When should dental treatment be done in the hospital?
Extraction

When should dental treatment be done in the hospital?

Three situations call for dental treatment in hospital: general anaesthesia, complex medical risks or severe infection, and major jaw surgery.

In the dental world, most patients can also be well cared for in clinics or dental centres. However, in some cases, it may be necessary to arrange for a specialist dentist to take the patient to a private hospital to complete a certain part of the treatment. Today we will introduce three major categories of patients who require dental treatment being done in the hospital.

1. Patients requiring general anesthesia

Dental procedures performed in hospitals can be divided into two categories, those that are performed during the day with immediate discharge, and those that require overnight hospital care. Anesthesia methods can also be divided into local anesthesia, monitoring anesthesia and general anesthesia.

Doctors generally decide which method of anesthesia to use based on the complexity of the surgery and the comfort of the patient.

If the patient needs to remove some wisdom teeth that are relatively close to the nerve line or buried deeper, or to remove some large benign tumors, they may still feel uncomfortable when receiving local anesthesia in the dental centre, especially surgery may take a long time to complete.

To make the patient as comfortable as possible, the attending dentist may recommend general anesthesia, which allows the patient to perform treatment without feeling and consciousness. Private hospitals generally have relatively complete facilities to assist doctors to safely complete general anesthesia. Therefore, the dentist in charge of the operation sometimes recommends completing the relevant dental treatment for the patient under general anesthesia in the hospital operating room with an anesthesiologist.
 

Dental general anaesthesia

2. Manage patients with complex or severe inflammation and infection

We sometimes encounter patients with complex medical history requiring dental treatment, such as patients with coagulation problems or other existing physical problems such as those related to the heart and kidneys. If serious complications arise during dental treatment, the patient can bleed profusely, or the heart stops beating, which can be fatal.

In addition, some patients do not seek medical assistance due to other illness, resulting in tooth inflammation or spread of infection. The more common symptoms are swollen face and neck, and sometimes even having breathing difficulties.

Therefore, after assessing the relevant risks, the attending dentist may recommend taking the patient to the operating room of a private hospital to complete the higher-risk part of the treatment. Due to the relatively complete supporting facilities and various emergency equipment in private hospitals, in the unfortunate event of a complication or a critical situation of dyspnea, the relevant surgeons can also handle it more effectively and in a more timely manner to ensure the safety of the operation.

3. Patients undergoing cheek and jaw surgery

In addition, if the scope of dental surgery goes beyond the position of the teeth and bones, for example, it involves trimming the cheekbones and jawbone, the average operation time is more than 4 to 6 hours. For patients who require more complex procedures, they are often treated with deep anesthesia until they become stable after hospitalization.

The more common surgeries include orthognathic surgery, which can be understood as surgery to reshape the face of the jawbone. Many people would think that this is a kind of cosmetic surgery, so it is not much different from plastic surgery. In fact, although the goal of orthognathic surgery is to improve the appearance, the oral and maxillofacial surgeons also pay attention to the patient's occlusal function during the operation.

The entire treatment plan focuses on occlusion to improve problems such as severe inversion, chin length, and protruding lips. In many cases, an orthodontist is required to participate in a longer course of the treatment.
 

Dentist examining jaw surgery case

Have concerns about your budget?

There are many patients who are concerned about the higher cost of dental procedures in private hospitals, especially it not only involves the doctor's fee, but also the operating room fees and other inpatient miscellaneous charges.

Therefore, some patients choose to consult a relevant specialist dentist in a private clinic or dental centre first, and then the relevant dentist can arrange for the higher-risk part of the treatment plan, such as the part of complex surgery, to be carried out in the hospital. The clinic or dental centre will schedule follow-up visits to complete the remaining lower-risk treatment parts at a lower cost. This hybrid model often allows patients to control their budgets more effectively.

In the next article, we will introduce the process and time required for patients undergoing cheek and jaw surgery. If you have any questions, please consult your trusted family dentist.
 

Article Info

First published: 22 September 2021

Last reviewed: August 2026

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FAQ

Frequently Asked Questions

  • What types of dental procedures require hospital treatment?

    Hospital treatment is typically needed for three main situations: procedures requiring general anaesthesia (such as complex wisdom tooth removal or large tumour removal), patients with complex medical conditions or severe infections that pose higher risks, and patients undergoing cheek and jaw surgery like orthognathic procedures. Your dentist will assess your specific case and recommend the most appropriate setting.

  • How much does dental treatment in hospital cost?

    Hospital dental treatment costs vary significantly depending on the procedure complexity, anaesthesia type, and whether overnight care is needed. Fees are quoted separately after clinical assessment. These cases require imaging-based planning, with complex cases managed by a specialist in Oral and Maxillofacial Surgery. After a clinical assessment we explain the fee components clearly, and treatment starts only with your consent. We do not offer direct billing with insurers, but we provide official receipts and treatment records so you can claim from your insurer directly. Coverage varies by policy, so please confirm with your insurer. WhatsApp us if you have any questions.

  • How long does orthognathic surgery take and what's the recovery time?

    Orthognathic surgery typically takes 4 to 6 hours or longer for complex cases. Patients usually require overnight hospitalisation until stable, with deep anaesthesia used throughout. Recovery varies by individual, but most patients need several weeks before returning to normal activities. Your surgeon will provide a detailed timeline during consultation.

  • Is general anaesthesia safe for dental procedures?

    General anaesthesia in private hospitals is generally safe when performed by qualified anaesthesiologists with proper monitoring equipment. Hospitals have complete facilities and emergency equipment to handle any complications. However, all anaesthesia carries some risk, so your dentist will thoroughly assess your medical history before recommending this option.

  • Why can't complex dental procedures be done at the clinic?

    Some procedures require facilities and equipment only available in hospitals, such as operating theatres with full anaesthesia support and emergency resuscitation equipment. For patients with complex medical conditions or those needing lengthy surgeries, hospitals provide safer environments with immediate access to specialists if complications arise.

  • What medical conditions require hospital-based dental treatment?

    Patients with coagulation problems, heart conditions, kidney issues, or severe infections spreading to the face and neck may need hospital treatment. Those experiencing breathing difficulties from dental infections also require hospital care. The hospital setting ensures proper monitoring and immediate access to emergency intervention if needed during treatment.

Still wondering about something? Our team is happy to chat.

Reminder: You have the right to choose a Hong Kong dentist based on your individual needs. We recommend referring to the list of registered dentists published on the official website of the Dental Council of Hong Kong to make a choice best suited to your personal needs. The above content is intended to give you a brief introduction to the nature and effects of the relevant dental procedures, so that you can make informed decisions when choosing a dentist and related treatment options. All treatments have advantages and disadvantages — the key is that you must have a basic understanding of different treatments and procedures and be aware of the associated risks. The above content does not represent the professional opinion or views of any dentist or dental institution. For the sake of your health, please consult your family dentist for formal medical advice.

This article is compiled by the Public Education Team of Home Dental and has been reviewed and approved by the Content Review Committee of Home Dental. The Committee comprises members of our Board of Directors, legal advisors, and relevant professionals, and is responsible for vetting all externally published health education content to ensure it is professional, accurate, relevant to the local context, and regularly updated to meet Hong Kong dental service standards.

This content is originally produced by Home Dental, all rights reserved. Unauthorized reproduction, modification, or publication is prohibited. Violators will bear legal responsibility. For citation or partnership inquiries, please contact our center for written permission.

Last updated: Aug 2026

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