Aging and Your Teeth

Posted by Dr. John Paul Gallardo, DDS, PA
Can I Have Dental Implants if I Have Bone Loss?
Can I Have Dental Implants if I Have Bone Loss?

Getting older causes a good number of changes to your body. You might notice more lines on your face and skin or that you’re not able to lift as much as you once could or that it takes you a little longer to get from point A to B. Your mouth also changes as you get older, and your risk of tooth loss increases, as well as certain conditions, such as gum disease and cavities. In some cases, the process of aging plays a big part in changing your teeth. In others, external forces can contribute to your dental concerns.

Losing Teeth due to Aging

Tooth loss is often associated with aging. While older people can lose their teeth and are more likely to have implants or dentures than young people, there’s no reason why a person must lose his or her teeth when getting older.

One reason why people are more likely to lose teeth as they age is because the teeth become less sensitive. The nerves in the teeth become smaller, and a person is less able to feel pain related to dental decay or gum disease. Often, the condition isn’t treated until it’s too late and the tooth is beyond saving.

Luckily, it’s rather easy to prevent tooth loss by taking good dental care and by seeing a dentist often. If a person does end up losing one or more teeth, the solutions available today are more convenient and more natural looking than those available in the past. For example, a patient can have an implant to replace a single tooth that looks and feels like a natural tooth. Implants are permanently positioned in the mouth, so a patient doesn’t have to remove them for cleaning or worry about swallowing them.

Aging increases the risk of tooth loss because the nerves in the teeth become smaller, making it harder to detect pain from dental decay and gum disease
Over the age of 65, people are more likely to experience tooth loss than younger individuals

What are the reasons for the loss of adult teeth?

Earlier, it was mentioned that permanent adult teeth could be lost due to various factors. Let’s examine some of the most prevalent causes.


Periodontitis, the progression of gingivitis, is a gum infection that causes soft tissue to recede and destroy the tooth-supporting bone, leading to tooth loss in adults. Although preventable with good oral hygiene, it is a common issue.

Signs of periodontal disease include swollen gums, bright red or purplish gums, tender gums that bleed easily, receding gums that make the teeth look longer than normal, pus between the teeth and gums, bad breath, loose teeth, painful chewing, and other symptoms. If you notice any of these signs, make an appointment with your dentist immediately to diagnose and treat your periodontitis.

People over the age of 65 are especially at risk for gum disease due to their increased susceptibility to infection, making regular dental visits more important than ever
Painful chewing is a sign of periodontitis, which is more likely to occur as someone ages

Poor nutrition

Strong teeth require essential nutrients such as calcium, vitamin D, phosphorus, potassium, and vitamin C. If these vitamins and nutrients are missing from your diet, tooth decay risk increases.

Consuming a poor diet rich in acidic or sugary foods may contribute to the accumulation of plaque on teeth. This will potentially lead to weakened teeth and cavities over time.


Injuries to the mouth can lead to teeth being displaced, but losing the tooth entirely is uncommon. For significant damage or breakage, treatment options may include tooth extraction and the implementation of a dental implant.

Other health problems

Research suggests a connection between gum disease and type 2 diabetes, as well as a noteworthy proportion of individuals with tooth loss also having this condition. Furthermore, several health issues such as high blood pressure, rheumatoid arthritis, and autoimmune diseases could potentially contribute to tooth loss.

It is important to visit a dentist for checkups, even as you age. They can help spot any potential problems and ensure that your teeth and gums stay healthy
Regular dental checkups are important for preventing tooth loss

Treatment Options for Loose Teeth

  • Scaling and root planing is a dental procedure that targets hard-to-remove plaque and tartar buildup underneath the gum line through a thorough cleaning process.
  • Dental appliances, specifically a night guard worn while sleeping, can provide a barrier of protection between the upper and lower teeth and may be beneficial for individuals who grind their teeth.
  • In situations where the tooth is beyond repair due to extensive gum disease, tooth decay, or injury, extraction may be necessary. A bone graft can be placed in the resulting pocket, followed by the placement of a dental implant as the optimal solution for replacing missing teeth.

Maintaining regular oral hygiene is essential in preventing gum disease and tooth loss: daily brushing (twice a day for two minutes) and flossing once a day. Additionally, scheduling dental cleanings at least twice a year, or more frequently for those with periodontal disease, is important for maintaining dental health.

Scheduling dental cleanings at least twice a year can help prevent gum disease and tooth loss
Maintaining regular oral hygiene with daily brushing and flossing helps to prevent tooth loss

Other aging problems that affect oral health

Medications, Dry Mouth, and Cavities

Many people think of cavities as a problem that only affects the young. By the time you’ve reached your 60s, you should know how to brush and floss well enough to keep tooth decay away. But, according to the National Institute of Dental and Craniofacial Research, more than 90 percent of people over age 65 have cavities in their teeth. Nearly 20 percent of seniors had untreated tooth decay and cavities.

Getting cavities as an older adult might not necessarily be linked to bad habits regarding oral care. In many cases, the presence of cavities is linked to taking certain medications for chronic conditions. Many medications cause dry mouth, which creates an ideal environment for decay-causing bacteria to grow. There are several ways to deal with dry mouth, including adjusting the dose of your medication (with your doctor’s guidance), drinking more water, and using oral moisturizers. Your dentist can also apply a fluoride gel or varnish to your teeth to give them a bit more strength and protection against decay.

Gum Disease and Aging

Gum disease also tends to be more common in older people. According to the Centers for Disease Control, about 70 percent of people over age 65 have a risk of gum disease, from mild to severe. Although symptoms can be very apparent in the later stages of the condition, in the early stages, they can be hard to miss, which might be one of the reasons why it is so common.

Treating the disease can usually reverse it. The most appropriate treatment will depend on how far the gum disease has progressed. Some patients recover after a non-surgical, deep cleaning, while others need surgical options such as gum grafts or bone grafts. Seeing a dentist or periodontist regularly means that you can spot gum disease before it has a chance to progress or keep the disease from recurring.

Smoking and Aging

Even if a person has reached his or her 70s or 80s as a smoker, without facing lung disease or other conditions, it’s still a good idea to quit. Smoking makes a person more likely to suffer from gum disease and other oral health problems, including oral cancer. According to the National Institute of Dental and Craniofacial Research, smokers are more liking to be missing teeth, too. Current smokers over age 65 had an average of slightly more than 15 teeth, while non-smokers over age 65 had an average of 19 teeth. Nearly 50 percent of current smokers over age 65 had no teeth left.

Smokers are more likely to have missing teeth, with nearly 50% of current smokers over age 65 having no teeth left
Smoking increases the risk of gum disease and tooth loss due to a lack of saliva production

As you get older, the need to see a dentist or periodontist regularly increases, not decreases. Keep your teeth and gums in the best shape possible for the rest of your life by working with your dentist. If you are in the Miami area and need a periodontist, contact the office of Dr. John Paul Gallardo. Call (305) 447-1447 to schedule a consultation today.