Older adults face unique dental health challenges. Dr. Gilbert Yee, a dentist with nearly 40 years of experience, explains how prevention and compassionate care support healthy smiles at any age.

Dr. Yee is a dentist at On Lok PACE, a full-service healthcare program that provides medical care and services to seniors, helping them live at home as long as possible. He is a graduate of UC Berkeley and of the University of the Pacific, Arthur A. Dugoni School of Dentistry.

Dr. Yee, is dental care for older adults different?

The dentistry itself is the same, but working with seniors presents unique challenges. Some patients have physical conditions or cognitive issues that can make treatment more difficult. The goal is to communicate with them using clear and simple language, so they understand what we are doing and why. We often work with family caregivers who help explain what’s happening and provide comfort. We always want to make sure patients are comfortable and feel safe during treatment.

What are the most common dental problems among older adults?

Seniors have the same problems as younger people—cavities, gum disease, and tooth loss—but they are often made worse by conditions such as diabetes, high blood pressure, or osteoporosis. Additionally, many medications can complicate treatment by affecting healing or saliva production.

Periodontal disease is a common concern. How can it be managed?

Periodontal disease is not just an age issue—it is partly genetic. Some people are more prone to it and need to work harder to prevent it. The disease causes gum inflammation that, over time, leads to bone loss. If too much bone is lost, the teeth loosen and eventually fall out. Good brushing and flossing habits are essential. I always tell patients: floss only the teeth you want to keep. And when brushing, take your time—10 seconds for every two teeth is a good rule of thumb.

Can mouthwash help reduce cavities or gum disease?

Mouthwash helps, but only as a supplement to brushing and flossing. It is useful for killing residual bacteria but it won’t make up for poor hygiene. I also recommend avoiding alcohol-based mouthwashes for long-term use, as they can harm the gums.

At what age do most people start losing their teeth?

I have seen 24-year-olds who lost all their teeth due to poor hygiene, and 90-year-olds who still have most of theirs. It depends entirely on personal care. If people brush, floss, and see their dentist regularly, they can keep their teeth well into old age.

Dental care can be expensive. How does On Lok PACE help seniors pay for it?

Dental care is a benefit covered by On Lok PACE, which makes a huge difference in ensuring seniors get the care they need without worrying about cost.

What’s your final advice for senior dental health?

Prevention is always better than treatment. Brush and floss after every meal and see your dentist at least once a year. If you take care of their teeth, you won’t need as many dental visits. And that’s what we want—to keep seniors healthy and smiling for as long as possible.