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Dr. Chitra Agarwal

Dentist, Navi Mumbai

Dr. Chitra Agarwal Dentist, Navi Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Chitra Agarwal
Dr. Chitra Agarwal is a trusted Dentist in kopar khairane, Navi Mumbai. You can consult Dr. Chitra Agarwal at Om Dental Clinic in kopar khairane, Navi Mumbai. Save your time and book an appointment online with Dr. Chitra Agarwal on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 34 years of experience on Lybrate.com. Find the best Dentists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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RH- 1, Gulmohar CHS, Sector 6, Plot no. 89, Kopar Khairne, Landmark: Near Sanjeevani Hospital, Navi MumbaiNavi Mumbai Get Directions
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MDS - Orthodontics
Dentist, Rajnandgaon
Brushing baking soda on your teeth twice a month can remove the stains of coffee or red wine and give you your pearly white teeth back.
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I am suffering from tooth sensitivity receding gums exposing tooth dentin visible in front lower incisors. * Teeth looks a little transparent and cracked but otherwise normally strong. * Mouth feels dry. * Mild burning sensation throughout the jaw and gums. 5 years back I had accidental cigarette butt/ash ingestion (nicotine poisoning. I had these symptoms since then. Is nicotine poisoning responsible? I do had aggressive brushing habit or is it because of that? What kind of treatment will be required.

MDS
Dentist, Bangalore
I am suffering from tooth sensitivity receding gums exposing tooth dentin visible in front lower incisors.
* Teeth lo...
Dear, from what little information I could gather from your letter it looks like the recession of your gums and sensitivity are both related to your aggressive brushing habit. Excessive force applied during brushing causes abnormal wear of the insulating layer of teeth called enamel, as a result the underlying sensitive layer called dentin gets exposed. Recession of gums due to wrong brushing causes a tissue on root surface of teeth called cementum to be exposed & this is another common cause of sensitivity. I would recommend correcting your brushing technique, using a soft bristled brush with desensitizing paste and avoiding citrus fruits for a while. Mild burning sensations that you are complaining of, could be due to gingivitis, I would suggest that you consult a periodontist to get definitive diagnosis as some conditions can only be diagnosed in the clinic. Symptoms of acute nicotine poisoning will not last beyond a few days so don't worry about it.
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My tongue gets sore very frequently and it never gets healed 100%. Don't know the reason behind it. What could be wrong?

BDS
Dentist, Vadodara
Everyone doesn't have pearl white teeth. Your teeth color matches your skin colour. You can go for scaling and polishing followed by bleaching for more whiter teeth.
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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,
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

How to sopt bleeding form teeth. And how stop pariya and which madicimedicine should I use for this disease.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
How to sopt bleeding form teeth. And how stop pariya and which madicimedicine should I use for this disease.
- use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water or hydrogen peroxide to keep the area clean. Avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums. - eat a balanced diet and limit snacking between meals. Carbohydrates and sugars feed dental plaque. - try an oral irrigation device, commonly known as a" water pick, to clear debris from around the gum line. - you may need deep cleaning along with surgical curettage or gum strengthening procedure. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser.
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BDS
Dentist,
You can’t brush every time you eat. But you sure can drink water or at least rinse your mouth with water every time you do so. Water neutralises the effects of acidic and sugary foods. Rinsing removes food particles left behind on/ between the teeth.
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Sir from last 3 months my last teeth is decayed. Due to decay It is broken half. Whenever I intake water n food it pains hardly. It is paining too. So sir please suggest me solution from this tooth pain.

BDS
Dentist, Mumbai
Sir from last 3 months my last teeth is decayed. Due to decay It is broken half. Whenever I intake water n food it pa...
If it is decayed and broken and not useful and beyond recovery and repair better take advise from doctor and get this removed.
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Hello sir I have done my root canal week before but because of some traveling I haven't filled my drilled tooth yet. Is it okay if I do it in day of two?

BDS
Dentist, Bangalore
Hello sir I have done my root canal week before but because of some traveling I haven't filled my drilled tooth yet. ...
it is ok but take care while chewing food.. that tooth might get fractured because it is weak at this time...and get the permanent filling done as soon as possible. ..
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My mouth is not opening fully I have been eating tobacco for 3 months please suggest me what I do to get rid of this problem.

BDS, FOI, MDS - Orthodontics, FPFA, Ph.D.
Dentist, Ahmedabad
My mouth is not opening fully I have been eating tobacco for 3 months please suggest me what I do to get rid of this ...
1. stop tobacco - must 2. take healthy diet 3. take multi vitamin tablet 4. start mouth exercise - try to open mouth as much as possible for 10 sec , do it for 15 times per day.
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I am under so pain. Because of growing wisdom tooth I can't even chew the food it's very difficult to bear please suggest me!

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am under so pain. Because of growing wisdom tooth I can't even chew the food it's very difficult to bear please sug...
Wisdom teeth usually make their appearance between the ages of 17 and 21, though it's possible for them to push through earlier or later. Referred to as your" third molars, these four teeth begin to push through the skin like any other tooth, which can cause pain. However, wisdom teeth are much more likely to grow in at an incorrect angle – even sideways – causing impaction that can radiate this pain to the teeth in front of it.
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When I drink cold water and eat the ice cream then start the pain in my teeth. Why start the pain in my teeth and gum?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
When I drink cold water and eat the ice cream then start the pain in my teeth. Why start the pain in my teeth and gum?
Hello, pain could be because of 1.cavity 2. Infection to the roots of tooth. Consult a dentist, if there is a cavity get it filled and if there is any infection to roots get it treated.
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Hello doctor. I have a very bad breath can you please suggest me something to stop my breath being so bad? Thank you.

BHMS
Homeopath, Solan
Hello doctor. I have a very bad breath can you please suggest me something to stop my breath being so bad? Thank you.
Hi, please take homeopathic medicine merc sol 200 6 pills twice a day and report back after with feedback. And drink lots of water.
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I am suffering from bad smell in mouth. I am doing proper care but no result and no problem in teeth. So what can I do?

BDS
Dentist, Delhi
I am suffering from bad smell in mouth. I am doing proper care but no result and no problem in teeth. So what can I do?
Ideally you should visit to dentist for cleaning of teeth because mostly bed smell is due to deposits in your mouth. But for now you can use mouthwash after meals. Sometimes bad breath is side effect of some medications also.
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I am having gum bleeding during brushing my teeth. My mouth smells often. Please help me.

BDS
Dentist, Chandigarh
I am having gum bleeding during brushing my teeth. My mouth smells often. Please help me.
Well you are suffering from gum infection. Undergo scaling procedure first from nearby dentist. Then go for medication.
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I have completed my root canal treatment, now I want to put cap on them. What should I do now. How much costs for caps?

MDS - Pediatric and Preventive Dentistry, BDS
Dentist, Mumbai
I have completed my root canal treatment, now I want to put cap on them. What should I do now. How much costs for caps?
There are multiple types and brands of caps available ranging from 2500 to 15000 depending on which tooth, bite and other factors dentist can suggest which cap is best for you.
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How Toothache and Headache Are Related?

MDS
Dentist, Delhi
How Toothache and Headache Are Related?

One of the main reasons of a severe headache is a prolonged toothache. Toothaches are extremely painful and can prevent you from enjoying your food. It becomes difficult to speak if toothache is unbearable.

Causes of Toothache:

  1. Tooth decay.

  2. Tooth fracture resulting from an accident.

  3. A painful infection at the root of your teeth or your gums. This is known as tooth abscess.

  4. Chewing gum continuously and grinding the teeth.

How does toothache cause headache?

Sometimes, a tooth becomes very inflamed and since the nerve endings are connected to the brain, this, in turn makes the pain travel to different parts of your head. Generally, people with bad cavities or caries have major headaches and migraines.

The inside of a tooth consists of a pulp. This pulp can get infected. If this tooth happens to lie in the upper jaw, then the pain is transferred to the head which can cause a severe headache.

Headaches can also be caused by TMJD (Temporomandibular joint dysfunction). This usually occurs spreading from the face, jawline and neck right up to the head. In extreme cases, the jaws might be locked up and it makes clicking or grinding noises. Misalignment of the teeth can be a cause by TMJD which in turn affects the head greatly.

Treatments:

  1. If you are detected with TMJD, your jaws need to be healed, first thing you should do is to visit an expert dentist in order to get the underlying cause of toothache treated. It is always recommended to get a proper treatment started, do not emphasize the use of self-medications.
  2. If the headache persists due to toothache, it is advisable to take a painkiller as prescribed by your dentist.
  3. Use an ice pack or a towel dipped in cold icy water, and hold it against the area of toothache. Do not put ice directly on your tooth as it might increase the pain ten folds due to tooth sensitivity.
  4. You can also apply numbing gel so that your tooth stops hurting. This in turn, will make your headache reduce.
  5. Toothache is also caused by small amounts of food which get stuck inside your teeth or between your gums, so it is necessary to clean your teeth thoroughly and floss it regularly to avoid toothache.
  6. Avoid chocolates and sweets. If you still get a cavity, you should visit your dentist immediately.
  7. Dental abscess also causes headache. In this situation, a root canal treatment is recommended.
5592 people found this helpful

I AM 33YEARS OLD MALE AND I am living in the past 1 year lichen plans and 6 month of oral lichen plans. So what I do?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Oral lichenplanus is of various varieties out which erosive is of more n serious consequences can you give me more details n if possible some pics.
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Bad smell coming from mouth. I found gaps in my teeth. How to solve my problems. Please give a relevant solution for me.

BDS
Dentist, Delhi
Bad smell coming from mouth. I found gaps in my teeth. How to solve my problems. Please give a relevant solution for me.
The foul smell in your mouth is due to accumulation of food debris, which is a result of inadequate maintenance of oral hygiene. I suggest that you get thorough professional cleaning/scaling done from a dentist, and use antibacterial mouthwashes thereafter. You should also clean your tongue twice daily with a tongue cleaner. Following all these measures will solve your problem. The process of filling the gap between teeth is known as orthodontic treatment, wherein you will be required to wear braces (an appliance with wires) for anywhere between 6 months to 1 year, depending upon the exact condition of your teeth. However, this treatment will serve as a permanent solution to your problem. You teeth alignment will become better and your smile will improve, These days, braces, similar to the color of teeth (ceramic braces) have also become available which are potentially much better looking than the conventional silver appliances. Hope that helps.
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I hv pain in my lower back region since one month n I HV hot n cold sensitivity in lower back tooth region.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I hv pain in my lower back region since one month n I HV hot n cold sensitivity in lower back tooth region.
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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