Objectives of this paper are to evaluate the burden of common risk factors for chronic diseases and oral cancer in a disavantaged community, institutionalized older people and to conduct an oral cancer examination. Material and method: after obtaining informed consent, 93 institutionalized older people were interviewed about smoking, alcohol consumption and diet; afterwards they were clinical examined in order to detect oral mucosal lesion. Results: there is unmet need among this group; health promotion and disease prevention have to be based on the common risk factors approach. It is important to understand the biomedical and psiho-social aspects of care for older people; the needs for care are highest among socio-economic disadvantaged, vulnerable older people. Conclusions: interrelationship between oral health and general health is particularly pronounced among older people. The consequences of chronic diseases are significant, leading to disabilities and reduced quality of life.