Is High CRP Level Linked to Dental Pain and Infection? - Dentistry

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Is the elevated CRP level (from 10.62 to 8.90 mg/L) related to tooth pain?


Hello, recently due to the need for surgery, I had a CRP level of 10.62 mg/L, and the doctor recommended postponing the surgery.
After resting for two weeks, my CRP level was still elevated at 8.9 mg/L.
Currently, due to orthodontic treatment, I have a dental root with a pin to assist in holding the tooth (which will be removed after the orthodontics and followed by dental implants).
I am experiencing pain when touching the dental root area, and there is also pain when touching the crown of the prosthetic tooth.
Could the elevated inflammatory markers be related to this situation? Can inflammation or infection of the dental root cause CRP levels to rise above 10? Does this CRP level indicate a severe infection? Thank you for your response.

Niming, 40~49 year old female. Ask Date: 2024/04/26

Dr. Lin Jiayong reply Dentistry


Hello: If there is a strong suspicion that the elevated CRP is caused by peri-implantitis related to orthodontic implants, you may consider asking the orthodontist to remove the implants to see if there is a reduction in CRP levels.
Additionally, it is important to consult with the surgeon for their opinion on whether there are other medications or methods that can help lower your CRP levels to successfully complete the surgery.

Reply Date: 2024/04/26

More Info


High levels of C-reactive protein (CRP) can indeed be linked to dental pain and infections. CRP is a protein produced by the liver in response to inflammation. When there is an infection or inflammation in the body, such as from a dental issue, CRP levels can rise significantly. In your case, a CRP level of 10.62 mg/L is elevated, and even after two weeks of rest, it remained high at 8.9 mg/L. This suggests that there is an ongoing inflammatory process in your body, which could very well be related to the dental issues you are experiencing.

The pain you are feeling around the dental root and the crown could indicate that there is an infection or inflammation in that area. Dental infections, particularly those involving the roots of teeth, can lead to significant inflammation, which in turn can cause CRP levels to rise. It is not uncommon for CRP levels to exceed 10 mg/L in cases of dental infections, especially if there is an abscess or significant inflammation present. Therefore, it is reasonable to suspect that your elevated CRP levels are associated with the pain and discomfort you are experiencing in your dental area.

Regarding the severity of the infection, while a high CRP level can indicate a significant inflammatory response, it is essential to consider it alongside other clinical findings. A CRP level above 10 mg/L does suggest that there is a notable inflammatory process occurring, but it does not provide a complete picture of the severity of the infection. Other factors, such as the presence of systemic symptoms (fever, malaise), the extent of localized pain, and imaging studies (like X-rays), are crucial for assessing the overall situation.

If the dental root is indeed infected, it could lead to complications if not addressed promptly. Infections can spread, and in some cases, they can lead to systemic issues, particularly if the infection is severe or if the patient has underlying health conditions. Therefore, it is advisable to consult with your dentist or an oral surgeon to evaluate the situation further. They may recommend imaging studies to assess the extent of the infection and determine the best course of action, which may include antibiotics or further dental procedures.

In conclusion, your elevated CRP levels are likely related to the dental pain and potential infection you are experiencing. It is crucial to address these dental issues promptly to prevent further complications and to ensure that your CRP levels return to normal, allowing you to proceed with any planned surgeries safely. Regular follow-ups and communication with your healthcare providers will be essential in managing your health effectively.

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