Abstract Background: Dental pain can impair eating, sleep, oral function and quality of life in older adults. Insettings with limited dental personnel and equipment, care may be restricted to temporary symptomcontrol and referral. This study assessed dental pain care-seeking, reported treatment and self-reportedoutcomes among older adults attending selected primary healthcare centres in Ado-Ekiti, Nigeria.Methods: A descriptive cross-sectional study was conducted from April to September 2025 in fivepurposively selected primary healthcare centres. Adults aged 60 years or older who reported dentalpain during the preceding 12 months completed an interviewer-administered questionnaire. Theminimum sample size calculated with Cochran’s formula was 196. A total of 187 completequestionnaires were analysed. Categorical variables were summarised using frequencies andpercentages.Results: Among 187 participants, 100 (53.5%) were male and 63 (33.7%) were aged 75 years or older.Primary healthcare centres were the first source of help for 92 (49.2%) participants. Analgesics alonewere the most frequently reported treatment during the dental pain episode, 133 (71.1%), while 15(8.0%) reported extraction, restoration, or scaling and polishing. Complete pain relief was reported by34 (18.2%), pain recurred in 123 (65.8%), and 12 (6.4%) reported satisfaction with care.Conclusions: Among older adults attending the selected centres, dental pain episodes were commonlymanaged with analgesics alone, while complete relief and satisfaction were uncommon and recurrencewas frequent. The findings support basic oral assessment in primary health care, safer initialmanagement and clearer referral links with dental services. Because treatments and outcomes were notlinked to individual providers, the results should not be interpreted as provider-specific estimates ofprimary healthcare effectiveness