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Dr. Shandilya

Dentist, Pune

750 at clinic
Dr. Shandilya Dentist, Pune
750 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Shandilya
Dr. Shandilya is one of the best Dentists in Katraj, Pune. You can consult Dr. Shandilya at Dr Smile Dental Care in Katraj, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shandilya on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 28 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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Dr Smile Dental Care

Shop No-6,Sai Leela Complex,Mauli Nagar,Sr-29/1,Katraj Chowk,Kanva Road.Landmark:Near Indian Oil Petrol Bunk, PunePune Get Directions
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Hello doctor I had attacked a problem of mouth ulcer I wish to use Himalaya mouth ulcer gel it is good or bad.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Hello, you can add a pinch of baking soda in water and rinse with it. This home remedy will help to heal your ulcer. You can visit a physician and get vitamin B levels checked. If less, you can take supplements for it.
9 people found this helpful
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Im paining from middle of the front teeth what can I do if there is any solution.

BDS, MDS
Dentist, Gorakhpur
Dental pain is not something you can treat by your own. Sometimes when pain subsided it may recur with more severity. You please visit a dentist, get a small xray done for concerned tooth and then treatment accordingly. THANK YOU.
2 people found this helpful
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Sir I havr cavity problem in my teeth. Please advise me how can I tackle with it. Waiting for your response. Thanking you in advance.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need cleaning and artificial enamel filling or root canal treatment. Advance procedures can be done with laser. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.
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My gums bleed after some tooth treatments like fill-up & capping. How to cure this

BDS
Dentist, Hyderabad
Gums bleed when gums are loosening their strength so first get the cleaning of your teeth than ask your dentist to give massaging paste for gums which should be done twice daily.
1 person found this helpful
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BDS
Dentist, Mumbai
Use of flouridated tooth paste along with flossing will help prevention of cavities.
7 people found this helpful

I have lost my teeth can i have a better implantation methods and my teeths are in yellow color is it possible to have my teeth in white

BDS
Dentist, Jaunpur
Implant is most superior method of replacing tooth, no need to say most costlier too if u want to go for economical you can have bridge in both situation you can have what ever shade u choose , but i suggest to have the matched shade otherwise it will be noticeable
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I have mouth ulcers very often they hurt badly but if one goes away then the second comes as soon as possible and they all hurt and right now I have 3 mouth ulcers and 4th one is coming I'm afraid if I have a mouth cancer or not. Is it true that I have mouth cancer or it's something else? Please help me.

MDS
Dentist, Kolkata
No there is no need to worry,,mouth ulcers are not cancers,,but if they are caused due to factors like sharp edges of teeth etc,then get checkup done by dentist and ask him to grind the edges.
1 person found this helpful
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I have problem in my teeth quiet often they bleed and smelling even I use to do cleaning from dental and regular brush at least once in day. Could you please suggest me the what to do what not Thanks

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Hello, Bleeding from gums and bad breath could be because of deposits on your teeth and food lodged in between your teeth. You need to visit the dentist and get a deep scaling and polishing done. Brush twice a day. Maintain proper brushing technique. Rinse after every meal. Floss regularly.
8 people 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

5 Ways to Treat Stained Teeth

BDS
Dentist, Mumbai
5 Ways to Treat Stained Teeth

A bright, white smile can make a world of difference in one's expression and confidence. Tooth discoloration can therefore, be a frustrating impediment to achieving the brilliant smile you deserve. Worse yet, some stains are absorbed deep below the surface, making them seemingly impossible to remove. Fortunately, there are numerous treatment options available to expunge or conceal discoloration, helping patients restore the natural color of their teeth.

What causes stained teeth?

Many dentists believe that it can occur to people within the age groups of 2 to 49. There are many causes that can be associated with discoloration of teeth such as consuming acidic food items as they tend to leave stains on the teeth.

Age is also one of the most important factors that contribute to discoloration of teeth. Other than that beverages such as coffee and alcohol also take away the whiteness of teeth leaving them yellow and stained. There are many remedies for stained teeth both medical and natural. One can conveniently choose accordingly but also consult their dentist before going ahead with their decision.

Types of Tooth Discoloration
Before deciding on a procedure, it's important to understand the type of discoloration present on your teeth. Some stains are more easily removable than others, and as such, may require alternative forms of treatment.

  1. Extrinsic Stains: Also called surface stains, these are the most common source of discoloration. Extrinsic stains tend to result in the general darkening or yellowing of teeth, especially along the edges and near the gums. These are typically caused by food, drink, and tobacco use.
  2. Intrinsic Stains: Also called deep stains, these tend to be smaller yet more noticeable. As opposed to widespread discoloration, intrinsic stains are localized and a distinctly separate color from surrounding tooth tissue. These are most often caused by medication, overexposure to fluoride, trauma, disease, or enamel erosion.

Whereas surface stains exist within or above the enamel, deep stains are embedded within the inner dentin tissue. Consequently, surface stains are more easily removable. 

Treating Surface Stains
Because surface stains can be removed, they are primarily treated through a simple teeth whitening procedure. Teeth whitening is both safe and long-lasting, allowing patients to restore the color of their smile without any dental restorations.

Treating Deep Stains
Patients looking to restore balance to a smile should consider concealing such stains via restorations. The two most common methods of masking discoloration are dental bonding and porcelain veneers:

  1. Dental Bonding: A bonding procedure includes the use of composite resin, which is applied over the surface of a tooth. The tooth is first coated with a layer of tooth-colored resin before the resin is hardened with an ultraviolet light, with additional layers added as needed. The resin thus conceals any discoloration beneath it, while blending in with adjacent enamel.
  2. Porcelain Veneers: Veneers are used as a replacement for the surface of a tooth, enhancing it in both color and form. It is an excellent way to alter its overall outward appearance. 

Well, your choice of treatment should be the result of an in-depth discussion with your dentist.

3711 people found this helpful

I am 25 year old. I have a very bad problem of pyria. There is always blood in my mouth whenever I woke up. I tried many toothpaste and consulted fews doctors but the problem remains same. Please refer me some real prescription.

BHMS
Homeopath, Howrah
For that good care of teeth is necessary, brush twice daily after food. Clean mouth after eating something. Vitamin c and calcium is must for healthy teeth. Take as much as sour fruits like lemon, mango, amla, tamrind, for calcium custard, dates, etc. If you have cavity go to dentist for proper care or else it will spread to other teeth. You can get amla ras from patanjali shop also.
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How to heal bay problem. Its like when I walk up in morning my mouth is full of liquid?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your saliva problems are just a result of the way you speak. Some people speak faster or slower than others, just as some people blink more often, breathe faster, or have a more rapid heartbeat. This may just be what's normal for you. Since it is negatively affecting your life, I suggest your problem can be ignored. However there are medical conditions that causes excessive salivation injection glycopyrrolate reduces secretions in the mouth, throat, airway, and stomach.
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Hello sir I am of 19 years age I am now suffering from teeth problem I don't know how it happened to me I brush my teeth regularly and daily. Still at the corner of the teeth I have black marks I can't understand how it came to me Please suggest me sir I can't bear this my beloved ones also hates me because of this Thank you.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
- 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. - 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. You may consult me in person.
1 person found this helpful
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Few blood are coming from my teeth after brush and smell mouth whole day. What should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
We need more investigations to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.
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BDS, PGDFO
Dentist, Gadchiroli
Drinking a cup of tea everyday helps in keeping the gums and teeth healthy as it contains high amounts of flouride and flavonoids which prevent harmful bacteria from sticking to the teeth.

Dear Dr. I got floride effect in my teeths because we r asked for Dr. What treatment for this effects. Dr. Told no treatement far. After told only one solution caping system we are agree for that treatemant are completed now Dr. Was removed my teeth enamel with' handpeice meachine for my 16 teeth. Sir any side effect should happs for the vibration of meachine .Please reply

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
What he is doing is correct. Instead of capping you can go for veneering or laminates. But in every case, enamel will be removed.
1 person found this helpful
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I m 24 yrs male. Dear sir a small wound create in my mouth due to eating gutkha 1st time from 8 days ego, still it not cure. And some times my teeth is bleeding and and also smelling bad kindly consult me plz.

BHMS
Homeopath, Faridabad
Hello. If there is wound and you eat gutka, so I would suggest you to give the habit of gutka. But before that go to a nearby Dentist to get it examined, in case needed will have to get the biopsy test done for proper diagnosis. For the meantime, can have homoeopathic medication which is very safe to take - Merc. Sol. 30/ thrice daily for 10days.
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I went to a dentist for a toothache problem. I was told that there was a hole which was through the side of the tooth and by doing root canal treatment, the pain would go. I got the root canal treatment done and a cap also fixed on the tooth, but to my dismay the pain in that tooth still remains. Again Xray was conducted and I was given to understand that the tooth had no problem and the root canal was success. Still they could not identify the problem. What is the solution now?

BDS
Dentist, Mumbai
hi sunil!!!i first thing would like to know is how many days has it been since ur root canal treatment and secondly how is the intensity of pain.sometimes the pain remains after the treatment for about a week to 10 days but keeps decreasing in intensity every passing day. if the intensity of pain continues to b the same then it needs intervention.cant comment anything for sure without the xray.u can take a second opinion from another dentist.
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I am 23 years old male, suffering from gingivitis and gums are bleeding&getting weak. Give me suggestion on medicine to have.

BDS
Dentist, Raipur
kindly get scaling done and use gum paint twice daily for 15 days. brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
1 person found this helpful
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My teeth breaks partially. A little part breaks What is its reason n what is the remedy of it.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
You may need cleaning, artificial enamel filling or root canal treatment with a cap. Advance procedures can be done with laser.
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