Recently, I have been seeing a lot of elderly people, which has prompted me to think about the issue of dental care for the elderly. As the standard of living has improved and the overall life expectancy has increased, many elderly people in their seventies and eighties have recently come in for dental treatment for various reasons. One old man who was nearly eighty years old came in late and asked for all the teeth in his mouth to be filled, because he was going to settle abroad and knew that dental care was expensive abroad. After the examination, most of the teeth were defective in the cervical part of the teeth, except for the shortened teeth and exposed dentin caused by abrasion. It was accompanied by the loss of individual teeth. There was already a denture, but the denture needed to be repaired due to the extraction of a tooth in the lower jaw. The old man just wanted a filling, although that denture looked like it could be replaced as well. Two teeth in the lower jaw were then filled first according to the patient’s wishes. Another eighty-six-year-old woman was referred by oral surgery to treat dental caries. After intraoral examination, one tooth seemed to have penetrated the pulp, but there was no discomfort such as percussion pain. After communicating with the patient’s family, we considered filling treatment first, and then treating if there are pulp symptoms afterwards. It did not prevent the use of movable dentures. The patient was satisfied. With the above two elderly patients’ symptoms and clinical examination, if they were younger patients, perhaps I would have insisted on oral revision consultation and root canal treatment. However, considering the clinical insensitivity of the elderly and their comfort with the use of the old restorations, the easier restorations were chosen in conjunction with the clinical diagnosis to reduce the number of patient visits and the difficulty of treatment. However, it is true that the choice of indications should not be too neglected and it is still important to choose the treatment method on the basis of ensuring the therapeutic effect. At the same time, the psychological state of the elderly, we should also take into account, such as the first old gentleman, if he insisted to go to the oral surgery consultation first, it is bound to cause disputes, because the elderly are relatively stubborn, we should understand their real thoughts and temperament during the conversation, in order to better implement the treatment operation. The International Dental Association’s standard is 8020, which means that at the age of 80, they still have 20 teeth, and this is the direction we are trying to go. It is indeed gratifying to see 70-year-olds still choosing implant restorations. Therefore, as dentists, we should respect the choice of the elderly and actively encourage them to take care of their teeth and keep them healthy. May all seniors have a good life in their old age!