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Dr. Sheetal K. Savla

Dentist, Mumbai

Dr. Sheetal K. Savla Dentist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sheetal K. Savla
Dr. Sheetal K. Savla is a renowned Dentist in Mulund West, Mumbai. You can visit him at Dr Savla's Dental Clinic in Mulund West, Mumbai. Book an appointment online with Dr. Sheetal K. Savla on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 28 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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101, Koteshwar Plaza, 1st Floor, Near Kothari Niwas, RHB Road, Mulund West, MumbaiMumbai Get Directions
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BDS, PGDFO
Dentist, Gadchiroli
Some oral diseases do not get detected until they reach their mature stage. Visiting a dentist at regular intervals would mean keeping constant tabs on your oral health.
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I have something wrong in tongue from inside and I have indigestion problem I am alwAys feel sick and sleepiness.

MDS
Dentist, Kolkata
I have something wrong in tongue from inside and I have indigestion problem I am alwAys feel sick and sleepiness.
Hello lybrate-user, if you are feeling sick and sleepy for a long time you should get your blood sugar level checked both fasting and post prandial (after meal). Juvenile diabetes is very common at your age. You can also check HbAc (glycated hamoglobin level) which determines since when is your blood glucoae level altered. About your tongue, it can be fungal infection (which are common in diabetic individual) and can be easily treated by few antifungal medication. As far as indigestion is concerned change your lifestyle have food on time, avoid junk foods. Avoid long gaps between the meals. Hope this is helpful.
1 person found this helpful
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Having Gum problem. It's bleeding while brushing and roots are becoming weak. Pls let me know the best way to come out of this.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
Having Gum problem. It's bleeding while brushing and roots are becoming weak. Pls let me know the best way to come ou...
You many be suffering from pyorrhea sofirst go for proper consultation and diagnosis and according to dentist advise go for treatment ,you may required deep cleaning and scaling your teeth.
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Here's my opg. I have severe gum pain due to wisdom tooth. Doctor told me to continue medication for seven days. Some doctors told me to remove wisdom tooth. What to do now?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Here's my opg. I have severe gum pain due to wisdom tooth. Doctor told me to continue medication for seven days. Some...
Hello, you can do warm salt water rinses as a home remedy, but this will give only temporary relief from pain. You need to visit a dentist get it checked. Get an x-ray done. The best treatment for the wisdom tooth is to get it removed.
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I have a bad breathe always. Brush my teeth for 3 times a day. What should I do to avoid this bad breathe. Thank you.

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
I have a bad breathe always. Brush my teeth for 3 times a day. What should I do to avoid this bad breathe. Thank you.
Brushing is advised only twice a day. Overbrushing might destroy your enamel and cause sensitivity. Bad breathe has several reasons. It can be because of deposits or food particles remain inbetween your teeth. Or it can be due to medical conditions like gastric reflux, diabetes, lung infection, sinusitis or medications for chest pain and all. So before treating the problem, we have to know the cause so that we can eradicate it from roots. For time being use mouthwash and go for a dental check up soon to get the treatment.
1 person found this helpful
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BDS, PGDFO
Dentist, Gadchiroli
Available in multiple flavours, the nylon (or multifilament) floss is composed of many strands of nylon, but it has a tendency of getting torn between teeth with tight contact points. Although if used properly, it works excellently while removing plaque and debris.
12 people found this helpful

Sir. I am 19 age. Ma teeth are yellowish I want 2 white teeth sir. please suggest me any paste. Or any medicine. I don't know why my teeth turn in yellow ma ammi (mom) said that in childhood you not brush it.

oral implantology, BDS
Dentist, Jaipur
Sir. I am 19 age. Ma teeth are yellowish I want 2 white teeth sir. please suggest me any paste. Or any medicine.
I do...
Get your teeth cleaned professionally by scaling and polishing. If you are not satisfied with the results go for bleaching of teeth. some cases there are intrinsic stains due to excessive fluoride in water or due to some medication taken by your mother during her pregnancy time
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I can not open mouth due to fiborious. Only two finger inserted. Tell me any good medicine to open my mouth properly.

BDS, PG Diploma In PG Advance Course Of Oral Implantology On New Generation Implants, PGDHHM
Dentist, Gurgaon
I can not open mouth due to fiborious. Only two finger inserted. Tell me any good medicine to open my mouth properly.
stop habbit and eat more green vegetables and start cap SM Fibro two times a day for 1 month. and then inform about your condition.
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I have tooth problem I want a suggestion to control the blooding of gums and improve the brightness of teeth.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
I have tooth problem I want a suggestion to control the blooding of gums and improve the brightness of teeth.
Get scaling done for plaque removal. Rinse your mouth with chlorhexidine mouthwash. Brush regularly twice daily. Rinse after every meal. And if doctor suggests get bleaching done also.
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I am 34 years old, I ate pan masala for quite long. I have done scaling too. I want to go for scaling again can you advise does scaling hv ny side effects on teeth,

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am 34 years old, I ate pan masala for quite long. I have done scaling too. I want to go for scaling again can you a...
It usually does not have any side effects. Practically there are more side effects of pan-masala that you have been eating but you still can't stop it. So better go for it. It is safe and no as-such side effects. Take care. :)
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After finishing my lunch or dinner, when I am doing gargle and spitting on basin, then I am finding very little blood spotting where as there no cut inside mouth or tongue. This is happening from yesterday onwards. Can anyone suggest what could be the reason behind it?

oral implantology, BDS
Dentist, Jaipur
After finishing my lunch or dinner, when I am doing gargle and spitting on basin, then I am finding very little blood...
This could be due to swelling in gums. Which sometimes causes spontaneous bleeding while chewing food. Get your teeth cleaning done by professional dentist.
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Actually my teeth gums became black and as usual i am suffering with mouth ulcer due to that so in which way are there any remedies to get my teeth gums to turn into normal position .

BDS
Dentist, Gandhinagar
Black discolouration is because of what we have to find it first, so please consult the Dentist without hesitation, there must be way to make it normal once we know the reason.
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Respected doctor. I am from vizag. I have teeth problem. My mouth is bad smell out. Also blood bleeding from my teeth with fully gumming. Please help me what will I do?

BDS
Dentist, Jaipur
Respected doctor.
I am from vizag. I have teeth problem. My mouth is bad smell out. Also blood bleeding from my teeth...
You have to go with scaling and rootplaning procedure. You might be pyrrohoea problem starts. Brush twice daily along with use mouthwash regularly. Also clean your tongue with tongue cleaner because tongue also harbour more debris on it so it starts smelling.
2 people found this helpful
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I have highly gastric and acidic problem where my ear, nose, mouth becomes dry and blockage in my ears with sticky substance, tongue is absolutely white with acid and dry including nose feels uneasy with respiration problems.

BDS
Dentist, Delhi
Sir, your problem is complex and definitely giving you a lot of discomfort. You must get a consultation from gastro specialist doctor. Please do not do self medication. Much of your problem will be relieved if acidity is controlled.
3 people found this helpful
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I CONSULT DIENTIST MY 6 TOOTH R MISSING BY BIRTH SO MY QUESTION IS WHAT WILL BE THE COST OF CLEANING AND FILLING,IMPLANT AND WHAT I DO DENTURE CAP OR IMPLANT ?

BDS, MDS Prosthodontics
Dentist, Mumbai
Cleaning around 500-800 rs, filling around 500-1000 rs. Rest of treatment can be explained after consultation to tell you which is the best treatment for your case.
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Healthy Gums

B.D.S.
Dentist, Nashik
Healthy Gums

Healthy Gums

You can exercise for healthier gums as well. Gently bite down so as to make sure that your teeth make a clinking sound when they meet. Repeat this 30 to 40 times continuously. This exercise will stimulate the flow of blood and will keep your gums healthy.

20 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

He Is having teeth problem he want to remove the teeth is it good or bad for his future.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
He Is having teeth problem he want to remove the teeth is it good or bad for his future.
Loss of any organ can not b good , teeth r important organs of the body they should b preserved as long as possible to give u perfect service
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