• Risk factors for dental problems in seniors include medications, mental disorders, and physical issues. Seniors are more likely to experience systemic diseases that can be caused by dental issues.
  • The most common dental problems in seniors are cavities, root decay, gum disease, and tooth loss. Gum disease can cause periodontitis, which can lead to tooth loss, and untreated cavities can cause complications, such as sensitivity and abscesses.
  • Dry mouth is a common issue in seniors, and reduced saliva flow increases the risk of gum disease, cavities, and mouth infections. Seniors who wear removable dentures may also be at risk of developing thrush.
  • Seniors can use Authority Dental to affordable dental clinics and emergency dental clinics nearby. We can also help you with dentures and denture repairs.

Seniors are categorized as individuals over 65. This demographic is growing every year. It is predicted that by 2060 every fourth American will be a senior. Geriatric dentistry is going to grow in importance immensely in the near future. Being aware of elders’ dental problems and how to deal with them is more important now than ever before.

What puts seniors at higher risk of dental problems?

It is not age itself that makes the elderly more vulnerable to certain dental conditions. Risk factors include:


The average elder takes 4-5 prescription drugs and 2-3 OTC products regularly. Many of those can cause oral issues. Inhalers in particular can lead to fungal infections in your mouth.

Mental disorders

Senile dementia, Alzheimer, and eating disorders all make proper oral care difficult. As a result, mentally ill patients often neglect oral hygiene and are 3 times more likely to lose teeth.

Physical issues

Many elders are physically incapable of taking care of their mouth properly. Illnesses that come with age, for example arthritis, make vigorous brushing and precise flossing difficult.

How is seniors’ dental health connected to systemic diseases?

The state of your mouth is closely linked to your general health. Many systemic diseases can be caused by dental issues.


Food debris breaking down in the mouth can cause bacteria to be breathed into the lungs.

Heart problems

Cardiac issues (like strokes and attacks) are linked to gum disease, cavities, and missing teeth.


Ill-fitting dentures that rub against the gums trigger growth of lesions and lumps.

On the other hand, many conditions that affect the entire body have manifestations in the mouth. This means a local dentist might be the first to spot the problem.


Dental symptoms include gum disease and missing teeth.


It manifests in the mouth through mucosal pallor and atrophy of the oral mucosa.

Crohn’s disease

Lesions appear on oral soft tissues such as on the gums, tongue, or lips.

What are the most common elderly dental problems?


96% of seniors have cavities. Moreover, almost 50% of those over 75 have root decay. This is one of the most common elderly dental problems. It shows up as permanently damaged areas on the hard, outer area of the tooth or the cementum. With time, small holes and openings form.

If left untreated for too long, cavities may lead to further complications, such as sensitivity, abscesses, and increased risk of breakage.

A much more reasonable solution is seeing the dentist regularly for exams and cleanings. These routine procedures allow them to catch cavities when they are smaller, easier, and cheaper to fix.


  • poor oral hygiene,

  • dry mouth,

  • sugary and acidic foods,

  • smoking,

  • drinking alcohol frequently,

  • consuming a lot of sugar,

  • a diet rich in acidic fruit,

  • age-related diseases and conditions,

  • certain medications.


  • counteraction to the above-mentioned reasons,

  • tooth remineralization,

  • a professional teeth cleaning,

  • dental fillings,

  • dental crowns,

  • onlays/inlays.

Gum disease

64% of older adults have gum disease. Untreated periodontitis (gum disease) causes bone loss and makes soft tissues pull away from teeth, creating empty spaces around them. If this is especially severe, dentition can become mobile and loose over time. That’s why this is a leading reason for tooth loss.

Bacteria and food debris then accumulates in the empty “pockets” and causes painful infections. The most common symptoms are inflammation, bad breath, and bleeding when brushing or flossing teeth.

Gum disease can also be responsible for many general conditions, among them heart issues.


  • poor oral hygiene,

  • smoking,

  • anemia,

  • cancer,

  • diabetes.


Tooth loss

19% of adults aged 65 or older have no teeth. The average older adult has 19 teeth. Tooth loss strongly affects nutrition. People without natural teeth tend to avoid some foods, including raw fruits and vegetables.

Visible dentition defects can also lower self-esteem and make people less social. This is particularly true as lack of teeth clearly alters the shape of the face, making people look older.

Tooth loss is not a natural part of aging, contrary to what some might think. It is perfectly plausible to have natural dentition as a senior. Edentulism is a result of dental issues that can and should be treated.

Nonetheless, one of the dental facts you should be aware of is that smokers are 4 times as likely to lose their teeth.


  • gum disease,

  • tooth decay,

  • smoking,

  • trauma.


Dry mouth

27% of elders experience dry mouth. Reduced saliva flow is more common among seniors than in any other age group. Lack of saliva puts you at a much higher risk of getting gum disease, cavities, and other mouth infections. It also leads to trouble with speaking, swallowing, and wearing dentures.


  • cancer treatment,

  • side effect of many medications,

  • chronic diseases such as Sjögren's syndrome, diabetes, Alzheimer's disease, anemia, rheumatoid arthritis, Parkinson's disease,

  • using tobacco,

  • dehydration.


  • stay hydrated,

  • avoid alcoholic mouthwash,

  • suck on sugar-free candies or gum,

  • breathe through your nose,

  • use Biotene or other OTC products for dry mouth,

  • cholinergic medications.


50-65% of removable denture wearers have thrush. This issue is characterized by a white rash inside the mouth. It is a yeast infection, which can also occur in other places on the body. The candida fungus resides in your mouth naturally, but some medications can upset the balance, causing this condition.


  • corticosteroids or antibiotics intake (common after dental surgery),

  • smoking,

  • uncontrolled diabetes,

  • poor oral hygiene,

  • not cleaning your prosthesis daily.


  • antifungal medications that you take for 10-14 days,

  • removing and cleaning the prosthesis daily.

Oral cancer

The age between 60 and 70 is the peak of oral cancer incidence. Oral cancer shows up in the mouth as a sore or lump that doesn’t go away. It can focus on any soft tissues including the tongue, cheeks, lips, the palate, and the pharynx. Early diagnosis is vital, as this does not have to be a life-threatening disease.

Oral cancer is the eighth most common type in the world.


  • tobacco use,

  • excessive drinking of alcohol,

  • family history of cancer,

  • HPV.


  • surgery to remove the lesion followed by radiation,

  • or chemotherapy.

What are the best dental care tips for seniors?

Elderly dental care is very important but also neglected very often. Do your best to keep your mouth strong and healthy by following these oral hygiene tips.

Maintain dental hygiene

Clean your mouth and gums properly every day. Use fluoride toothpaste and drink fluoridated water to remineralize your teeth and neutralize your mouth. Consider an electric toothbrush as it makes up most of the brushing action.

Visit a dentist regularly

Have your mouth checked out at least once a year, as advised by the ADA. Your dentist will examine your mouth and help plan out potential dental work. You can save on every dentist visit with a dental discount plan.

Take care of your dentures

Remove the denture at night and clean it at least once a day. Wash your hands before putting it in to prevent infections, lesions, and rubbing. Remember to also let a professional inspect it yearly. This helps to determine when it may benefit from an adjustment or a denture repair.

Do not smoke cigarettes

Popular methods include nicotine patches or gum, counseling, and hypnosis. Patients often go for a combination. Many medical insurance policies cover at least some of the costs of quitting. You can find more information on SmokeFree.gov.

Keep a balanced diet

The following minerals and vitamins should be a part of your diet: calcium, potassium, phosphorus, and vitamins K, C, and A. Spinach, broccoli, and kale are rich in those substances.

Control your alcohol intake

Drink no more than the recommended amount of alcohol units per week and have at least a few regular drink-free days. Don’t brush your teeth immediately after acidic drinks such as wine or juice, as it can cause damage to the enamel.


  1. Aging and Dental Health
  2. Projections of the Size and Composition of the U.S. Population: 2014 to 2060
  3. The Consequences of Seniors Neglecting Dental Visits
  4. Dental Caries and Tooth Loss in Adults in the United States, 2011-2012
  5. Elderly at Greater Risk for Root Caries: A Look at the Multifactorial Risks with Emphasis on Genetics Susceptibility
  6. Prevalence of Periodontitis in Adults in the United States: 2009 and 2010
  7. Facts About Older Adult Oral Health
  8. Tooth Loss in Seniors
  9. How Common is Dry Mouth? Systematic Review and Meta-Regression Analysis of Prevalence Estimates
  10. Clinical Appearance of Oral Candida Infection and Therapeutic Strategies
  11. Oral Cancer Incidence (New Cases) by Age, Race, and Gender
  12. Common Oral Conditions in Older Persons
  13. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme
  14. Oral Health Overview
  15. Community Water Fluoridation
  16. What Can Adults Do to Maintain Good Oral Health?
  17. Periodontal Disease
  18. Oral Health for Older Adults: Quick tips
  19. Gum disease and heart disease: The common thread
  20. Oral Health
  21. Taking Care of Your Teeth and Mouth
  22. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review
  23. Trends in Prescription Drug Use among Adults in the United States from 1999–2012
  24. Impact of Alcohol Dependency on Oral Health – A Cross-sectional Comparative Study
  25. Ill-fitting dentures and oral cancer: a meta-analysis
  26. Oral manifestations of Diabetes Mellitus. A systematic review
  27. Oral manifestations of Crohn's disease
  28. Poor oral hygiene in the mentally ill: Be aware of the problem, and intervene
  29. Healthy Habits
  30. Relationships between periodontal disease and bacterial pneumonia
  31. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme
  32. Common Oral Manifestations of Systemic Disease