People aged 65 to 74 years are the new or young elderly who tend to be relatively healthy and active; People aged 75 to 84 years are the old or mid-old, who vary from those being healthy and active to those managing an array of chronic diseases; People 85 years and older are the oldest-old, who tend to be physically frailer. According to the WHO, the global population is increasing at the annual rate of 1.7 percent, while the population of those over 65 years is increasing at a rate of 2.5 percent. Physiologic changes have a cumulative effect as they relate to the continuum of biologic, psychologic, social, and environmental processes of aging. Changes occur for all people, tissues, and organs, however, these changes occur with differing rates and individual variability. The loss of elders' ability to function to capacity includes a decline in respiratory function and the inability to accommodate to temperature changes. It is important for the dental team to be aware of these changes; in particular when older adults are challenged by trauma, acute illness, or external temperature extremes. The central nervous system undergoes significant changes during the course of aging. Decreased response time is often seen in the elderly population, but there is a wide variation between individuals. The immune system becomes less competent with age. Lesions of the oral mucosa associated with wearing removable dentures may represent acute or chronic reactions to the constituents of the denture base material or a mechanical injury caused by the denture. In India, many people consume alcohol, bidi, cigarettes, and Gutkha, The major block in the oral health care of elderly and the residents would be the underestimation of the oral health care need by them. The dental care of the residents is often limited to emergency care and is not aimed at retaining teeth. Conversely, with changing attitudes the oral health goal should include: Keeping their teeth, keeping their teeth healthy and keeping their teeth pretty.