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Dr. Vilas Dhanu

MBBS

Gynaecologist, Mumbai

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Dr. Vilas Dhanu MBBS Gynaecologist, Mumbai
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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. Vilas Dhanu
Dr. Vilas Dhanu is a trusted Gynaecologist in Bandra West, Mumbai. He is a MBBS . You can visit him at Dr. Vilas Dhanu@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Vilas Dhanu on Lybrate.com.

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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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Advantage of Using Dental Microscope in Endodontic Practice!

MDS, BDS
Dentist, Delhi
Advantage of Using Dental Microscope in Endodontic Practice!

Use of Dental Operating Microscope in endodontic therapy In all areas, from exposure of the access cavity and preparation to three-dimensional obturation and post endodontic management, the microscope provides major advantages over working without appropriate magnification. As a result, the use of the microscope can be expressly recommended for the following specific indications and special aspects.

For an endodontic specialist include: increased visualization, improved Quality and precision of treatment, enhanced ergonomics, ease of proper digital documentation and increased communication ability through integrated video.

1} Examination, diagnosis, and treatment planning - With enhanced visualization, the clinician’s ability to diagnose problems in the earlier stages of a disease process is possible. High-powered magnification allows endodontists to identify a microscopic blemish,colour alteration, tiny amounts of plaque collecting within the grooves, microscopic amounts of chalky white demineralization around the grooves, and tiny amounts of flaking of darkened carious tooth structure within the crevices of these grooves. Treatments also can be performed with a greater level of precision, thereby reducing the occurrence of failures and the need of redos.

2} Diagnosis of cracked teeth Microfractures and longitudinal fractures which are often difficult to diagnoseclinically and represent signs of occlusal damages which include cracks in teeth orrestorations, craze lines, wear facets, cracks at slightly elevated marginal ridges, or areaswhere the enamel has been worn by opposing porcelain, exposing dentin and thus causingsensitivity and pain can be viewed more precisely with DOM

3} Better visualization of pulp chamber, canal orifices Magnification allows endodontists to better identify anatomical landmarks, within thepulp chamber—including the sides, overhanging remnants of the pulp chamber roof, initialperforations into the pulp, dentinal map, canal orifices and to differentiate between the pulphorns and the main body of pulp within the chamber

4} During instrumentation , the improved ability to see specific canals allowsendodontists to maneuver files into canal openings with greater efficiency, to distinguishbetween vital and necrotic canals, and to detect tiny amounts of purulence or blood drainingthrough specific canals or see any tiny amounts of necrotic pulp material that were notremoved during canal instrumentation. So it is possible for an endodontist to determine if allcanals are accessed and instrumented properly when a direc t view might be difficult withoutremoving excessive amounts of coronal tooth structure

5} Locating hidden canals/canal systems Anatomical variations are not as rare or exotic as is frequently assumed as described by Walter Hess as early as 1917. Many of these important structures cannot be readily detected or treated with traditional endodontic treatment methods. If the radiographic image is examined more closely, there are often signs of unusual root and/or canal shapes like those caused by changes in the course of canal anatomy or root surface.An off center exposure or three dimensional image can provide further valuable information. Three rooted premolars, for example, are encountered in 6% of all first maxillary premolars. However, anatomical variations also include other complex structures like middle mesial canal in mandibular first molar and C-shaped canals in mandibular second molar (7.6%) . Without a doubt, the second mesiobuccal canal in maxillary molars (16% and 78% in vivo), which is often difficult to localize and prepare, is the reason why the failure rate is highest in first maxillary molars . Virtually all studies point to distinct advantages in the localization and treatment of this highly complex anatomical variation when using a dental microscope. The introduction of the dental microscope and the associated ability to inspect the root canals – both orthograde and retrograde – have fundamentally changed our understanding of dental morphology and its complexity.

6} Identification and removing of Obliterations and calcifications - These signs occur to a greater or lesser extent in 50% of all teeth, impairing instrumentation considerably or essentially preventing treatment of the canal system 

 Identification and removal of Denticles This specific form of calcification is also encountered very frequently, can block the canal entranceor even obstruct further instrumentation. Denticles can be found and negotiate readily with the help of a DOM

In Open apex cases Modern apexification therapies call for special treatment techniques and materials, the manipulation of which is facilitated significantly under a dental microscope .

Perforation repair Treatment of iatrogenic problem such as pulpal floor perforation, lateral root perforation and prognosis chiefly involve visualization of the problem so the microscope certainly plays a major role in this contex.

7} Removal of fractured post and instruments The enhanced vision with magnification and illumination from a microscope allows endodontist to observe the most coronal aspects of fractured post and broken instruments andto remove them without any major loss of tooth structure and perforations, the prognosis forpreservation of the tooth is quite good.

Microsurgical apicoectomy Incorporating microscopic approach in surgical endodontics, Use of the smaller retro mirrors it is possible to carefully examine the apical segment of the root endand perform an atraumatic , more moderated bevel apical resection procedures and permit a coaxial ultrasonicpreparation into the root, better management of the bone structures thereby making minimally invasive class Iretrograde cavity preparation and retrograde filling of the canal system and all its branches along the longitudinal axis of the root easy to perform

Microscope reduces distance and improves the overall treatment quality and encourages endodontists to review and perfect their own treatment concepts resulting in a positive impact on the entire practice structure but also increases the enjoyment of providing treatment.

 

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I am 19 years old and my marriage was on 30 april 2016 and I am having unprotected sex with my hubby till now 27 /06/ 2016. Still i did not get pregnant? Please suggest.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
I am 19 years old and my marriage was on 30 april 2016 and I am having unprotected sex with my hubby till now 27 /06/...
Hi lybrate-user, you are quite young and not everybody conceives in the first month. Keep trying. If you do not conceive in the next six months then I shall suggest you some tests.
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After how many days of intercourse do we get pregnant and is there a possibilty that pergnancy test kits show false results

MD - Maternity & Child Health
Gynaecologist, Bangalore
It is highly unlikely to get false positiv test wit preg kit. 3 days befor ur periods date u ll get it positive if u r pregnant not befor stree health care centre bangalore
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Its my 5th month of pregnancy and I am having severe hip pain and at times it gets blocked. Please give me suggestion regarding this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Its my 5th month of pregnancy and I am having severe hip pain and at times it gets blocked. Please give me suggestion...
gently massage with warm oil daily . ask your doctor for calcium supplements increase calcium diet intake. dry black grapes, fruits containing small seeds start cow ghee with milk
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Facing trouble conceiving? 3 Reasons you should consider IVF (In Vitro Fertilisation)

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Facing trouble conceiving? 3 Reasons you should consider IVF (In Vitro Fertilisation)
Facing trouble conceiving? 3 Reasons you should consider IVF (In Vitro Fertilisation)

In vitro fertilization (IVF) is a medical procedure that side-steps the sexual act of conceiving and helps infertile couples, conceive a biological child. It involves the manual process of fertilization by combining an egg and sperm in the laboratory and then implanting the embryo into the female to impregnate her.

The inability to give birth through the natural way is caused due to complications like: blocked fallopian tubes, unexplained infertility, polycystic ovary syndrome or PCOS, endometriosis: where parts of the womb lining grow out of the womb, premature ovarian failure and so on.

If you or your partner is having trouble conceiving, you should opt for in vitro fertilization. It holds benefits like-

1. High success rates: Women who underwent in vitro fertilisation using fresh embryos of their own fresh eggs, the projected live birth percentage was 32.2% for those under 35 years, 27.7% for women aged between 35 and 37 years, lowering to 5.0% in 43 to 44 year olds and 1.9% for ages above 45. It has been proved that a female’s ability to conceive decreases with age. If infertility is detected at a younger age, the process of IVF is highly advantageous and successfully results in childbirth.

2. Proven track record: Technology has come a long way since the first baby via IVF Louise Brown was born in 1978 using a natural IVF. Medical techniques have advanced to create safer and successful treatment. The usage of the safest forms of IVF with low drug regimens today, have prevented side effects such as ovarian hyperstimulation syndrome (OHSS).

3. Harvests multiple eggs: If you are planning to have more than one child, via IVF you can freeze multiple eggs for future use. Unused or spare embryos can be donated to medical organisations for research purposes or to another couple willing to have a child.
IVF has proven successful in giving couples a wholesome and happy life.

3270 people found this helpful

Hello, I am 34 years old working woman, I have thyroid n taking thyronorm 100 mg in morning. My current test report of tsh level is 21.75. I am in a very critical condition, my legs, thais, n face r swelling, pain in legs and below the back every time. I'm not able to walk and step stairs lot. Please advise me what I do to live energetic life again.

MBBS
General Physician, Mumbai
We should increase the dose of thyronorm to 150 mg and would like to know your blood reports regarding cbc, lipid, creatine levels and urine r/m.
3 people found this helpful
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Belly pain at the time of periods please give me ans how to remove pain in that time instant.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Belly pain at the time of periods please give me ans how to remove pain in that time instant.
following of periods paricharya strictly during period days in neccessary for irregular painless menses take rest in periods days for more details consult privetly
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Polycystic Ovarian Disease

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
Polycystic Ovarian Disease

Polycystic Ovarian Disease results from the disorder more commonly known as PCOS or Polycystic Ovary Syndrome. A syndrome is starkly different from a disease, for the former entails a set of symptoms usually occurring in concurrence, while the latter means a particular biological condition with an identifiable reason behind it. 

A syndrome solicits your concern and forethought in order to eliminate or at least control the chances of an underlying disease. Trigger to a syndrome is undetectable and hence fighting it efficiently is fairly problematic. It is rare to find adolescent girls without hormonal problems.
 
Hormonal imbalances are just too common to be a novel topic any further. Polycystic Ovary Syndrome is faced due to imbalances in hormone secretions. It refers to the development of multiple cysts in your ovary. This condition usually affects women falling within the age group of 15 to 50. Eight among ten women, at a given point of time, are reported with PCOS. Symptoms of PCOS, when neglected, can lead to Polycystic Ovarian Disease. If you have been facing similar health issues, it is advisable to undergo a check- up and get diagnosed at the earliest possible. 

Symptoms of Polycystic Ovarian Disease

  1. A receding hairline or increased hair fall can lead to thinning of scalp hair. Such a sign should not be taken lightly as it could be indicative of Polycystic Ovarian Disease.
  2. Extremely painful menstruation, irregular periods or prolonged periods with heavy bleeding might be reason enough for worrying.  
  3. Development of acne could be another sign. Acne is common to girls attaining puberty, but an unprecedented growth should be a matter of concern. 
  4. Patchy skin, pigmentation and discoloration of the skin are the other symptoms.
  5. PCOS may also result in continual depression and anxiety.
  6. Obesity is the most commonly noticed symptom. People suffering from Polycystic Ovarian Disease have lower metabolism and thus, reducing weight is an ordeal. 
  7. Many women tend to grow thick facial hair or chest hair. Such a condition discourages the person to go out in public. It leads to social ostracizing which further bears severe effects on one's mental health.
  8. PCOS mostly affects women belonging to the childbearing age. As a result of this syndrome, females stop ovulating. Conception becomes extremely difficult as the syndrome may lead to infertility.

Polycystic Ovarian Disease can result in Type 2 diabetes or even cardiovascular problems. If not diagnosed and treated at an early stage, it might lead to ovarian cancer. There is hardly any preventive measure to counter the chances of such a syndrome, but certain alterations in your diet under the guidance of a dietician and regular exercising can improve your health.

Related Tip: "What is Polycystic Ovarian Syndrome?"

3615 people found this helpful

Period ke baad kya karu ki pregnancy jaldi ho jae. Kya iski koi medicin ati h jisse ovulation time pe ho.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Period ke baad kya karu ki pregnancy jaldi ho jae. Kya iski koi medicin ati h jisse ovulation time pe ho.
Hello, you can have follicular monitoring to see when your egg is maturing and have sexual contact in favorable period.
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By doing deep vaginal oral sex with my gf eating vaginal fluid her. But before sex we wash our gender properly and both hiv-ve. What type of infection occur on my health Like hepatitis A B C or syphilis orhiv Give your ans in brief.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, if everything is normal, there is no problem. These infection occur only if microorganisms are present.
2 people found this helpful
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I did a pregnancy test and got one dark line another slightly dark but next day I got my monthly periods .tell me am I pregnant or not.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I did a pregnancy test and got one dark line another slightly dark but next day I got my monthly periods .tell me am ...
Is thebleeding regular or less in amount. Sometimes chemical pregnancy can happen. If the bleeding is less can check for pregnancy in the blood. For total hCG.
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Hello docter. I am from jagadhri. I am facing problem with my periods. My periods doesn't stop since 8 days. Usally it take 3 days. It is due to deficiency of iron. I had face this problem before also when I was 15. I am feeling weakness. Please suggest me how to stop periods and also suggest me iron pills.

Advanced Aesthetics
Ayurveda, Gulbarga
Hello docter. I am from jagadhri. I am facing problem with my periods. My periods doesn't stop since 8 days. Usally i...
Heavy periods, also called menorrhagia, is when a woman loses an excessive amount of blood during consecutive periods. In most cases, no underlying cause of heavy periods is identified. However, some conditions and treatments have been linked to menorrhagia, including: ? uterine fibroids ? intrauterine contraceptive devices (IUDs) ? anticoagulant medication ? polycystic ovary syndrome (PCOS) ? he cause of the problem may sometimes need to be investigated further. This will usually involve having a pelvic examination. A blood test may also sometimes be recommended to check for anaemia (iron deficiency). ? If a cause is still not found, then you may have an ultrasound scan Treating heavy periods In some cases, heavy periods do not need to be treated, as they can be a natural variation and may not disrupt your lifestyle. If treatment is necessary, medication is most commonly used first. However, it may take a while to find the medication most suitable for you, as their effectiveness is different for everyone and some also act as contraceptives.
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I am 26yers male, having a doubt about pregnancy. We are planning for it and what is the right time for pregnancy. Can you please give me suggestions for it.

MBBS
General Physician, Chandigarh
I am 26yers male, having a doubt about pregnancy. We are planning for it and what is the right time for pregnancy. Ca...
Two weeks before the next cycle is the ovulation day and that is the time when a women conceives so if her cycles are regular 28 days apart then 14 th or 15 th day is the ovulation day that time and a couple of days either side is the best time to have sexual intercourse for a successful conception.
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Hi, My wife is 25 years old and we got married a year ago. She has been suffering from frequent white discharge with bad odor. She has been to various doctors and taken several antibiotics for all fungal, bacterial and protozoal infections. But still, the problem is persisting. Any advice?

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hello, vaginal and pelvic infections are recurrent in nature. The medicine given to her may be required to be repeated. Moreover, both of you should be treated simultaneously.
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I had my periods on may 15 then had sex on may 20! Frm 26th may I started to bleed like my periods for 3-4 days but bleeding was bluish brown! And today it's June 25 and still I didn't have my periods! Am I pregnant.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
I had my periods on may 15 then had sex on may 20! Frm 26th may I started to bleed like my periods for 3-4 days but b...
Dear lybrate user, u had intercourse on 6 th day of ur menstrual cycle so there is no chance of becoming pregnant,secondly u again had bleeding for 3-4 days. So there is no pregnancy but this irregularity of menses if continues u might need treatment.TC
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I am having urine problem and white discharge problem from last four years so it means that I am having diabetes.

MD - Homeopathy, Masters Degree of Homoeopathy
Homeopath, Mumbai
I am having urine problem and white discharge problem from last four years so it means that I am having diabetes.
HI Darshana, Having urine problem and white discharges doesn't qualified you as a diabetic person, but to rule out diabetics you should get you fasting and post lunch blood sugar level done. Your complaints are related to UTI and leucorrhoea., which is infection so please get yourself check and take proper medication to solve your issue.
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