Dental treatment of older, multimorbid patients generally requires specific gerostomatological knowledge. In addition to curative aspects, dental concepts for older people should also included preventive aspects. It is also important that both the immediate and future medical situations of the patient are included. The dental functional capacities as well as the subjective and relativised objective treatment requirement should be taken into account in the treatment decision-making process, which should be participation-based between the dentist, patient and relatives. The initial treatment using removable dentures at an old age can present challenges to both the dentist and patient. The concept of the incremental denture is an effective procedure for treating older, multimorbid patients and to reduce possible problems with adaptation.