Many put off dental treatments due to costs, but it could mean a high price to pay for an ageing society

High dental treatment costs are causing many older Singaporeans to postpone necessary care, a decision that could lead to significant long-term health consequences. Madam Amy Lau, 65, exemplifies this struggle, having initially opted against replacing her lower dentures due to the S$700 cost, on top of the S$500 for her upper set.

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At the time, I was doing part-time work and didn't earn much.

While Mdm Lau eventually found a more affordable option at a heartlands clinic and qualified for subsidies as a Community Health Assist Scheme (CHAS) Blue cardholder, paying even her out-of-pocket cost of about S$500 was a significant burden. She hopes for increased subsidies, especially for older individuals who are not working.

In response to growing needs, the Ministry of Health (MOH) increased dental subsidies for various groups, including CHAS Blue and Orange cardholders, in October last year. However, experts argue that as Singapore's population ages, more robust government subsidies and financing support for dental care are essential. Oral health is increasingly recognized as crucial for nutrition, social engagement, quality of life, and functional independence in seniors.

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Paying a lump sum of S$500 is still difficult. I hope that eventually there could be more subsidies for dental care, especially for older folks who are not working.

Assistant Professor Cynthia Chen from the National University of Singapore highlights that poor oral health can impair chewing and nutrition, potentially contributing to physical decline and vulnerability in older adults. Health Minister Ong Ye Kung noted that at least 20 natural teeth are needed for effective chewing, yet only 56 percent of Singaporeans aged 55 and above retain this many. Dental professionals emphasize that delaying treatment due to cost can ultimately lead to more complex and expensive issues down the line.

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Poor oral health can impair chewing and nutrition, which may contribute to physical decline and vulnerability in older adults.