Older dental patients present unique challenges that require dentists to turn to innovative treatment solutions. Each patient treatment should be based on a multitude of factors. However, in the end, two simple questions should be posed to every patient who has reached the twilight of their life, defy the odds, and live on, and on, and on. First, do you think that you will live or could live another 5 or 10 years? Second, do want to outlast your teeth or would you like your teeth to outlast you?