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Partial pulp necrosis Coronal pulp may be necrosed while apical pulp remains vital reduced overall response Pressure release phenomenon Micro-exposure or carious communication relieves intrapulpal pressure pain decreases despite ongoing inflammation Neural damage Chronic inflammation compromises nerve fibers diminished pain perception Chronic low-grade inflammation Slow progression allows physiological adaptation absence of acute symptoms --- How to diagnose logically (not emotionally): 1

Smoking, immunity, and DNA damage

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