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Mere buccal daad meh dukh rha tha infection he ya ni pta x ray kiya or dr ne bola h 15 din badd vaps ana or agee ki daad nikl di asa kyu

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pericoronitis AND third molar

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NHS wisdom tooth removal pericoronitis symptoms dental infection urgent care

X-ray aur examination ke basis par doctor ko laga hoga ki jis daant ko nikala gaya, woh pain/infection ka source hai ya usko bachana possible nahi hai. Sirf dard se yeh confirm nahi hota ki infection hai, X-ray mein decay, root infection, impacted wisdom tooth, ya paas ke daant ko damage dikh sakta hai.
Agar peeche wali akal daant aadhi nikli ya tedhi/atki hui ho, to uske aas-paas food aur bacteria fas kar gum infection, swelling aur pain kar sakte hain. Isse pericoronitis kehte hain. Aise cases mein dentist kabhi pehle problematic ya adjacent daant nikalte hain, phir 1-2 hafte baad swelling/healing dekhkar agla treatment karte hain. Textbook guidance bhi impacted/malpositioned wisdom tooth ke around infection mein dental/oral-surgeon treatment aur kabhi extraction batati hai. ROSEN's Emergency Medicine, “Pericoronitis” section.
15 din baad bulane ke common reasons:
  • nikale hue daant ki jagah theek se heal ho rahi hai ya nahi dekhna
  • swelling/infection kam hua ya nahi check karna
  • X-ray ke hisaab se akal daant nikalni hai, filling/root canal karna hai, ya sirf observe karna hai, decide karna
  • kabhi active swelling ke time bada procedure delay kiya jata hai
Turant dentist/urgent care se contact karein agar: chehre ya jaw ki swelling badh rahi ho, bukhar ho, munh kholne mein zyada dikkat, pus/bad taste, nigalne ya saans lene mein problem ho. Yeh spreading infection ke signs ho sakte hain.
Doctor se seedha yeh pooch lena useful rahega: “Kaunsa daant nikala, kyun nikala, aur 15 din baad kya treatment plan hai?” X-ray ki photo/report bhej do to main simple language mein samjha sakta hoon.

Abhi nikla he or bleeding aarhe us bleeding ko tukh dia jaye ya utre

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tooth extraction AND postoperative bleeding

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NHS tooth extraction aftercare bleeding gauze do not rinse spit first 24 hours

Khoon ko thookna nahi hai, kyunki thookne/rinsing se jo blood clot ban raha hai woh nikal sakta hai aur bleeding badh sakti hai. Bas muh halka sa khula rakhkar saliva ko nigal lo. Blood-mixed saliva thoda aana pehle 24 ghante normal hota hai.
Agar fresh bleeding aa rahi hai:
  1. Dentist ne jo gauze/cotton diya ho use extraction wali jagah par rakho.
  2. Us par lagataar 20-30 minute zor se bite karo. Beech mein hata-hata kar check mat karo.
  3. Seedhe baitho, sar thoda upar rakho.
  4. Aaj 24 ghante tak kulla, gargle, thookna, straw se peena, smoking/tobacco, alcohol, garam chai/khana aur exercise mat karo.
  5. Agar gauze nahi hai, clean damp cotton cloth use kar sakte ho. Tissue paper nahi.
Agar 30 min pressure ke baad bhi muh fresh laal khoon se bhar raha hai, ya 1 ghante tak bleeding control nahi hoti, to jis dentist ne nikala hai unhe abhi call karo ya emergency dental clinic jao. Agar blood-thinner medicines lete ho, unko bhi zaroor batao.
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