Caring for elderly patients with Alzheimer's and dementia in nursing homes presents unique challenges, especially when it comes to their dental care. In this article, we explore the importance of dentists with experience treating this vulnerable patient group and their ability to adapt their diagnostic and treatment planning approaches. These patients face multiple dental issues, including tooth decay, gum disease, dry mouth, and difficulties with chewing and swallowing. Dentists familiar with their unique needs possess specialised knowledge, communicate effectively despite the patients' limited ability to express discomfort, and provide gentle care that considers their fragility.