One of the most common chronic illnesses in the world, periodontitis spreads more readily as people age and is a key factor contributing to tooth loss. The relationship between frailty and periodontal disease has been linked to co-morbid systemic disorders, impaired physical functioning, and restricted capacity for self-care in elderly adults with frailty. Additionally, inflammatory dysregulation along with additional age-associated physiological modifications show substantial connections with both ageing and periodontal disease. The review aims to understand the relationship between geriatric periodontal health, changing periodontium, their interactions, pathology, clinical characteristics, and the specific treatment needed for elderly patients.