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Dr. Don Kewalramani

Dentist, Mumbai

Dr. Don Kewalramani Dentist, Mumbai
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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. Don Kewalramani
Dr. Don Kewalramani is a renowned Dentist in Andheri East, Mumbai. He is currently associated with Smile Miles Dental Care in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Don Kewalramani on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 33 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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Shop nNumber 4, Rose Apartments,Marol Village, Opposte Hari Masjid, Marol, Andheri East, MumbaiMumbai Get Directions
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On the right side of my mouth, my lower jaw teeth(molar) gives sensation from last dew days. While brushing also, i m felling uncomfortable sensation. What do i do?

A.C.C.I - Accredited and Certified Course in Implantology, MDS - Pediatric & Preventive Dentistry, BDS
Dentist
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Good evening Nishant - seek a dental opinion by taking an appointment tomorrow from a good dental surgeon specialist. He will guide you the rest of the way.

Hi, I am 30 years old, male and I have a pain in my left gum (mouth) for last 1 months. What should I do?

Certified Implantologist, BDS
Dentist
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Hi, I am 30 years old, male and I have a pain in my left gum (mouth) for last 1 months. What should I do?
Can you please be more specific, like whether the whole gum on the left side of the jaw or just around a particular tooth. this will help me to guide you better.
1 person found this helpful

My tongue have redness and I am having sour in my mouth what should I do to treat it?

BDS
Dentist
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My tongue have redness and I am having sour in my mouth what should I do to treat it?
This might be due to acidity or constipation or haemoglobin defect, get your blood test done and consult your physician immediately for more info, consult.

Hi. I feel very sensitivity in my teeth when I eat ice cream. Bht thanda thanda lgta h teeth me.

Advanced Aesthetics, BDS
Dentist
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Hi. I feel very sensitivity in my teeth when I eat ice cream. Bht thanda thanda lgta h teeth me.
Hi, teeth have a protective layer called enamel with age the enamel wears off and become thin which causes to become teeth sensitive to cold and hot. You need to get a professional check up done to know the exact cause and solution of your problem.

I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2 is completely infected and m1 is infected but in the outermost layer of enamel. What should i do now?

MDS - Orthodontics
Dentist
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I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2...
For the upper first molar you need to get it filled to prevent further infection and for second molar the teeth would need root canal treatment.
2 people found this helpful

For e. G.I am 23 years old. I have problem in my teeth. When I eat something cold I feel so pain and when I eat sugar I feel very pain in my teeth. Please help me what to do.

MDS
Dentist
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For e. G.I am 23 years old. I have problem in my teeth. When I eat something cold I feel so pain and when I eat sugar...
Your teeth must be suffering from dental cavity. Please go ahead with root canal treatment of painful tooth from your dentist at the earliest possible.
1 person found this helpful

I frequently get mouth ulcers which are painful. Kindly tell me the reason for this and prescribe a solution.

MDS
Dentist
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I frequently get mouth ulcers which are painful. Kindly tell me the reason for this and prescribe a solution.
Ulcers in mouth could be due to many reasons. Most common is stress and gastric upset. So monitor your food habits and stress levels. On medication level you can apply some topical medicaments and multivitamins for temporarily relief and drink plenty of water. Inbox me for detailed medications.
3 people found this helpful

I am suffering from gums sensitivity. Please Suggest me the homeo medicine for proper cure.

BDS
Dentist
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hi pankaj try gum paint hiora ga by Himalaya pharma. gum massage 2-3 times per day for a week and then get back to me

I have tiny black spots of cavity in my back tooth. It is in very early stage. I want ask how i can stop or remove them.

BDS
Dentist
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They can be cured by placing dental cements with excavation of the cavity , u can prevent them by maintenance of oral hygiene not allowing any food stuck to the teeth or around the teeth.
1 person found this helpful

Hi, Got Cavity in tooth, getting horrible pain, What to do or Please suggest me medicine

BDS
Dentist
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I can suggest you tablet for pain( combiflam) but cavity has to be treated by dental surgeon .It is advised that you consult the dental surgeon at the earliest convenience.

I am having an ulcer in mouth since many days, in the lower vestibule. Please tell me what to do.

MDS - Oral & Maxillofacial Surgery
Dentist
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I am having an ulcer in mouth since many days, in the lower vestibule. Please tell me what to do.
If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water. You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too. To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water. Remember, this won’t make the ulcer disappear, but it can help reduce the pain. Honey is a natural humectant. It helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer. Chew a few leaves of tulsi along with some water about three to four times every day. This will help in getting rid of ulcers faster and also have a preventive action against their recurrence. Applying a little coconut oil directly onto the mouth ulcer or chewing some coconut (fresh or dry) helps reduce pain and inflammation and hence, ulcers heal faster. Mix some sugar to crushed khus-khus seeds and consume this mixture for instant relief from ulcers. You could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Mouth ulcers left untreated generally go away in a week or so; with these home remedies, you can expect faster relief. However, if you notice an ulcer in the mouth that is persistently present although it does not cause you any pain, do not neglect it or try to treat it with home remedies beyond a few days. Make it a point to see a doctor soon because often, a painless mouth ulcer is one of the earliest signs of oral cancer.

Flossing

MDS Endodontist, BDS
Dentist
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Flossing your teeth regularly is very essential because we tend to avoid cleaning the food lodgement in between two teeth. So floss regularly.
Flossing

Hi I have cavity on my teeth how I clean my teeth? I brush regularly 2 times in a day what can I do.

M.D.S
Dentist
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Hi I have cavity on my teeth how I clean my teeth? I brush regularly 2 times in a day what can I do.
Hi if you have a cavity in your teeth it is better to visit a dentist and get a tooth coloured filling done.
1 person found this helpful

How to clean cavity?

Advanced Aesthetics, BDS
Dentist
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How to clean cavity?
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. Without checking you clinically we can't suggest you anything. Regards shilpa Dr. Krinita motwani's dental clinic.
5 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
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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

Dengue Vaxia
10 people found this helpful

I have pain in my tooth since 5 days what I should do for this.

BDS
Dentist
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I have pain in my tooth since 5 days what I should do for this.
You might have some cavity/ swelling in third molar. Kindly get yourself checked for the same by dentist take medications/treatment accordingly.
1 person found this helpful

Best tooth paste of teeth, please advice doctor?

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist
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Best tooth paste of teeth, please advice doctor?
If you have the normal teeth then use the tooth paste which contain the flouride. If you have the sensitivity of the teeth then use the sensodyne protect and relive. Or vantage. If you have bleeding gum then go for the colgate pro gun health.

I am suffering from night guards (dental problem) please give me solution.

CERTIFIED ORAL IMPLANTOLOGIST, NON-RESIDENT J.R. IN DEPTT. OF ORTHODONTICS, BDS
Dentist
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You may be suffering from tooth clenching. For that you may be prescribed night guards. Keep using those night guards at night or during sleep.
1 person found this helpful

Mere bhai ki age 28 he. Iski sab report bi normal he. Koi habbit nai he. Fir bhi uska muh jyada nai khulta vo kam khata he. Uske liye koi medicine ya exercise pls give me advice.

MFDS RCPS (Glasgow), MDS - Oral & Maxillofacial Surgery, BDS
Dentist
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Hi lybrate-user there could be several reasons for the decreased mouth opening that your brother is suffering from. The best thing for him to do is to see a dentist or an oral surgeon for a diagnosis of the cause, so that appropriate treatment could be instituted.

I have cavity problem in my teeth please suggest me to prevent from cavity and keep safe my teeth.

MDS - Oral & Maxillofacial Surgery
Dentist
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Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need cleaning and artificial enamel filling or root canal treatment. Advance procedures can be done with laser. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. 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.
1 person found this helpful
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