The management of temporomandibular disorders (TMDs) in elderly patients can present a significant challenge for dentists due to its multifactorial etiology, aging-related changes that contribute to TMD, and the fragile psychological state of these patients. Despite the growing prevalence of TMD in the elderly population, the scientific literature provides limited information about effective management strategies for this group. Therefore, it is crucial for researchers and clinicians to focus on improving our understanding of TMD in the elderly population and to develop more effective treatment approaches. This article provides an overview of the prevalence, etiology, pathophysiology, and management of TMD in elderly patients, with a particular emphasis on the challenges associated with this population. By increasing our knowledge of TMD in the elderly, we can improve the quality of care provided to this vulnerable patient group.