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Dr. Neeti Salvi

Dentist, Mumbai

at clinic
Dr. Neeti Salvi Dentist, Mumbai
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Personal Statement

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.
More about Dr. Neeti Salvi
Dr. Neeti Salvi is a trusted Dentist in Opera House, Mumbai. She is currently practising at Stoma Complete Dental Care in Opera House, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Neeti Salvi 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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Hindi
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Indian Dental Association

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2nd Floor, Bombay Mutual Terrace, 534, Sandhurst Bridge, Opera House, Charni Road, MumbaiMumbai Get Directions
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I got my teeth in badly condition. It appears like black so what I should do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I got my teeth in badly condition. It appears like black so what I should do?
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need filling or root canal treatment along with surgical procedures. You may consult me too.
2 people found this helpful

I am having pain in my mouth. When I chew something my bone get locked. And it is very painful for me to open the mouth. Sometime I cannot open my full mouth. Please solve my problem. I hope that you will solve my problem soon. It is very important for me.

Dentist
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I am having pain in my mouth. When I chew something my bone get locked. And it is very painful for me to open the mou...
Hello, you must be having a temporomandibular joint problem. This is the joint that helps you to open and close and move your jaws from side to side. It is important that you get yourself examined by an oral and maxillofacial surgeon.

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
9 people found this helpful

How to over come from mouth ulcers that happen 5 times in a week?

BDS
Dentist
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Take cap becosule twice a day and apply boroglycerin soln. Take more of liquid and soft diet for few days avoid sour and chill and condiments, use listerine mouthwash.

I had eating tobacco too much. My teeth was now too sensitive when eating spicy food. How care my teeth from this. Please help me. There is any way to improve skin color change from red to pink.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist
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I had eating tobacco too much.
My teeth was now too sensitive when eating spicy food.
How care my teeth from this.
Pl...
stop chewing ghutka immediately.....start warm saline rinses..also start taking sm-fibro capsules twice daily for 30 days... this is not sensitivity but reaction to tobacco, that will cause cancer of mouth ...stop this habit of tobacco immediately

I am 63 years old. I do not where from the bad odor erupts around me, either through my mouth, or nose. I had sinus problems while I was young. After surgery in the nose, for some years the bad odor emission did vanish, but after certain period it has again started. I had recently got my dental treatment done for the cavities. Please guide me thoroughly.

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You need to go for a thorough chec-up to the ear, nose throat specialist. If he says there is nothing wrong, then consult a dentist. You may be checked again for cavities, gum problems, spaces between your teeth and treated accordingly.
1 person found this helpful

I have dental problem Unable to bite or chew food there is a gap on the left top portion of my tooth line what ever I eat it stand and accumulates the food particle and creates pain and more sensitive fear of going to dentist.

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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I have dental problem Unable to bite or chew food there is a gap on the left top portion of my tooth line what ever I...
There is absolutely no need to have any fear. Dental Treatment are painless nowadays. In your case firstly clinical evaluation is a must to differentiate whether you have Decay there or just the space which can be filled using Composites. So kindly go for proper consultation and plan accordingly.

When I wakeup my mouth is become full of saliva, Sometimes it comes out and wet my bed. Give me solution.

MDS - Oral & Maxillofacial Surgery
Dentist
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When I wakeup my mouth is become full of saliva, Sometimes it comes out and wet my bed. Give me solution.
Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your saliva problems are just a result of the way you speak. Some people speak faster or slower than others, just as some people blink more often, breathe faster, or have a more rapid heartbeat. This may just be what's normal for you. Since it is negatively affecting your life, I suggest your problem can be ignored. However there are medical conditions that causes excessive salivation injection glycopyrrolate reduces secretions in the mouth, throat, airway, and stomach.
2 people found this helpful

I have been advised RE root canal or tooth implant, which one is better? I had root canal done 15 20 years back and now they are saying it wasn't done completely, the nerves don't go down to the bottom in the x ray, please advise.

Certification In Smile Makeover, BDS
Dentist
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I have been advised RE root canal or tooth implant, which one is better? I had root canal done 15 20 years back and n...
Revised root canal is better option as it is a conservative procedure, go for a rct by a qualified dentist.
3 people found this helpful

MDS - Periodontics, Certified Implantologist, BDS
Dentist
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www.dentafix.in
1 person found this helpful

I am 20 years old and when I eat sweets like chocolate or sweets my tooth aches.

BDS (GOLD MEDALIST)
Dentist
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I am 20 years old and when I eat sweets like chocolate or sweets my tooth aches.
You have tooth decay started in your tooth. Consult a dentist for proper investigation. You may need filling if the cavity is in initial stage. But if pulp is exposed you should opt for rct to save your tooth. Brush regularly two times daily with soft bristle toothbrush. Rinse your mouth after eating anything. Take care of your oral hygiene.

I am 28 year male. Mujhe muh mai chale hai aur dawaii lene se thik ho jate hai par phir ek do din mai phir se ho jate hai. So please help me.

BDS
Dentist
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Hello lybrate-user, aapko recurrent apthous ulcers ho rehe hein, iska treatment kuch nahi hota hai, apko ane stress levels ka dhyan dena hoga, kyun ki ulcers hone ka major reason stress, nutritional deficiency, improper sleep, hormonal imbalance, aur vitamin ki deficiency hai. Agar aapk iska dhyan denge tho aapko ulcers se jaldi rahat milegi, dawaii laganese bus dard kam hota hai ulcer nahi.
1 person found this helpful

Mere throat mai 1 month se pain hai. Meri tongue mai white colour ke spots bhi hai. Aur weakness bohot zyada hai.

M.D. (Ayurveda )
Ayurveda
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Mere throat mai 1 month se pain hai. Meri tongue mai white colour ke spots bhi hai. Aur weakness bohot zyada hai.
kindly take lakshmi vilaas rasa (naardiya), 2 tabs, twice a day after meals. Take avipattikara churna, 1 tsf in half a glass of warm water before meals, once a day in the evening. Take indukantha kshayam, 20 ml, twice a day, in half a glass of warm water, empty stomach. Stop taking curds, cold eatables, spicy food. Take liquid diet like moong daal, khichdi, veggie soup in your diet regularly. Continue the regime for 2 months. Good luck.

Why tongue ulcer occur again and again after few months. My age is 33 yrs. please tell me the reason. Thanks

BDS
Dentist
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Reasons can be as simple as having a rough and coarse diet or cleaning your tongue with much force or vitamin deficiency or many more causes are there. Please visit your dentist for proper diagnosis and treatment. Proper medical history along with oral examination is required for carrying out a successful treatment plan.

I have bleeding gums from one month. I am 20 years old. Moderate bleed after brushing. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist
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I have bleeding gums from one month. I am 20 years old. Moderate bleed after brushing. What should I do?
You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser.

I am suffering from toothache. So no one medicine has worked so what was I can do now?

BHMS
Homeopath
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I am suffering from toothache. So no one medicine has worked so what was I can do now?
Hi, apply plantago q/ few drops on cotton swab, place it on the affected tooth/ teeth and press it tightly, do it thrice a day. Orally, take mag. Phos. 6x/ after every 2 hours. Do visit a dentist for proper diagnosis, share the reports with me. In case possible, will help you in treating your problem. Home-remedies: -rub a few drops of clove oil or can even press 2-3 cloves in between the teeth on the affected tooth several times daily until the ache goes away. -rub a few drops on the affected tooth several times daily until the ache goes away. -apply a cool compress to outside of mouth or cheek. -mix 1 tsp of salt in a glass of warm water. Rinse your mouth with saltwater. Swirl it around in your mouth and spit it out. Make sure that you don't swallow. -soak a cotton ball in a mixture of a few drops of garlic clove oil and a small amount of olive oil, and apply the cotton ball to the area of pain.

Hello I am 35 years old. I used to do brushing twice a day but I have yellowish color of behind the teeth. And some time having bad odor.

BDS, MDS
Dentist
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Hello I am 35 years old. I used to do brushing twice a day but I have yellowish color of behind the teeth. And some t...
That is because of stains from tea coffee etc, and some amount of tartar, please get your teeth cleaned from a nearby dental clinic.

I am 20 years old girl. I have black stains on my upper nd lower teeth. Someone told me that potassium permanganate will clearly remove the stains. Is that true. Can I use that salt for cleaning the stains. please help me.

BDS
Dentist
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I am 20 years old girl. I have black stains on my upper nd lower teeth. Someone told me that potassium permanganate w...
Kindly get scaling and polishing done and if you want you can also get bleaching done. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
22 people found this helpful

I have got sensitive teeth. Unable to eat anything properly. Tried lot of medicine. But no result.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist
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Please start using colgate sensitive tooth brush and toothpaste and mouthwash of the same name. Still problem exist. Shift to colgate gel-kam, that would definitely help.
2 people found this helpful

BDS, Diploma in Hospital Administration, Diploma in Pharmacy
Dentist
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How To Effectively Clean a White Tongue, the Cause of Bad Breath

Have you ever noticed that sometimes you have a white tongue? This condition is something that nobody wants to have. Why? A white tongue not only looks abnormal, but if left untreated, it's a strong indication of a bad breath problem.

People who have a white tongue, also known as a geographic tongue, are definitely more likely to experience an abnormally colored tongue. Geographic tongue simply means a tongue that has lots of grooves and fissures in it. These grooves and fissures make an excellent breeding ground for the anaerobic bacteria that cause bad breath. Under certain conditions, a geographic tongue can be white, yellow, even black in color. A geographic tongue can also be coated and sometimes dry and cracked. The way around this problem is simply making sure that your tongue is kept as clean as possible.

Tongue cleaning or scraping is a process that the majority of people in the United States don't do on a daily basis. Yet, it's one of the most important steps you can take to keep your breath clean and fresh!

MYTHS ABOUT CLEANING A WHITE TONGUE

MYTH #1: You have to scrape hard to clean a white tongue. This is false! You do not need to scrape your tongue so hard that it bleeds. In general, pressing harder does not remove more bacteria. You simply need to press hard enough that the tongue cleaner you're using is pressed flush across the surface. Try not to leave any gaps.

MYTH #2: Tongue Cleaning Alone Prevents Bad Breath. This is also false! Tongue cleaning alone does not kill the bacteria that cause bad breath that are breeding below the surface of a white tongue. It simply removes the gunk on the surface. This gunk (mucus and food debris) is a food source for anaerobic bacteria.

MYTH #3: You must use a complex, expensive gizmo to successfully clean your tongue. Again false! Really, all you need is a fairly rigid instrument, that you can easily make flush on the surface of your white tongue and cover the largest area possible. Those electronic tongue cleaners you see can be helpful if you have arthritis, difficulty with coordination, or in general have a tough time performing some simple actions, which I'll outline below.

Tongue cleaning is really not that difficult to do, and it's not even very time consuming. That extra minute or two you spend on your tongue per day can reap huge rewards in preventing bad breath. It'll help prevent this condition, return it to it's normal color, and most importantly cut down on bad breath.

STEP-BY-STEP INSTRUCTIONS TO SUCCESSFULLY CLEAN A WHITE TONGUE

STEP 1: Starting at the base of your tongue, place a tongue cleaner/scraper flush against your tongue's surface and make slow sweeping strokes from the back to the front. You can start at either side of your tongue and work your way across to the other side. Depending on the tongue cleaner you are using, you might need to make three to four different swaths across your white tongue.

STEP 2: Once the surface debris from your white tongue has been removed, apply a small bead of toothpaste to the head of your tongue cleaner. Make sure your toothpaste does not contain Sodium Lauryl Sulfate because this ingredient will dry out your mouth.

STEP 3: Gently coat the surface of your tongue (as far back as possible without gagging yourself) with the toothpaste. This allows the toothpaste to penetrate below the surface of your tongue and neutralize those sulfur-producing anaerobic bacteria. Believe it or not, there are more bacteria in the rear of your tongue than in the front!

STEP 4: Once your tongue is coated, allow the toothpaste to stay on the surface of your tongue as long as you can. Up to 90 seconds is ideal. If you begin to cough, or your gag reflex kicks in, that's okay, just spit whenever you need to.

STEP 5: Ideally, it's best to leave the toothpaste on the surface of your tongue, while you brush your teeth normally.
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