February 17, 2025
SINGAPORE – When 94-year-old Mr. Ibrahim Mohamed sought dental care in 2020, he encountered initial challenges. A private dental clinic declined to treat him due to his age and health conditions, including heart disease and hypertension. However, his journey to better oral health took a positive turn when he visited the National University Centre for Oral Health Singapore (Nucohs).
The Nucohs Experience
At Nucohs, Mr. Ibrahim received the necessary treatments, including tooth extractions, fillings, and his first set of dentures. When he visited the Nucohs Dental Clinic @ Alexandra Hospital in 2024, his oral health had deteriorated. Dr. Tan Mei Na, the head of dental services, addressed his extensive dental issues with a careful, gradual approach to ensure his comfort.
Mr. Ibrahim’s son, Mr. Mohamed Ismail Ibrahim, expressed gratitude for the dental team’s care, noting that his father had never visited a dentist before. The elder struggled with traditional methods, such as using charcoal to clean his teeth.
Rising Demand for Geriatric Dental Care
The number of seniors seeking specialized dental care in Singapore is on the rise. Between April 2023 and July 2024, over 3,000 patients were treated at the Nucohs Dental Clinic @ Alexandra Hospital. Additionally, the Geriatric Special Care Dentistry Clinic under SingHealth’s National Dental Centre of Singapore had seen 10,593 patients by November 2024, up from 8,534 in 2018.
Customized Facilities for Seniors
Both clinics are equipped to handle the unique needs of elderly patients. The treatment rooms are spacious enough for wheelchairs, feature specialized equipment like wheelchair tilters, and are equipped with intra-oral X-ray machines to minimize the need for external scans.
The Super-Aging Society
Singapore is poised to become a super-aged society by 2026, with at least 21% of the population aged 65 or older. By 2030, one in four people will be 65 and above. This demographic shift underscores the growing importance of specialized dental care for seniors.
Challenges and Solutions in Geriatric Dentistry
Many senior patients have poor oral health due to long-term neglect or fear of dental procedures. Treating these patients requires a holistic approach, considering their medical conditions, medications, cognitive status, and social backgrounds.
Dr. Tan Mei Na emphasizes the need for a comprehensive understanding of each patient’s needs. Dr. Yang Jingrong adds that the number of seniors with chronic diseases and cognitive impairments is increasing. Conditions such as dementia and Parkinson’s disease pose additional challenges.
For example, dementia can lead to behavioral changes and decreased cooperation in oral hygiene routines. Neurodegenerative conditions like Parkinson’s and stroke can affect swallowing and pose risks during dental procedures.
Specialized Training in Geriatric Dentistry
While geriatric dentistry is not a recognized specialty in Singapore, additional training opportunities are available. In 2019, NUS’ Faculty of Dentistry introduced a two-year graduate diploma in geriatric dentistry. For those seeking more advanced knowledge, a master’s degree in special care dentistry is available abroad.
Dr. Tan highlights the benefits of specialized training for dentists, stating that it enhances their ability to understand and manage complex conditions.
The Importance of Continual Oral Care
Good oral health remains crucial for seniors, who value their appearance and overall well-being regardless of age or health challenges. Dr. Tan emphasizes the importance of prioritizing oral healthcare as part of healthy aging.
Mr. Ibrahim’s dentures being examined at the National University Centre for Oral Health Singapore Dental Clinic @ Alexandra Hospital in October 2024. PHOTO: THE STRAITS TIMES
As the population ages, the demand for specialized dental care will only increase. Ensuring that seniors have access to the right dental services is crucial for their overall health and quality of life.
Your Turn: Share Your Thoughts
Do you or your loved ones have specific dental needs? How can dental facilities adapt further to better serve the elderly? Share your insights and experiences in the comments section below. Join the conversation and help us build a community dedicated to senior health and well-being.