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Dr. Amisha

Dentist, Pune

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Dr. Amisha Dentist, Pune
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Amisha
Dr. Amisha is an experienced Dentist in Budhwar Peth, Pune. You can consult Dr. Amisha at Creative Dental Clinic & Implant Centre in Budhwar Peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Amisha on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 29 years of experience on Lybrate.com. You can find Dentists online in Pune 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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English
Hindi

Location

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Creative Dental Clinic & Implant Centre

#718, Budhwar Peth, Budhwar Peth. Landmark: Near Sampada, PunePune Get Directions
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MDS
Dentist, Nashik
The tooth paste that you choose to use should be clinically approved by the American Dental Association (ADA) as they are the pioneer in the field of dental and oral health care. 

BDS, PGDFO
Dentist, Gadchiroli
The thought of undergoing RCT can cause anxiety and stress. Get a good night sleep before the RCT as it will help to reduce anxiety and will also help in maintaining your overall well being.

I brush and floss regularly, but I still have bad breath all day and all the mouthwash I have tried stain my teeth. What can I do to make my breath smell better,

MDS - Orthodontics
Dentist, Gurgaon
I brush and floss regularly, but I still have bad breath all day and all the mouthwash I have tried stain my teeth.
W...
You might have stomach upset..Go for scaling treatment and frequent use of mouth wash causes staining of teeth..so stop using mouth wash frequently and get one scaling done..
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My tongue have white color for past few days and I am not able to taste and eat properly. what should I do? Please help me.

MDS - Oral & Maxillofacial Surgery
Dentist, Gurgaon
May be you r having leukoplakia so get your tongue examined from some oral surgeon or oral pathologist. Stop if any tobacco products you r consuming and get you examined from physician also if needed.
1 person found this helpful
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I am bitting my tongue frequently. Few day ago I had a tongue burn. When I am bitting I don't know, but after the moment I realize some pain.

BHMS
Homeopath, Raebareli
Dear user kindly get your blood biochemistry test done and update the reports for now take a dose of Ignatia 200 one dose you will be fine. Give a follow up after 2 days with reports.
1 person found this helpful
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My friend is having bad breath problem. As checked by dentist no decay or deposits are there. White coating is observed above the tongue sometimes. After eating it goes of for sometime. Tried mouthwash also but not working out.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My friend is having bad breath problem. As checked by dentist no decay or deposits are there. White coating is observ...
•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too.
1 person found this helpful
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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

Replace your missing tooth right away

Replace your missing tooth right away.

Missing teeth might look great in kids but not in adults.
If your tooth is missing it can lead to a whole lot of problems like cavities in the adjacent teeth, functional & esthetic impairement.
Also if a tooth is missing, the adjacent teeth start to drift in order to close the gap. Moreover the upper tooth starts drifting downwards if empty space is present & vice a versa. All this movement leads to sensitivity due to root exposure in the adjacent teeth or upper or lower teeth.
Hence it is very important to replace a tooth as soon as it is lost.
We can replace the tooth/teeth in 3 ways:
1. Removable Partial Denture
2. Bridge formation
3. Implant
55 people found this helpful

Hi, I am 32 yrs old, male and I have a pain in my left gum (mouth) for last 1 months. What should I do.

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
Please elaborate a little more about your problem. Do you have any swelling. Any tooth that is carious. Bleeding gums. Pain on chewng. Bad breath.
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What could be the reason for constant sweet taste in mouth? It's been a week already.

BHMS
Homeopath,
What could be the reason for constant sweet taste in mouth? It's been a week already.
Well this may be due soo many causes it's the matter of concern. It may be due metabolic disorder like diabetes. It may be due to neurological problem like epilepsy, seizure disorder, stroke.some patients even dosen't know he has seizure disorder or epilepsy only this might the symptoms, some viruses that attack olfactory nerve also can make this. GERD-one the cause. Also infection in sinuses, nose or throat especially with pseudomonous can make your mouth taste sweeter. Soo you must need to consult with your doctor.
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I am 23 year old and I have jaw lock because of chewing tobacco, I can't open mouth properly, give me solution for that.

MDS - Oral Medicine and Radiology, BDS
Dentist, Ahmedabad
I am 23 year old and I have jaw lock because of chewing tobacco, I can't open mouth properly, give me solution for that.
Hi, this problem is called oral submucous fibrosis. First of all, quit habit. Visit an oral medicine specialist so that your problem can be staged and proper treatment decided. Regards.
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I am worried about my eight I'd it OK of I have to work out and my teeth is paining simultaneity how to so it.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am worried about my eight I'd it OK of I have to work out and my teeth is paining simultaneity how to so it.
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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Difference between fixed retainer and removable retainer? which one is best after ortho treatment?

BDS, Certified Implantologist
Dentist, Delhi
A fixed is bonded on the inner surface of your teeth. A removable one is seen from outside and is to be removed while eating. Both together work well after orthodontic treatment.
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Loss of tongues as well as opposite of tongues was also aches (burned), Please advice me what should I take?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Loss of tongues as well as opposite of tongues was also aches (burned), Please advice me what should I take?
To avoid infection and reduce pain in a first-degree burn on the tongue: rinse the area well with cool water for a few minutes. Remove any dirt or particles that may be on the burn. Wet a clean cloth with cool water and hold it on top of the burn. Suck on ice chips or a popsicle to soothe the pain. Gargle with cool water or salt water. Avoid warm or hot liquids, which could irritate the burn. Take acetaminophen or ibuprofen for pain and inflammation. Sprinkle a few grains of sugar on the tongue to relieve pain.
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I am hugly teeth when I am consulting to doctor he said treat ment like metal is placed on teeth it looks very good I am not under stand that treat Kent.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I am hugly teeth when I am consulting to doctor he said treat ment like metal is placed on teeth it looks very good I...
It's called orthodontic tt in which teeth r slowly moved to desired position decided places so that they look aesthetically n functionality pleasant.
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Hi I am 30 year old male. Puss is coming out from my submandibular gland anf it is swollen and it is paining me very badly. As if now I am not in india and I dont remember my doctors name. I got treated in ruby hall clinic pune. Please suggest me what I must do now.

MDS Prosthodontics, BDS
Dentist, Chandigarh
How do you know its due to submandibular gland and not tooth infection. Take antibiotics as prescribed for that you may consult me in private chat.
2 people found this helpful
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I have bad breath, how to solve this. I'm brushing twice daily, I'm using listerine too. I have not visited a dentist yet, planning for it, Suggest me what to do.

BDS
Dentist, Morbi
I have bad breath, how to solve this.
I'm brushing twice daily, I'm using listerine too.
I have not visited a dentist...
Bad breath can be due to deposits on your teeth. Please get your teeth cleaned. Bad breath can also be due to gastric problems.
2 people found this helpful
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Hello doctor, this is Naveen, I have a toothache just recently started say about couple of weeks ago and it is not because of tooth decay or broken or damaged. I think I have tooth sensitivity, can't eat bitter food or cold food products and beverages. Any suggestions?

MDS
Dentist, Sangli
Hello doctor, this is Naveen, I have a toothache just recently started say about couple of weeks ago and it is not be...
This toothache is because of dentinal hypersensitivity due to gum recession over certain areas of teeth. Gum flap surgery with bone graft will be best treatment for your prolem.
1 person found this helpful
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I have a white colour coating on my tongue since last 2 months or so. what could be the reason?

BDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile Designer
Dentist, Jammu
White tongue is the result of an overgrowth and swelling of the fingerlike projections (papillae) on the surface of your tongue. The appearance of a white coating is caused by debris, bacteria and dead cells getting lodged between the enlarged and sometimes inflamed papillae. Causes of papillae hypertrophy or inflammation include, for example: poor oral hygiene dry mouth dehydration smoking or other oral tobacco use alcohol use mouth breathing low roughage diet? eating mostly soft or mashed foods mechanical irritation from sharp tooth edges or dental appliances fever examples of conditions associated with white patches or other discolorations of your tongue include: use of certain medications, such as prolonged use of antibiotics that may bring on an oral yeast infection oral thrush geographic tongue leukoplakia oral lichen planus mouth cancer tongue cancer syphilis hiv/aids.
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After tooth brushed also generate a bad smell in my mouth. I am using pepsodent paste. In my teeth is changed to yellow colour what should I do for this problem.

OOOMC FLORIDA, BDS
Dentist, Mumbai
After tooth brushed also generate a bad smell in my mouth. I am using pepsodent paste. In my teeth is changed to yell...
Rinse your mouth with hot water plus salt mixture 2-3 times a day. Drink nimboo pani everyday. Use dabur red toothpaste.
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