Geriatric Dentistry in Esher and Wandsworth

Geriatric Dentistry

Dentistry for the over 60’s

  • Restore damaged teeth
  • Prevent decay
  • Replace missing teeth

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No. of Treatments


As we age, our teeth and gums often face new problems that need to be addressed early. If you’re over the age of 60, it is important to take extra care of your oral health since existing issues can worsen, and new ones arise as we age.

Smita Mehra

A word from Smita Mehra, Principal Dentist

Older adults can sometimes have many age-related dental problems. The mouth is referred to as a mirror of overall health, reinforcing that oral health is an integral part of general health. We have aids and supports built into the clinic like dental chairs which are specifically designed for the over 60’s.

Geriatric dentistry (Gerodontics) is the delivery of dental care to older adults to treat problems associated with age-related diseases and problems. As time goes on, our teeth and gums can become weaker and more damaged, both naturally and as a result of ongoing poor oral hygiene. Dentistry for the over 60’s attempts to help diagnose, prevent and treat these problems through techniques such as dental implants and dentures.

★ ★ ★ ★ ★

“My first visit to Neem Tree as a 90 year old patient. Excellent treatment … during an extraction. Never had such a service before in my life. Kind and caring. Always go there in future.”

Geriatric Dentistry at the Neem Tree

Our approach at the Neem Tree is always one of prevention first. We will always do everything we can to identify and prevent issues before they occur or get worse. Only as a last resort will we suggest treatments such as a tooth extraction.

With a proper dental hygiene routine, a lifetime of chewing, biting and gnashing doesn’t have to take such a toll.

Book an Appointment in Esher or Wandsworth



The Neem Tree
Wandsworth Dental Practice

515 Old York Rd, Wandsworth, London, SW18 1TF
Call: 02088 700 030
Email: [email protected]



The Neem Tree
Esher Dental Practice

138 High Street, Esher, KT10 9QJ
Call: 01372 464 000
Email: [email protected]

Fee Guide

Emergency Dental Appointments£95
New Patient Examinationfrom £75
Digital X-rayfrom £17
OPG X-rayfrom £75
CT Scan (both arches)from £220
CT Scan (single arch)from £150
Simple Tooth Extractionfrom £260
Tooth Extractionfrom £460
Wisdom Tooth Extractionfrom £650
Tooth Fillings (Small)from £200
Tooth Fillings (Medium)from £260
Tooth Fillings (Large)from £310
Root Canal Treatmentfrom £940
Sports Mouthguardsfrom £200
Mouthguard for grinding£450

Learn more about dentistry for over 60’s

What is geriatric dentistry?

Geriatric dentistry or ‘Geridontics’ is the delivery of dental care to older adults involving the treatment, diagnosis and prevention of problems associated with age related diseases and problems. The demographic of older adults (65 years of age and older) is growing and is likely to create a larger demand for geriatric dental care in the coming years. Dental professionals can play an integral part in helping this population overcome changes in their health that may affect their oral health in relation to their age. 

As we grow older, we often develop special dental needs especially regarding our dental care. The dental needs of the elderly are continuously changing and growing therefore the need for good quality geriatric dental care is also increasing.

In most general dental practices, the proportion of older adults is even greater and the elderly patients often account for a higher percentage of practice patients within each passing year.

Older patients are a growing demographic for dental practices all around the UK. While the statistics state that around 5% of adults over the ages of 65 are edentulous, increased numbers of older adults seem to be retaining more of their natural teeth compared to previous generations. 

The health status of adults over the age of 65 are quite varied. It often ranges quite a lot. Older adults may regularly use several prescriptions and/or over-the counter medications, making them vulnerable to dental related side effects, any medication errors, drug interactions or adverse drug reactions. Potential sensory, cognitive, and physical impairments associated with aging may make home oral health care and patient education quite challenging which is why Geriatric Dental care is so important.

How important is geriatric dentistry?

Geriatric dental care needs to have significant importance especially if you are over the age of 60. This care can prevent and may even be able to eliminate certain oral diseases associated with age related health issues that directly or indirectly affect your oral health. This includes stroke, diabetes and even heart disease. It is important to understand that all these conditions will and do directly affect your oral health no matter what your age is.

We like to work on preventative treatment rather than treating the problems after the fact.

It is a common myth that as you age your teeth will naturally all fall out. This is all highly dependent on how well you care for your oral health as you slowly age. This included continually visiting the dentist and showing up to your routine check-ups.

How often should elderly people go to the dentist?

We recommend that patients over the age of 60 should visit the dentist for a routine check up twice a year. However, routine dental care is imperative at any age you may be and whether you still have teeth or not. No matter what age or stage you are with your oral health, you need to carry out a dentist approved dental routine twice a day.

So, if your loved one requires elderly dental care, they should be seen at least twice a year.

Elderly dental care tips for good dental hygiene

As with any age, proper oral hygiene is vital for good oral health. During the patient’s dental check-up, the dentist will review the necessary oral hygiene being used and will recommend what you can use and what routine you should carry out that will work to your specific needs. Although this is usually specialised to the patient in question, generally speaking, seniors should usually: 

  • Brush your teeth or gums twice a day (usually before breakfast and right before going to bed).
  • Try to floss once a day.
  • Eat a healthy, well-balanced diet and drink plenty of water. (Tap water is great as it usually contains fluoride).
  • See your dentist on a regular basis for specialised elderly dental care, cleanings, and oral exams.

Getting older puts many patients at risk of a number or oral health issues such as:

Gum disease:

This is caused by the bacteria in plaque in the teeth. This usually irritates the gums making them swollen and very likely to bleed while you brush your teeth. Gum disease is a widespread disease in many adults of any age, mostly because it is often a painless condition that is easily overlooked until the advanced stage.

Many older adults have receding gums. This means that cavities are more likely to develop at the root of the tooth leading to decay. Dry mouth also causes bacteria to build up in the mouth quite easily which is quite common in older adults. 

Tooth loss:

There are several factors that can contribute to tooth loss as many people get older. Gum disease is a leading cause of tooth loss. 

Dry mouth:

Dry mouth is caused by reduced saliva flow. Sometimes this can be a direct result of medications or any treatments a patient could be having and sometimes it happens naturally as some people age. Many medications can cause dry mouth.

Root decay: 

Root decay is more common in the elderly as it is caused by the exposure of the tooth root to acids that commonly cause tooth decay. When the gum tissue recedes from the tooth, the tooth roots become exposed. The roots of the teeth themselves do not have any enamel to protect them and are therefore more prone to decay than the actual tooth.

What should I do before my appointment?

Preparing for your Geriatric Dentistry appointment is important to ensure a smooth and successful visit. Here are some tips to help you prepare:

  1. Gather your medical history: Be sure to bring a list of any medications you are taking, any allergies you have, and any medical conditions you have been diagnosed with. This can give our dentist a better understanding of your overall health and help them make informed decisions about your dental care.
  2. Bring a caregiver: If you have mobility issues or other limitations that make it difficult to attend appointments alone, consider bringing a caregiver with you. They can help you navigate the office and provide support during your appointment.
  3. Arrive early: Arriving early to your appointment can help you feel more relaxed and give you time to fill out any necessary paperwork or update your medical history.
  4. Communicate your concerns: Be sure to communicate any concerns you have with our dentist. This could include fears or anxieties about dental procedures, or any physical limitations that may affect your dental care.
  5. Bring any dental appliances: If you have dentures, bridges, or other dental appliances, be sure to bring them with you to your appointment. Our dentist can check them for proper fit and function, and make any necessary adjustments.

By following these tips, you can help ensure a successful and comfortable appointment.