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Dr. Krupali Parekh

Dentist, Mumbai

Dr. Krupali Parekh Dentist, Mumbai
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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. Krupali Parekh
Dr. Krupali Parekh is one of the best Dentists in Mumbai, Mumbai. You can consult Dr. Krupali Parekh at DENT-O-CARE in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Krupali Parekh on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 44 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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Hindi

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# 8 Ranchhod Bhuvan, 53-A, JSS Road, Land Mark: Opp Tewari Mithaiwala, Opera house, MumbaiMumbai Get Directions
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I have pain in my teeth. Which is paining from past one month. Previously it is filled with cement.

BDS
Dentist, Morbi
I have pain in my teeth. Which is paining from past one month. Previously it is filled with cement.
It may be possible that your previous filling is dislodged and there is decay in that tooth. Go to your dentist he will take a xray and may suggest a root canal treatment of that particular tooth.
1 person found this helpful
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I am having severe pain in the third molar region where the tooth is partially erupted and later it stopped erupting. Now there is severe inflammation of gums over the tooth associated with severe pain. I am unable to tolerate it. Please advice me medication to reduce the pain and idea to get rid of this pain please.

BDS
Dentist, Mumbai
I am having severe pain in the third molar region where the tooth is partially erupted and later it stopped erupting....
This is basically pericoronitis it happens in erupting wisdom tooth please take combiflam for pain control (twice a day for three days) do warm salt water rinsing at least four times a day show it to a near by dentist as fast as you can he will examine and then prescribe you antibiotics.
12 people found this helpful
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Regular Follow up Check ups

MDS Endodontist
Dentist, Rohtak
Regular Follow up Check ups
Even after you got all your dental treatment completed, you need to visit your dentist regularly every 6 month to ensure your oral health remains as desired.
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I always feel smell in my mouth, although I brush my teeth twice a day and using top brands like colgate, pepsodent, please advise

BDS
Dentist, Bangalore
Get the cleaning done from dentist because one of the most common reason for bad smell is deposits of tartar or plaques around the teeth. By cleaning it will be removed.
2 people found this helpful
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I get a sound of click at the end of my right jaw when I move it, there is no pain in it but it's happening from few years, please give some remedies for this.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I get a sound of click at the end of my right jaw when I move it, there is no pain in it but it's happening from few ...
Usually, a popping noise in your temporomandibular joint isn’t anything to worry about if it’s not causing you any problems. If it does start to cause problems, there are many invasive treatments that you can try.
1 person found this helpful
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PG Dip PUBLIC HEALTH, BDS
Dentist, Salem
DENTAL TIPS:
avoid carbonated drinks (gas), and if consumed atleast avoid it at night times because they acid containing and helps germs to attack tooth more easily. follow this and have a healthy teeth and smile, TAKE CARE.
DR.KAARTHIK
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I am 47 year old male, suffering from tongue ulcers frequently from last 3 years after removal of gall bladder. I also experience mild backpain in upper part.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
I am 47 year old male, suffering from tongue ulcers frequently from last 3 years after removal of gall bladder. I als...
Take triphala powder as mouthwash after that you may apply jatyadi ghrit or simple honey 2-3 time in a day find good result in mouth ulceration.
1 person found this helpful
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My mouth is not open due to chewing tobacco now what should I do for open mouth?

MDS - Periodontics
Dentist,
My mouth is not open due to chewing tobacco now what should I do for open mouth?
Firstly quite your habit of chewing tobaco start taking smfibro and try to open your mouth wider daily
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Doctor maine teeth ka xrey nikalvaya hai doctor ne kaha hai bus sensitivity hai unhone mujhe ek toothpaste diya hai bt us se mujhe kuch aram nhi hai.

BDS
Dentist, Gurgaon
Doctor maine teeth ka xrey nikalvaya hai doctor ne kaha hai bus sensitivity hai unhone mujhe ek toothpaste diya hai b...
Dear Lybrate user, toothpaste se aaram na milne par dobara dentist ko dikhayein aur poora check up karayein. Sensitivity toothpaste normal toothpaste ki tarh na use karein. Thoda daant pe lga ke 4-5 minute ke liye rakhein, phir brush karein.
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MDS
Dentist, Lucknow
Taking care of ur teeth not only helps preserve ur full set of teeth for good luks n better chewing of food thus improved digestion n less stomach probs.
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My teeth is not good I brush with colgate paste but blood is coming when brush the teeth or when hard thing to cut with teeth.

BDS
Dentist, Raipur
My teeth is not good I brush with colgate paste but blood is coming when brush the teeth or when hard thing to cut wi...
Kindly get scaling done and use a gum paint twice daily for 15 days. Brush your teeth twice daily using correct brushing technique.
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I have leaukoplakia and there are white lesions under my tongue, they go and come back, now they have become ulcer like and eating has become irritating in that particular area. I want that lesions go away.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I think a biopsy should b done if its leukoplakia it is said to a precancerous lesion if you can send some pics will b better.
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Munching foods like apples, pears, carrots or celery after brushing can help in preventing discoloration

BDS
Dentist, Dehradun
Munching foods like apples, pears, carrots or celery after brushing can help in preventing discoloration
Munching foods like apples, pears, carrots or celery after brushing can help in preventing discoloration as they trigger tooth-bathing saliva which helps in keeping the teeth whiter.
43 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,
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

I have a problem with my teeth its seeking when I drinking of any alcohol like water, pepsi anything please give me a solution.

BDS
Dentist, Mumbai
I have a problem with my teeth its seeking when I drinking of any alcohol like water, pepsi anything please give me a...
You are suffering from sensitivity of teeth please apply colgate pro sensitive tooth paste twice a day for a week and than whenever needed.
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I am 24 year old female and have gum bleeding and itching problem in teeth from last 2 months. I have done cleaning of my teeth from a dentist but have not get relief. What should I do now?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 24 year old female and have gum bleeding and itching problem in teeth from last 2 months. I have done cleaning o...
- use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water or hydrogen peroxide to keep the area clean. Avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums. - eat a balanced diet and limit snacking between meals. Carbohydrates and sugars feed dental plaque. - try an oral irrigation device, commonly known as a" water pick, to clear debris from around the gum line. - you may need deep cleaning along with surgical curettage or gum strengthening procedure. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser.
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I hv teeth problem there are some more pain. I have also stomach pain during urine discharge.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I hv teeth problem there are some more pain. I have also stomach pain during urine discharge.
The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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My tooth are little outside my mouth I am thin so it looks ugly. How I resolve this problem through toothpin or some other thing which can affordable by anyone.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My tooth are little outside my mouth I am thin so it looks ugly. How I resolve this problem through toothpin or some ...
Consult a orthodontist you may require braces you may also require to loose some teeth to make space.
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What is the cost for fill up the gaps between every teeth?

BDS
Dentist,
Gap filling can be done by orthodontic treatment(braces) or can be even done now a days by emax venners and laminates which is much quicker than the ortho treatments but requires an invasive approach. Treatment modality sometime even include both ortho treatment follwed by venners in extreme cases. You can call up on 9819947716 to know more and have the best possible price for your treatment.
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