Dental Crowns

Dear Dr. Ellie,

I read your book and began using your mouth care system about 2 months ago. Thank you for educating me in the ways of taking care of my teeth and gums in a way that makes sense and gets positive results!

I am 58 years old and have 8 crowns in my mouth. My dentist just informed me that my last “crownless” molar is cracked and needs a crown. Will your system heal a cracked tooth over time? Regardless of the answer, do you happen to know if any of the dentists in Colorado Springs or Denver practice dentistry the way you do?

Once again, I thank you for publishing your book, it is making a difference for me and my husband. I have 3 grown children and 6 young granddaughters who I introduced to your book and plan as well. I am excited to see the results as they age and mature.



Hi PW,

I am delighted to help and I love to save people from dental treatments when possible.

I cannot tell you if the tooth that is “cracked” needs a crown – this depends on a very special clinical judgement.

Of course the judgement is just that – someone’s opinion.

You could certainly ask to know why? – what is it that the dentist sees? – what is the time frame he suggests – and why?

A heavily filled tooth will often crack because the “cusps” of the tooth weaken and fracture off.

If this tooth has a big silver filling in it – then it may be that this filling has weakened the structure of the tooth.

On the other hand, your dentist may simply be anticipating that what happened to your other 8 teeth will happen to this tooth.

This is EXACTLY what does happen in normal circumstances -HOWEVER – you have changed the way you look after and protect your teeth.

By dong this you will change the outcomes and this damage MAY NOT happen to your tooth after all!

In any case, I would suggest trying to wait – if at all possible – to give your tooth a chance to strengthen and heal.

I cannot tell you about the “need for” a crown.

It may be necessary, but your treatment will be more successful if your gums are in great shape and your enamel is as strong as possible.

The “judgement” about the crown is exactly that – someone’s opinion – and if you are in doubt – then you may want to get a second one!

Pre-empting dental disease is the best prevention.

Xylitol helps children do this – and especially in combination with the rinses that keep teeth strong and healthy.

I do not have any good referrals in your area.

My advice is do as little as possible and ask to go slowly – a good dentist will be fine with this.

Dentists that want to “rush” you – unfortunately may not be experienced to understand the time line, or may have other concerns beyond the tooth.

Best wishes,


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