Background: Dental diseases continue to plague Methods: A cross-sectional analytical study was done elderly populations worldwide with multiple effects on among a random sample of 300 elderly persons in health, nutrition and wellbeing. Nevertheless, little is southwestern known concerning geriatric oral hygiene behavior and prevalence, sociodemographic characteristics as well as its association with dental caries in rural Kenya. This dental self-care habits was gathered through structured knowledge could be instrumental in shaping geriatric questionnaires and analyzed on SPSS v.25. Association oral health interventions. between variables was explored using Pearson’s chi- Kenya. Data pertaining to caries square test and multiple logistic regression. Aims: To explore relationship between dental self-care habits and self-reported caries amongst the elderly in Results: Prevalence of self-reported caries was 52.3%. south-western Kenya. The distribution of caries differed significantly across