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Dr. Nisa Gandhi Shah

Dentist, Mumbai

Dr. Nisa Gandhi Shah Dentist, Mumbai
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Nisa Gandhi Shah
Dr. Nisa Gandhi Shah is a renowned Dentist in Walkeshwar, Mumbai. She is currently practising at Nisa Gandi Dental Clinic in Walkeshwar, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nisa Gandhi Shah on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 31 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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21, Sudama Bldg,Teen Batti,Walkeshwar,Walkeshwar,Landmark:Near To Walkeswar Bus Depo. , MumbaiMumbai Get Directions
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How can I make my teeth strong?

Advanced Aesthetics, BDS
Dentist
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How can I make my teeth strong?
Hi, 1. Brush twice a day with soft toothbrush and fluoridated toothpaste. 2. Use dental floss daily. 3. Eat healthy fibrous food 4. Visit your dentist regularly after every six months

I have bad breath since 7 years. I have got tonsil stones since last year. My dentist says that my teeth are healthy. What to do.

BDS
Dentist
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I have bad breath since 7 years. I have got tonsil stones since last year. My dentist says that my teeth are healthy....
Bad breath can be reduced or prevented if you: - practice good oral hygiene. - Brush twice a day with fluoride toothpaste to remove food debris and plaque. - Don't forget to brush the tongue, too. - Replace your toothbrush every 2 to 3 months or after an illness. - Use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. - See your dentist regularly -- at least twice a year. He or she will conduct an oral exam and professional teeth cleaning and will be able to detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor. - Drink lots of water. This will keep your mouth moist. - Chewing gum (preferably sugarless) stimulates the production of saliva, which helps wash away food particles and bacteria.

I have tiny black dot on one of my tooth. Sometimes I feel mild sensation when chewing my food. I tried to brush it off but it would not go. Could this be cavity? Pls help.

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I have tiny black dot on one of my tooth. Sometimes I feel mild sensation when chewing my food. I tried to brush it o...
Hii lybrate-user, black discoloration of teeth is a sign of tooth decay/caries. This will not go with routine brushing. You need to visit a dentist to get it treated. Dentist will remove the decay and fill the cavity.
33 people found this helpful

BDS (GOLD MEDALIST)
Dentist
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To lessen the degree of pain or soreness in the mouth during the orthodontic treatment, you can gargle with 8 ounces of lukewarm water with one teaspoonful of salt dissolved in it. Swish it around your mouth and then spit it out. It will dull the pain and provide relief.
20 people found this helpful

Dental Care

Advanced Aesthetics
Dentist
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Flossing is as important as brushing on a daily basis. Taking the floss all the way down to the point where the teeth and gums meet is the appropriate way of doing it.
Dental Care
20 people found this helpful

My moler tooth have turned blue. Around 5 years back, I went to a dentist and she treated it with root canal. At that time I can feel/sense pain In my tooth, but as per her I shouldn't feel a thing as she has removed all the pulp and the tooth is basically disabled (in lack of better term to describe it). What's the treatment now, sometime there is pain in the tooth. It's an upper moler. What kind of testament is advised now.

BDS
Dentist
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My moler tooth have turned blue. Around 5 years back,  I went to a dentist and she treated it with root canal. At tha...
Pain after a root canal can be due to reinfection or crack in the tooth or inadequate cleaning during root canal. We would need an x-ray and examination to decide whats causing the pain. If the tooth structure is still intact and there is no crack - re root canal can be done if its a crack in the roots it would go for extraction.
1 person found this helpful

My teeth is pale yellow. Please, suggest a toothpaste to get rid of it. Thanks for your help.

BDS
Dentist
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My teeth is pale yellow.
Please, suggest a toothpaste to get rid of it.
Thanks for your help.
If there is calculus deposit also the teeth wil look yellow so get it cleaned first by a dentist and colgate is good enuf.
1 person found this helpful

Aftercare for Dental Implants

Diploma In Cosmetic Dentistry, Advanced Aesthetics, BDS
Dentist
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Dental implants need to be maintained carefully after surgery and for that you got to follow a few essential caring tips.

Best caring tips after dental implants:
1. Maintaining a healthy diet: Healthy diet needs to be maintained and in this case, only nutritious and soft foods are to be included.

2. Careful brushing: Only soft bristle brush needs to be used in this regard and do not pressurize the treated areas. In this case, tenderness needs to be considered so that brushing can be conducted carefully without injuring or hurting implants.

3. Avoid smoking: You are not allowed to continue smoking after implants, as that can make the situation complicated, as a result, of which you might even experience dreadful consequences. You should follow different steps to completely curtail the smoking habit from your lifestyle.

4. Scheduling appointments: You should meet your dentist on a frequent basis in order to make sure that everything is perfect. You can also visit your dentist in times of emergencies when you are facing tremendous pain or bleeding.

5. Maintaining oral hygiene: Oral hygiene is the most important thing, and this is the reason you are advised to use any special mouthwash or any other flossing solution. This step needs to be continued for preventing the growth of unwanted infectious elements as that can ruin the implants completely. You should also carefully brush your teeth without affecting the implanted area.

6. Avoid cold or hot drinks and foods: You should not take excessively hot or chilled items immediately after dental implants as that might create an adverse situation. This is a strict instruction which is usually given to the patients by their dentists so that implants can be protected and can be maintained in the long run.
7. Apply ice pack: If you want to get rid of unwanted swelling and inflammation, immediately after dental implants, then nothing can be the best than homemade therapy, other than using ice packs. You should keep the ice packs just over the swollen art directly, and you can even try out this therapy multiple times in a day and will get relief instantly.

8. Taking painkillers: If the implanted area has swollen up, and it is paining badly, then you should try useful painkillers, but the medicines should be prescribed by your dentist. But do not take these medicines on a frequent basis rather take them only when the pain is severe.
Aftercare for Dental Implants
4010 people found this helpful

My teeth are towards front from my mouth. How many fees require to get braces ?

BDS
Dentist
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My teeth are towards front from my mouth. How many fees require to get braces ?
It ranges from 20000 to 70000 depends on which quality you want, go consult orthodontist in your locality.

I have some problem in my teeth. It always becomes yellowish. So please help me.

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 some problem in my teeth. It always becomes yellowish. So please help me.
Get your teeth cleaned by the dentist and also the bleaching treatment if required by that treatment you will get good white teeth you are welcome to consult us for the further diagnosis and treatment.

My friend did Oral sex with a guy, she met him on dating site. When she was blowing his penis, she realized that he was presuming a bit and also she realized that she had a mouth ulcer. Now she is scared of HIV. She is not sure if that guy has AIDS and she is afraid of transmission of virus through her mouth ulcer. It's depressing. Please help her.

DGOI, Aesthetic , M.Sc - Master of Oral Implantology (MOI), MDS - Orthodontics & Dentofacial Orthopaedics, BDS
Dentist
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My friend did Oral sex with a guy, she met him on dating site. When she was blowing his penis, she realized that he w...
Hello there. It's good that you have described of your freinds problem in detail. Ask your friend to have cool relaxed mind as hiv doesn't spread with oral fluids or saliva. The route of spread is only through semen if there was contact during the oral sex or if there was contact with blood. This is all possible only if the guy she met is been diagnosed with hiv. If you want to have a peace of mind then contact the person with whom intimacy was maintened and have him checked. And yes next time please keep in mind that protective measures go a long way I hope I clarified your doubts if not please buzz me goodluck and god bless
1 person found this helpful

My teeth are yellowish and sometimes gum bleeding also occur. Cavities also there. What should I do for it? Please help me.

BDS
Dentist
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My teeth are yellowish and sometimes gum bleeding also occur. Cavities also there. What should I do for it? Please he...
For Caviies : Having cavities is not a serious problem at all. Cavities which are not too deep can be excavated and be restored by a dental cement. Cavities that are very deep can be cured by root canal treatment followed by crown ( cap ). For better prevention of cavities , 1- Follow proper brushing technique. 2- Brush twice a day 3-clean your teeth immediately every time after you eat fiid or liquids. 4- Undergo scaling ( cleaning of teeth) at the interval of every 5-6 months. 5- Visit dentist for regular oral cavity check up every 4 months for the early diagnosis and prevention of dental diseases. For Bleeding Gums: Due to food deposit onto tooth surfaces and into the gingiva, gingiva gradually got infection and becomes swollen and inflamed, results in bleeding of gums... First of all undergo scaling (cleaning of teeth) by a dentist - Use proper brushing technique. - Brush twice a day which is most important (at night specifically just before sleep and avoid any food or liquid except water when you finish your brush at night) - After each meal (i. E breakfast, lunch, dinner and any time when you take snacks) rub your finger on all tooth surfaces inside and outside and than do forcefull gargles 2-3 times. Jay Swaminarayan.

I have mouth ulcers problem since childhood, I am 31 years old. Constipation or acidity could be one cause as I face them too occasionally. What could be ultimate solution to this problem or whom should I refer.?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist
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I have mouth ulcers problem since childhood, I am 31 years old. Constipation or acidity could be one cause as I face ...
Take good care of your stomoch add fibrous diet to your food as two bananas a day plenty of water take bnc cap daily use metrogyldg gel over ulcers.
7 people found this helpful

Even though I brush my teeth's every day and gargles at intervals, I feel unpleasant breath.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist
Ask Free Question
Even though I brush my teeth's every day and gargles at intervals, I feel unpleasant breath.
Get your teeth clean by the dentist and also the bleaching treatment if require by that treatment you will get good white teeth you are welcome to consult for more detail.

I am suffering with teeth pain for 2 days. On right upside. What can I do? I can't sleep with this. I can't concentrate my work. What is the reason?

oral implantology, BDS
Dentist
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I am suffering with teeth pain for 2 days. On right upside. What can I do? I can't sleep with this. I can't concentra...
Take pain killer tablet for pain relief like Dicloran A. consult a dentist near you for thorough check up and treatment accordingly.

Hi. Im sufi my teeth have pain n bad breath and my teeth gums are becoming black. My down side teeth gums are reducing please help me.

MDS , BDS
Dentist
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Hi. Im sufi my teeth have pain n bad breath and my teeth gums are becoming black. My down side teeth gums are reducin...
Tooth cleaning will help if pigmentation of gums becoming black is generalised then don't worry they are dark gums but if specific to certain teeth the please get check up.

I got my teeth in badly condition. It appears like black so what I should do?

MDS - Oral & Maxillofacial Surgery
Dentist
Ask Free Question
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

My teeth is really messed up, okay not that much but it is. My milk teeth (or rabbit teeth) is bigger than the rest and one on each side of them has grown only half length. What can I do to level all my teeth and make it perfect? Thanks.

BDS
Dentist
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My teeth is really messed up, okay not that much but it is. My milk teeth (or rabbit teeth) is bigger than the rest a...
Hello kevin, you are 15 year old your milk teeth ,would have now shed. They would be your permanent teeth .pls sent your photographs of teeth for better advice. may you need orthodontic treatment for proper alignment of your teeth.

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

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