Objective To understand Shanghai residents′ needs, demands, and utilization of oral health services, and to provide references for making and regulating oral health policies. Methods The data of Shanghai residents′ needs, demands, and utilization of oral health services from the third national oral health epidemiological sampling survey was statistically analyzed. Results Caries prevalence rates of 4 age groups was between 34.6%-99.2%. Gingival bleeding and calculus detection rate of the 35-44 years of age group was nearly 90%. Periodontal pocket detection rate of the 65-74 years of age group was as high as 66.1%, and the edentulous jaw rate of the 65-74 years of age group was 10.8%. The hospital visit rate within 6 months was 10%-20.4%. And 60.4% of the 5 years of age group had never visited dentists. Most residents would choose stomatological hospitals above count level, health centers, community centers, and district dental centers. For medical fees, 63.9% of the 35-44 years of age group had no medical insurances, while 65.5% of the 65-74 years of age group had medical insurances. Conclusion Shanghai residents′ oral health service needs are huge. Oral health demands and needs do not match. Oral health service utilization rate is low. It is necessary to strengthen the construction of district dental centers and Shanghai oral health service network and system, and extensively carry out oral health education.