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I grew up during my "wonderbread years" on the border of Missouri (Missour-ah) and Arkansas. Almost all the elders around me had no teeth. Some managed to chomp down quite hearty meals and some kind of had it scrunched up in finer portions, but none, I suspect, died from malnutrition.
You mention the age of 90. At this point this fine lady will not have an obit written that says she died way too young. That is to say that she is likely to go of age. And in age the appetite goes way way down. Sometimes the swallow actually disappears and along with it all incentive to eat. It is a matter of the aging mechanics of the body. Less is taken in. More sleep is needed until finally there is a longing only to sleep. The body is winding down, and headed where it inevitably must, to that final rest.
I would not now worry about dentures. If you are truly worried about nutrition get a consult with a nutritionist and find out what supplements are best for this elder, and how you can best support weight, avoid wasting.
I will tell you this as a nurse, the human body at the end of life needs so little to go on that you would be amazed. Even meager intake of food and fluid can keep a body going for a long time.
My very best out to you and the elder you clearly care so deeply for.
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My mother lost all her teeth in her 40s, and could eat anything she wanted to until she was at least 90, and most definitely “maintained” her weight.

She had a severe stroke at85 and told her neurologist that she didn’t like hospital food and she was going home 2 days after the stroke was diagnosed, and that’s exactly what she did, and lived by herself for the next 5 years.

If someone wants to eat, they will eat, teeth or no teeth.
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Isthisrealyreal Feb 2023
So true. My great granddaddy could make short work of anything he wanted to eat. Including a good steak and not a tooth in his head.
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Thank you for your very helpful reply!
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My mother had head and neck cancer and a denture wasn’t possible. Her nutrition status is excellent. Oatmeal, avocado, egg salad, sweet potatoes and squash. You get the idea. Berries, cake, ice cream, whatever she wants. Now that her dementia is advancing she eats less and is losing weight, truly I don’t worry because it is the natural course. When she is hungry she eats. I never worry about wasting food or make it an issue.
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My mom had a swallowing disorder (dysphagia) and was eating a pureed diet for several of her final years so I know it is very possible to maintain weight with such a diet. The challenge is in making up foods that are tasty and interesting and not just the equivalent of baby food mush - including foods that are normally soft in texture can go a long way in making the diet more palatable. Someone without teeth can "chew" and swallow a lot of foods that a person needing a pureed diet can't so things like pasta casseroles, ground meats, shepherd's pie, quiche, soft breads are all possible. Smoothies. Soups of all kinds. Don't forget dessert!

If the problem is lack of interest in eating that is a whole different thing - this is where attention to adding high calorie foods (full fat dairy, sauces and gravy, cheese, fats and oils, nut butters etc) and nutritional supplements like boost and ensure can help.
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Thank you very much for your reply! You've provided me with reassurance in my decision making, and that means A LOT to me!!! Thanks again!!
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You can buy a liquid called ProSource that is a high protein additive. Put it in drinks or oatmeal, etc. Just don’t give more than prescribed amt on bottle, because a person can only absorb 15ish grams of protein per meal. I get it on Amazon.
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Reading the answers here and since there is little information to go by, I was just wondering Sigh123, do you have a LO with dental issues and you are trying to make some decisions for them?
If you only needed reassurance that LO can manage w/o teeth then your question is answered. But since you needed to ask, it made me wonder if the dentures hadn’t been ordered yet. Just wanting to make sure you got the help you needed.
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Sigh123 Feb 2023
Yes, I needed reassurance that LO could manage w/o teeth. LO is 90 years old, and has had several teeth fall out in last year. Relatives think tooth loss will negatively affect her health. However, LO has several "root tips" that would need to be extracted first in order for dentures to fit properly. I think LO is too old to go through 6 extractions - don't want her to suffer, especially at 90. We just visited an oral surgeon about the root tips. He said that they are not infected, and recommended to leave them alone. He also told me that nobody has ever died from not being able to eat due to tooth loss. Thank you so much for your response; very much appreciated.
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My mom had dentures and after she went into her facility, she broke the Uppers while in Assisted Living. I took her to get new ones. She couldn’t get new bottom ones because she didn’t have enough “gum”. After her last hospitalization the top ones were lost, she had a bad habit of wrapping them up in a napkin. I didn’t get them replaced, she wasn’t eating much as it was after diagnosis.
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No, but Ensure is considered a complete meal and it is drinkable.
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