Purpose of ReviewElderly population represents the fastest growing population segment and target group of many expert organizations developing strategies for successful aging. The substantial increase in man’s lifespan together with implementation of preventive dental programs resulted in decreased tooth loss and increased prevalence of periodontal disease. Hence, the present review focused on positioning periodontal health within aging process, characteristic of the senescent periodontium, periodontitis-aging interplay, clinical characteristics, and implications for periodontal care in geriatric patients.Recent FindingsThe senescent periodontium undergoes degenerative changes that are unrelated to progressive destruction in lack of inflammation. The pathological interplay periodontitis-systemic aging is evidenced. Geriatric patients demonstrate comparable treatment outcomes to those of patients ≤ 60 years regarding non-surgical and surgical periodontal treatment and implant therapy as well.SummaryAdequate oral hygiene and appropriate control of risk factors represent the key pre-conditions for successful periodontal and systemic aging.