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Dr. Raunak Kulkarni

Dentist, Mumbai

100 at clinic
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Dr. Raunak Kulkarni Dentist, Mumbai
100 at clinic
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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. Raunak Kulkarni
Dr. Raunak Kulkarni is a popular Dentist in Mumbai, Mumbai. She is currently associated with Creative Smile Dental Clinic in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Raunak Kulkarni on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 40 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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Creative Smile Dental Clinic

#3, Pawan Palace, 348, Sitladevi Temple Road, Mahim, MumbaiMumbai Get Directions
100 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am having uneven teeth on the front side. What could be done to have aligned teeth without going through the therapy of braces.

BDS, Masters in Immediate Loading Implants, Digital Smile Degin , Fellowship in Implantology
Dentist, Gurgaon
I am having uneven teeth on the front side. What could be done to have aligned teeth without going through the therap...
Invisalign or invisible aligner are transparent plastic which you have to wear for aprox one year similarly like braces but they are totally invisible. Ask your dentist for it.
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I have a dentist surgery tomorrow. I have an infection in my gums. So I have an appointment tomorrow. Can I have alcohol today night? Or is it dangerous to get drunk before the night before surgery?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I have a dentist surgery tomorrow. I have an infection in my gums. So I have an appointment tomorrow. Can I have alco...
Dear lybrate user. I understand. You have a gum infection. You are going to have a surgical procedure on your gums for the infection. If you ask any health care practitioner, regarding consumption of liquor, no one will allow or permit or advise you. That is never good. So do not have liquor tonight. Take care.
1 person found this helpful
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I have a long front 6 teeth, so it's not look good. I want to short a length of my teeth. Is it safe to doing all this? What is cost will come in doing all this process?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I have a long front 6 teeth, so it's not look good. I want to short a length of my teeth. Is it safe to doing all thi...
U can't shorten teeth just like that consult a orthodontist u may require braces cost about fifty k n above
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Good Morning sir. I am saddam from new Delhi. I have a problem on my teeth. My one left-down tooth is rot during childhood. And now there is pain some times last 1-year. And also bleeding from there. What should we have to do. Please advised to me. Thank you very mach.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Good Morning sir. I am saddam from new Delhi. I have a problem on my teeth. My one left-down tooth is rot during chil...
Cal phos 3c 4tims day for 10days Kreost 12c 4tims day for 10days Cal fluor 12c 3tims day for 10days Chamo200 once Bell3 c liquid 4tims day
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Is root canal a better option instead of extracting a paining Wisdom Tooth? How frequent a pain killer a should be taken to relax a pain?

BDS, Certified Implantologist, ABCD Endo/Aesthetic Course
Dentist, Pune
As far as wisdom tooth s concerned, it s always better to extract it since it s a rudimentary just like appendix (hardly plays any role in mastication) but, if, an opppsing teeth is present in the same arch, one should consider r. C. T preferrably.
3 people found this helpful
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BDS (GOLD MEDALIST)
Dentist, Jamshedpur
Keep your Gums always healthy.

A.C.C.I - Accredited and Certified Course in Implantology, MDS - Pediatric & Preventive Dentistry, BDS
Dentist, Jammu
To make your teeth last long and avoid painful dental treatment it is better to have your teeth checked and if the decay has initiated - to stop the same by having it treated with Pit and fissure sealants. This is the new age - Minimally Invasive Dentistry (MID).

BDS, PGDFO
Dentist, Gadchiroli
Our teeth perform the primary function of breaking down the food particles for further intake. So, healthy teeth equals to a healthy body. Visit a dentist every once in a while to keep your primary organs healthy.
1 person found this helpful

There is one problem in my teeth. I am feeling very painful. please tell me any good medicine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
There is one problem in my teeth. I am feeling very painful. please tell me any good medicine.
Tooth ache may be due to infection, tooth decay, gum problem etc. Anything stuck in the teeth may also cause the problem. Homoeopathy has a good treatment for this without adverse effects. Take magnesia phos 200 twice daily in the morning and evening.
1 person found this helpful
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I often feel pain in my tooth. And when I brush my teeth it is raining blood through tooth. What I have to do now?

MDS
Dentist, Sangli
I often feel pain in my tooth. And when I brush my teeth it is raining blood through tooth. What I have to do now?
you probably need, ultrasonic teeth cleaning by dentist. If you suffering from dental cavity, then filling or RCT will be best treatment.
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Hi. I have undergone route canal treatment for one my tooth. Wanted to know is waring tooth cap is mandatory? or is it fine without cap.

BDS
Dentist, Bangalore
Cap is not mandatory in all cases. If your tooth can be restored by normal filling only, you dont require cap. If tooth is badly decayed and not in state of filling, you require a cap for extra strength.
1 person found this helpful
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My mom is 46 years nw bt nw a days her 2 teeth starts loosing nw plzz prescribe me a good suggestion.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My mom is 46 years nw bt nw a days her 2 teeth starts loosing nw plzz prescribe me a good suggestion.
Consult a periodontist u may require gum surgery than brush twice daily especially at night massage gums
1 person found this helpful
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I have very bad breath. My teeth are yellow always. How can I get rid of that. please suggest me how get my teeth white. Plzzzzzzz help me.

BHMS, MD - Homeopathy
Homeopath, Gurgaon
I have very bad breath. My teeth are yellow always. How can I get rid of that. please suggest me how get my teeth whi...
You should definitely visit a dentist. Keep your mouth clean. Brush at least twice a day. Use a mouth wash. Rinse your mouth always after eating something. Eat less sugar. Keep your stomach healthy by eating healthy food.
5 people found this helpful
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BDS
Dentist, Thanjavur
Whiten your teeth, lubricate your gums and get the flossing done by conducting one easy and simple folk remedy known as oil pulling. Get that extra shine on your teeth by sloshing your mouth with coconut, sesame or sunflower oil for 15 minutes and then spitting it out.

B.D.S
Dentist, Jaipur
Visit dentist for regular check up to prevent tooth decay.

I have too much pain in my teeth, to infection, so what should I do to cure it pls. Tell me.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have too much pain in my teeth, to infection, so what should I do to cure it pls. Tell me.
We need more investigations with clinical examination to decide upon treatment. You may need cleaning, root canal treatment & capping. Until then apply clove oil on the decayed tooth. Rinse frequently with mouth wash.
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One of my wisdom tooth is not coming out completely its like coming sideways and is having a very large gap in between which has a strange odour.

MDS Endodontist
Dentist, Panchkula
Sahil the bad odour is due to the food lodgement in the space. You can keep the are clean by using a interdental brush. But if the problem still persist then get your wisdom teeth extracted because this will lead to decay of your adjacent teeth.
1 person found this helpful
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Hi, My teeth become yellow but I brush everyday 2 tym one tym in morning or one tym at night bt my teeth becomes yellow what can I do to get a white and shinier teeth.

BDS
Dentist, Bangalore
Hi,
My teeth become yellow but I brush everyday 2 tym one tym in morning or one tym at night bt my teeth becomes yell...
There are several causes of tooth discoloration, including: foods/drinks. Coffee, tea, colas, wines, and certain fruits and vegetables (for example, apples and potatoes) can stain your teeth. Poor dental hygiene. Inadequate brushing and flossing. Here is home remedy for brighter teeth--- mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid effecting enamel. If you are using just water you can leave it on for up to 3 minutes. For faster result you can go for teeth bleaching from dentist.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

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