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Dr. N.Dhineksh Kumar

MDS - Oral & Maxillofacial Surgery, MOMSRCPS

Dentist, Nagercoil

13 Years Experience  ·  500 at clinic  ·  ₹500 online
Dr. N.Dhineksh Kumar MDS - Oral & Maxillofacial Surgery, MOMSRCPS Dentist, Nagercoil
13 Years Experience  ·  500 at clinic  ·  ₹500 online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. N.Dhineksh Kumar
He has helped numerous patients in his 13 years of experience as a Dentist. He is a MDS - Oral & Maxillofacial Surgery, MOMSRCPS . Book an appointment online with Dr. N.Dhineksh Kumar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 39 years of experience on Lybrate.com. You can find Dentists online in Nagercoil and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MDS - Oral & Maxillofacial Surgery - Ragas Dental College & Hospital - 2005
MOMSRCPS - Royal college of physicians and surgeons Glasgow - 2009

Location

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My mother age 79, diabetes patient but sugar under control. But from few days she feels no taste in tongue what to do?

BDS
Dentist, Pune
Some theories suggests that there is a relation of altered taste sensation associated with diabetes. Long standing diabetes can damage nerves which can cause such symptoms. Consult your dentist for. More help.
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I am having a bad-breath. I drink about 5 liters of water a day but does not help. Can I please get your kind advice?

BDS
Dentist,
Have dental check up get cleaned your teeth and give me a feedback back so that I can help you more.
1 person found this helpful
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I am decided to wear braces for teeth but my dentist want to remove two upper teeth and two lower teeth But my friends saying that by removing teeth it effects your eye. Is it true it causes any effect on eye, it effects any another body part or it causes any effect on future?

BDS
Dentist, Delhi
I am decided to wear braces for teeth but my dentist want to remove two upper teeth and two lower teeth
But my friend...
Dear lybrate-user, for better alignment of teeth, we need to create some space in the jaw towards which the teeth will move over the course of treatment. If you go ahead without extraction, the existing teeth in your jaw will become crowded and overlap one another due to lack of space. Hence, such extractions are necessary during most orthodontic treatments (braces). Also, unlike what was traditionally believed, these extractions do not adversely affect your eyesight or any other part of your body. These notions are totally mythical and have no scientific basis. Please go ahead.
1 person found this helpful

Sir, I need to help My mouth is open to only one finger. What should i do for this?

BDS
Dentist, Allahabad
Sir, I need to help
My mouth is open to only one finger. What should i do for this?
it can be oral submucus fibrosis for that blow air in large baloon take out air and blow again if bilateral ankylosis then only surgrical way out
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I am 22 years old male, there is cavity in some of my Molars ,I have started brushing regularly 2 times ,still there is no effect ,what should I do?

MDS Prosthodontics, BDS
Dentist, Erode
I am 22 years old male, there is cavity in some of my Molars ,I have started brushing regularly 2 times ,still there ...
Once cavity formed they have to be properly restored by fillings. Brushing helps to prevent the cavity progression only.
2 people found this helpful
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Hi sir I fall in a dental issue. When my age is below 16 years there a small accident and my one teeth is damaged. Can I repaired that.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hi sir I fall in a dental issue. When my age is below 16 years there a small accident and my one teeth is damaged. Ca...
If the tooth breaks, have the tooth contoured. Fill the crack in. Place a crown on your tooth. If the tooth has been badly damaged and the nerve or pulp is exposed, the dentist may have to perform a root canal to save the tooth. If the tooth has been severely damaged, it may have to be extracted.
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Mere teeth thode bahar he Jo acche nahi lagte me kya kru ise thik karne ka treatment bahut lamba he or 1 sal me meri sadi he so please me kya karu.

BDS
Dentist, Ujjain
Mere teeth thode bahar he Jo acche nahi lagte me kya kru ise thik karne ka treatment bahut lamba he or 1 sal me meri ...
Agar aapke teeth bahar hai aur aapki shaadi ko 1 saal hai. Toh mei aapko yahi suggest karunga ki aap jald se jald apna treatment shuru karwa de. Jisme aapko teeth mei taar (orthodontic) lagenge. Jo ki 1 saal mei complete ho jayega.
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I am suffering from tooth ake from 3days they said they have to do root canal treatment is there any alternative for this.

Master of Clinical Dentistry, Bachelor of Dental Surgery
Dentist, Mumbai
I am suffering from tooth ake from 3days they said they have to do root canal treatment is there any alternative for ...
If the nerve is infected, the only 2 treatments possible are root canal treatment or extraction of the tooth.
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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

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

14 people found this helpful

Mera tongue pink colour se white ho gaya hai. Main roz saaf karta hun. But aisa kyun. Kis mein saaf karne se acha saaf aur sundar tongue dekhega.

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
Hello lybrate-user hi. I hope apke tongue ka whiteness, jyada white aur patchy nahi hai. Agar aesa hai to apko immediately kisi ache dentist ko dikhana chahiye. Woh pre cancerous condition ho sakta hai. Aur agar normal gandagi jaisa whiteness hai toh regularly saaf kijiye, khane ke baad muh kula kijiye. Sab thik rahega. Dhanyabad.
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