Brief Background A few studies have been conducted to understand the reasons for tooth extractions in adult age groups with little attention being paid to the elderly population. The present retrospective study was carried out to evaluate the indications for tooth extraction among elderly. Methodology A total of 211 records of patients aged above 60 years were reviewed. All the reasons for tooth extraction such as dental caries, periodontitis, trauma, endo- perio lesions beyond salvaging the tooth, prosthetic reason or tooth in the line of radiation were recorded. The chi-square test was applied to check the association between tooth loss to the tabulated data collected for demographic details, oral hygiene practices and medical problems.