The pulp can be infected or inflamed due to either deep decay or an extensive restoration that involves the pulp, a cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp, and sometimes as a result of severe gum disease. Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discolouration of the tooth, swelling, tenderness of the overlying gums, or a bad taste in the mouth. Occasionally there may be no symptoms at all.
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