Elderly Dental Care Crisis in Australia

Addressing Elderly Dental Care Crisis

Elderly dental care crisis in Australia is a real issue. As we grow older, our oral health needs change and often become more complex. Conditions like dry mouth, tooth wear, oral diseases, gum disease, root decay, and sensitive teeth become more prevalent. Maintaining good oral hygiene and regular dental visits are crucial to preventing these issues and ensuring older Australians can eat, speak, and feel confident about their appearance.

Unfortunately, many older Australians struggle to access and afford the dental care they require. Around one in four have untreated tooth decay, and more than half live with gum disease. Alarmingly, 20% of aged Australians have lost all their adult teeth and rely on dentures. This poor oral health is not only detrimental to physical health, but can also contribute to social isolation and mental health problems.

The consequences of neglecting elderly dental care can be severe. Poor oral health has been linked to serious systemic conditions like cardiovascular disease, strokes, diabetes, and certain cancers. Maintaining good oral hygiene is particularly crucial for older adults, whose immune systems may be weaker and less able to fight off infections.

elderly dental crisis

Barriers to Dental Care for Older Australians

There are several key barriers that prevent many older Australians from accessing the dental care they need:

Financial Constraints

The high cost of dental treatment is a significant obstacle for many older adults, especially those living on fixed incomes or relying on the public healthcare system. The average wait time for public dental services is 12 months, leaving many with no choice but to pay out-of-pocket for private care.

Even with government subsidies and concessions, the financial burden of dental treatment can be prohibitive. Many older Australians must prioritize other essential expenses like housing, utilities, and medication over their oral health needs.

Mobility and Transportation Issues

Reduced mobility, disability, and lack of access to transportation can make it challenging for older adults to attend dental appointments, especially if the clinic is located far from their home. This is particularly problematic for those living in rural or remote areas, where dental services may be scarce.

Fear and Anxiety

Some older adults may avoid seeking dental care due to fear or anxiety, often stemming from past negative experiences. This can be exacerbated by cognitive decline or dementia, which can make it difficult for individuals to communicate their needs and concerns to dental professionals.

Lack of Awareness

Many older Australians may not be aware of the importance of maintaining good oral health as they age, or the potential consequences of neglecting their dental care. This lack of awareness can lead to a reactive, rather than proactive, approach to oral healthcare.

Caregiver Challenges

For older adults living in aged care facilities or relying on family caregivers, the responsibility of maintaining oral hygiene and arranging dental appointments can be a significant burden. Caregivers may lack the time, resources, or knowledge to prioritize their loved one’s dental needs.

Addressing the Oral Health Crisis

To address the growing crisis in elderly dental care, a multifaceted approach is required. This should involve increased government funding, targeted programs and initiatives, and a collaborative effort between dental professionals, aged care providers, and the broader community.

Expanding Access to Affordable Dental Care

One of the most pressing needs is to improve access to affordable dental services for older Australians. This could involve:

Increasing Funding for Public Dental Programs

Advocates have long called for a specific dental program for older people to address the significant oral health issues they face. Increasing government funding for public dental services would help reduce wait times and ensure more older adults can access the care they need.

Enhancing Dental Concessions and Subsidies

Expanding the range and value of dental concessions and subsidies available to older Australians, particularly those on low incomes or living in aged care facilities, could make private dental treatment more accessible.

Promoting Telehealth and Mobile Dental Services

Leveraging telehealth technologies and mobile dental clinics could help overcome barriers related to mobility and transportation, especially for those living in rural or remote areas.

Encouraging Dental Practices to Offer Flexible Payment Plans

Dental practices could work to make their services more affordable for older patients by offering flexible payment plans, payment assistance, or sliding-scale fees based on income.

Improving Oral Health Education and Awareness

Raising awareness about the importance of oral health for older adults and the available support services is crucial. This could involve:

Targeted Public Education Campaigns

Launching public education campaigns that highlight the links between oral health and overall wellbeing, as well as the resources and services available to older Australians.

Integrating Oral Health into Aged Care Assessments

Ensuring that oral health assessments are a standard part of aged care evaluations, so that any issues can be identified and addressed early on.

Empowering Caregivers with Oral Health Training

Providing caregivers, both professional and family members, with the knowledge and skills to assist older adults with their daily oral hygiene routines and facilitate regular dental visits.

Addressing the Needs of Older Adults with Cognitive Impairments

For older Australians living with dementia or other cognitive impairments, maintaining good oral hygiene and accessing dental care can be particularly challenging. Strategies to support this vulnerable population include:

Tailoring Dental Treatments and Environments

Adapting dental procedures and clinic environments to be more comfortable and accommodating for individuals with cognitive impairments, such as using calming music and allowing for longer appointment times.

Enhancing Communication and Caregiver Involvement

Improving communication between dental professionals, patients, and their caregivers to ensure the patient’s needs and preferences are understood and addressed. This may involve the use of visual aids, simplified language, and increased caregiver participation.

Providing Specialized Geriatric Dental Training

Equipping dental professionals with the knowledge and skills to effectively treat older adults with cognitive impairments, including techniques for managing behavioral challenges and communicating with caregivers.

What We do at Beecroft Smiles to Address Elderly Dental Care

Beecroft Smiles, a leading dental practice in the Sydney suburb of Beecroft, has taken a proactive approach to addressing the oral health needs of older Australians. The practice recognizes the unique challenges and barriers that many elderly patients face, and has implemented a range of initiatives to improve access to high-quality, affordable dental care.

Dedicated Geriatric Dental Services

Beecroft Smiles has established a specialized geriatric dental program, staffed by dentists and assistants who have experience and knowledge in the unique oral health needs of older adults. This service offers a range of services tailored to the elderly, including:

  • Comprehensive oral health assessments and treatment planning
  • Preventive care, such as regular cleanings and fluoride treatments
  • Restorative treatments, including fillings, crowns, and dentures
  • Management of conditions like dry mouth, tooth sensitivity, and gum disease

By offering these specialized services, Beecroft Smiles aims to help older patients maintain their oral health, prevent further deterioration, and improve their overall quality of life.

Flexible Appointment Scheduling and Transportation Assistance

Recognizing the challenges that many older adults face in terms of mobility and transportation, Beecroft Smiles has implemented a range of measures to improve access to their services. This includes:

  • Offering flexible appointment scheduling, with extended hours and weekend availability
  • Wheelchair ready access and ‘Park at Door’ facility. 

These initiatives help to remove some of the barriers that can prevent older Australians from seeking the dental care they need.

Commitment to Affordability and Accessibility

Beecroft Smiles is committed to ensuring that its services are accessible and affordable for older patients, regardless of their financial circumstances. The practice offers:

  • Flexible payment plans and financial assistance options for those who may be struggling to afford treatment. We have collaborated with National Dental plan and Denticare to make treatments more affordable.
  • Acceptance of government dental concessions and subsidies, such as the Child Dental Benefits Schedule and the Seniors Dental Benefits Scheme.
  • Partnerships with local community organizations to help connect elderly patients with available funding and support programs

Through these initiatives, Beecroft Smiles aims to remove the financial barriers that can prevent older Australians from accessing the dental care they need.


The oral health crisis facing older Australians is a significant and growing concern that requires a comprehensive, collaborative response. By addressing the financial, logistical, and educational barriers that prevent many elderly individuals from accessing the dental care they need, we can help to improve their physical, mental, and social wellbeing, and reduce the burden on the broader healthcare system.

Initiatives like the ones we have implemented at Beecroft Smiles, which combine specialized geriatric dental services, caregiver support, and community partnerships, offer a promising model for addressing this critical issue. As we continue to grapple with the challenges of an aging population, it is essential that we give priority to the oral health needs of older Australians and work to ensure they can maintain their dignity, comfort, and quality of life.