Keeping your own teeth into later life is realistic, with a few adjustments along the way. This page is for adults in their sixties and beyond, and for the sons and daughters who often arrange their parents’ care. It is written to be practical and respectful, because most of what changes with time can be looked after.
Gums change with time
Gums may recede, exposing root surfaces that are softer than enamel and more easily worn or decayed. A soft brush, a gentle technique and a fluoride toothpaste look after them. Sensitivity at the gum line is common and worth mentioning; it is usually simple to manage.
Dry mouth is common
Many everyday medicines reduce saliva, and saliva is what protects teeth between meals. If your mouth feels dry, sip water often through the day, avoid sugary lozenges, and tell your dentist which medicines you take. Knowing that changes how often a review is sensible and what home care is suggested.
Losing teeth is not a given
Most tooth loss comes from gum disease and decay: both of which can be managed at any age. Regular gum reviews are what make the difference, because gum disease rarely hurts until it is advanced. A review every few months is often more useful than any single treatment.
If teeth are missing
Implants, bridges and well-fitting dentures each have a place. What suits you depends on the bone and gums available, your general health, your preference and what you are comfortable maintaining, and the choice is yours. A denture that has become loose over the years can often be relined or remade; a missing tooth can be left, bridged or replaced. Each option is explained before anything is decided.
Brushing made easier
An electric brush or a thicker handle helps if grip has become a challenge. Interdental brushes are simpler than floss for many people. For anyone who helps a parent with daily care, a short demonstration at the clinic is often the most useful ten minutes of the visit.
Bring the whole picture
Your medicines, your general health, who helps you at home, how you get to the clinic: all of it helps us plan care that fits your life, not just your teeth. Family members are welcome to sit in, with your agreement.
If you or a parent would like a gum review, or a conversation about a loose denture or a missing tooth, you can request an appointment. The gum treatment and dentures pages explain what each involves.
Dr. Aashish PanditBDS, MDS, Periodontology & Implantology · Periodontist & Oral Implantologist

