Can the high CRP levels be due to the dental bone infection in me?

Hi doctor, Thank you for the reply.

I have seen all the information provided, and I will answer all the queries one by one. Based on radiological reports (attachment removed to protect the patient's identity), there is not much evidence of tooth infection, apart from the presence of polyps, which must be evaluated. Polyps could be caused due to a wide variety of reasons. For suppose, the apex (tip) of the implant present in the sinus wall may be responsible. The presence of any residual infected tissue during tooth removal may be responsible. There is no evidence suggestive of osteomyelitis of the bone (as of now.) The implant does not show any radiological signs of bone loss and infection. There is an infected sinus present. And medication is required for the same.

Hi, Welcome back to icliniq.com.

The scan (attachment removed to protect the patient's identity) does not show any infected tissue. The dentist correlates the symptoms with the scan and draws a conclusion. The implant breach to the sinus wall does not cause any issues. If it is present within the sinus antrum (cavity of the sinus), then there are only chances of infection (not always present). The CRP (c-reactive protein) values are not alone dependent on dental infections. Any infection present in the body causes a rise in CRP values. Sinusitis could also be one of the factors. Cold and cough also cause a rise in CRP values. We need to make sure the causative of the rise is diagnosed properly and treated. The upper molar draining into the maxillary sinus cannot be confirmed by radiological reports. As I told you previously, it has to be evaluated based on both clinical symptoms and radiological assessment together to come to a conclusion. Is the molar tender to touch also? After knowing the clinical situation only, we can come to a conclusion. The scan shows that a canal is missed with the treatment, and there is a radiolucency around that root which could probably suggest that infection is present. The success of retreatment can again be evaluated by the reduction of symptoms and signs of infection clinically (if any) and radiological assessment. If the retreatment does not produce a satisfactory result, then we can think of the removal of the tooth. There is an infection on the tooth in front of the implant, and the radiolucency on the tooth present distally suggests that. NICO (neuralgia inducing cavitational osteonecrosis) is again based on clinical evaluation and the signs and symptoms experienced. I was able to access the scans with absolutely no issues. I wish you a speedy recovery and smiles again.

Thank you.