Frontotemporal dementia (FTD) is an uncommon type of dementia that mainly affects the frontal and temporal lobes which causes problems with behavior and language. Pneumonia is a common cause of death in patients with FTD. Asphyxia that can cause death is common in FTD. In these patients pneumonia is likely to be an aspiration pneumonia due to their under lying dysphagia. This article is a case study discussing about a 72-year-old male who had Frontotemporal Dementia with progressive dysphagic signs in turn affecting even salivary secretion management.Patients with AD mainly Frontotemporal Dementia exhibit oropharyngeal weakness inducing aspiration not only on oral feeding but even inducing aspiration risk on own oro-pharyngeal secretions which can induce respiratory distress with desaturations. With appropriate suctioning, postural modifications and chest physiotherapy these patients can be minimized from having episodes of salivary secretion aspiration.