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Understanding What Causes Gum Disease in Older Adults

January 24, 2026

Filed under: Uncategorized — dthouston @ 10:42 am
Senior couple smiling

Gum disease becomes increasingly common with age, especially for adults over 60. While aging itself doesn’t directly cause gum disease, the changes that come with getting older can make gums more vulnerable to inflammation and infection. Understanding these age-related risk factors can help seniors take proactive steps to protect their smiles and overall health.

Natural Changes in the Mouth With Age

As we age, the tissues in the mouth naturally become thinner and less resilient. Gums may recede over time, exposing more of the tooth root and making it easier for bacteria to collect along the gumline. This increased exposure can lead to irritation and inflammation if plaque is not removed regularly.

In addition, saliva production often decreases with age. Saliva plays an important role in washing away bacteria and neutralizing acids, so reduced saliva can leave gums more susceptible to infection.

Medical Conditions and Medications

Many older adults manage chronic health conditions that can impact gum health. Conditions such as diabetes can affect the body’s ability to fight infection, increasing the risk of gum disease. When blood sugar levels are not well controlled, inflammation in the gums can worsen and healing may take longer.

Medications commonly prescribed to seniors can also contribute to gum problems. Some medications cause dry mouth, while others may lead to gum overgrowth or increased plaque buildup. These side effects can create an environment where gum disease develops more easily.

Changes in Oral Hygiene Habits

Physical limitations can make oral care more challenging for some seniors. Arthritis, reduced dexterity, or mobility issues may make brushing and flossing less effective or less frequent. Over time, inadequate plaque removal allows bacteria to irritate the gums and trigger infection.

In some cases, older adults may also wear dental restorations or appliances that require special cleaning. If these areas are difficult to maintain, plaque can accumulate and increase the risk of gum disease.

Smoking and Past Oral Health History

A history of smoking significantly raises the risk of gum disease, even years after quitting. Smoking weakens the immune system and reduces blood flow to the gums, making it harder for tissues to heal. Older adults who smoked earlier in life may still experience lingering effects on their gum health.

Previous gum disease can also increase the likelihood of recurrence. Without consistent monitoring and care, inflammation may return and progress more quickly with age.

How Seniors Can Protect Their Gums

Seniors can take several steps to reduce their risk of gum disease. Maintaining a consistent oral hygiene routine is key, including gentle brushing twice a day and daily flossing. Using tools designed for easier grip can help make home care more manageable.

Regular dental visits are especially important for older adults, as they allow early signs of gum disease to be identified and treated before they worsen. Staying hydrated, managing medical conditions, and avoiding tobacco products can further support healthy gums.

Protecting gum health is an important part of aging well and maintaining a confident, comfortable smile.

About the Practice

Downtown Houston Dentist offers comprehensive periodontal care focused on preventing and treating gum disease at every stage of life. Dr. Chris Johnson provides periodontal therapy designed to reduce inflammation, protect gum tissue, and support long-term oral health. We emphasize personalized care and patient education, the team works closely with seniors to help them maintain healthy gums and strong smiles as they age.

Call us at (713) 229-8100 or request an appointment online.

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