Increasing in elderly population was well reported in many studies and also global census
including in Malaysia. Oral diseases are cumulative disease and age related throughout life. The complexity of
the disease and their management needs urgent attention. These crosses sectional study was conducted in
institutional community of old folk shelter in Kelantan, Malaysia. The general condition of oral health was
assessed to identify the oral health problems and to determine the normative needs of the occupant. Result
shows that there is a high need in tooth extraction and also denture. Due to changes in all physiological body
components and use of medication for other systemic diseases, management of oral disease among elderly needs
multi-sectorial approach including government as a prime mover, tertiary education provider, health care
marketer and also community where the elderly leaves.