Diminished salivary flow and buffer capacity
Periodontal pocketing with attachment loss
Gingival recession and gingivitis with calculus and oral debris
Elevated bacterial content of saliva (S. mutans, Lactobaccilli, C. albicans)
Presence of overdenture abutments
Unrestored dental decay
Arrow indicates occlusal decay.
"Occlusal decay" is caries occurring on the grinding or biting surface of the tooth.
Bruxism [The habit of unconsciously gritting or grinding the teeth, esp. in situations of stress or during sleep.]
Wearing removable partial dentures
Physical & cognitive impairment
Limited ingestion of milk products
Medications that cause xerostomia
Root decay as seen in mouth with help of mirror.