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4 Causes of Gum Disease in Older Adults

November 15, 2025

Senior man smiling.

As we age, our oral health needs change, and one of the most common concerns among older adults is gum disease. Also known as periodontal disease, this condition affects the tissues that support your teeth and can lead to tooth loss if left untreated. While gum disease can develop at any age, it tends to be more prevalent in older adults due to a combination of factors related to aging, health, and lifestyle. Here are 4 common causes of gum disease in older adults and what you can do to protect your smile.

1. Plaque Buildup from Inconsistent Oral Care

Over time, even small lapses in brushing or flossing can lead to a buildup of plaque—a sticky film of bacteria that clings to teeth and gums. When plaque isn’t removed regularly, it hardens into tartar, which can only be removed by a dental professional.

Tartar irritates the gums and leads to inflammation, a key early sign of gum disease known as gingivitis. Because older adults may have arthritis, limited dexterity, or rely on dentures, maintaining thorough daily oral care can be more challenging. Using electric toothbrushes, floss holders, or water flossers can make daily hygiene easier and more effective.

2. Dry Mouth from Medications

Many older adults take prescription medications for conditions like high blood pressure, allergies, or depression. Unfortunately, one common side effect of these medications is dry mouth (xerostomia)—a condition where the mouth produces less saliva.

Saliva plays an important role in washing away bacteria and food particles. When saliva levels drop, bacteria thrive, increasing the risk of plaque buildup and gum disease. Staying hydrated, using sugar-free gum or lozenges, and speaking with your dentist about saliva substitutes can help combat dry mouth.

3. Underlying Health Conditions

Certain medical conditions that are more common with age—such as diabetes, heart disease, and weakened immune function—can make the gums more vulnerable to infection. For example, high blood sugar in diabetic patients can create an environment where bacteria grow more easily.

Managing these health conditions with your doctor’s guidance and maintaining consistent dental visits can significantly reduce your risk of gum disease.

4. Ill-Fitting Dentures or Missing Teeth

Gaps from missing teeth or poorly fitting dentures can cause irritation to the gums and make cleaning difficult. This can trap food particles and bacteria, leading to inflammation and infection.

If your dentures feel loose or uncomfortable, visit your dentist for an adjustment or reline. Properly fitting dentures not only improve comfort but also help protect gum health.

Gum disease isn’t an inevitable part of aging—it’s preventable. By maintaining consistent oral hygiene, managing medical conditions, staying hydrated, and visiting your dentist regularly, older adults can keep their gums healthy and enjoy a strong, confident smile for years to come.

About the Practice

Here at Blue Coast Dental Group, we can provide gum disease therapy with laser dentistry to treat infected gum tissue. Also, with an in-house periodontist available, you can expect to get the very best treatment available. Worried about costs? No problem – we’re in-network with many dental insurance plans. Go ahead, schedule your appointment through our website or call (310) 424-3100.