come out as its covered with gums. Due to that got pus as well as swelling. I consulted few dentist & they said to remove the tooth n a surgery is required as they have to cut the bone.

BDS
Dentist, Mumbai
Wisdom teeth which are not fully erupted in the mouth due to lack of space can get infected. They need to be surgically removed by cutting the tooth into pieces. Bone removal if required should be minimum.For further details, you may consult me.
1 person found this helpful
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I don't know what this symptoms are about? Whenever I run or walk fast the internal heat which produce in my body lead to warmth in my mouth which further lead to bloody saliva.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
The body heat is normal as you exert check your BP if ok get scaling polishing done by a dentist than brush twice daily especially at night massage gums.
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I have oral ulcer for more than a year, it's on my right side tongue, I can't able to chew anything in that side even a little amount of food. Gimme a valuable solution for it. Thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
I have oral ulcer for more than a year, it's on my right side tongue, I can't able to chew anything in that side even...
Biopsy test is required for it there after go for any treatment. It may be cancerous so it must be ruled out first.
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I have bad breath for 2 years. I have cleaned my teeth 4 Times in 2 years. Still I am getting this trouble. Please someone give me the solution. I am from chennai.

Certified Implantologist, BDS
Dentist, Kolhapur
good that you got your teeth cleaned regularly.please continue that every 6 months.one cause of bad breath that is the tartar is taken care of.bad breath can also be due to any infectious teeth in mouth having pus formation.it can also be due to gastric problems like acidity,burps etc.best treatment would be to use medicated mouthwash eg rexidin mouthwash.please avoid mint mouthwashes.they have harmfull sideffects on body
1 person found this helpful
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Hi doctor One of my teeth is dead and have high yellow colour, It was broken in accident and I fix the broken part. How can I make it white? Is there is any need to root canal that teeth? What will be the cost of it?

PG DIPLOMA IN CLINICAL RESEARCH, BDS, PG Diploma in Hospital and Healthcare
Dentist, Varanasi
Hi doctor
One of my teeth is dead and have high yellow colour,
It was broken in accident and I fix the broken part.
H...
Root canal or post and core depending upon tooth condition followed by cap charges varies from dentist to dentist.
1 person found this helpful
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BDS
Dentist, Cuttack
Scaling and root planing, a careful cleaning of the tooth root surfaces, removes plaque and calculus from gum pockets and smooths the tooth root to remove bacterial toxins.
3 people found this helpful
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