Abstract
Objective: Demonstrate the importance of specific dental care through an appropriate protocol for patients with special needs: Diabetics, Hypertensive and Cardiac patients. Bibliographic Review: The numerous physiological changes in patients with multiple systemic disorders have great repercussions in the oral cavity. Diabetes mellitus (DM) is a chronic disease caused by the failure in insulin production, causing uncontrolled amounts of glucose in the blood, causing xerostomia, increased risk of periodontitis, altered tissue repair and fungal infections such as oral candidiasis. Usually DM is associated with Systemic Arterial Hypertension (SAH), which is characterized by high levels of blood pressure, is a chronic, multifactorial and silent disease, affects about a third of the population and together are the main risk factors for heart diseases. Cardiovascular changes require safe dental management, and angina and cardiac arrhythmias may occur before or during oral treatment and post-treatment infective endocarditis. Final considerations: The dentist's knowledge of the proper dental treatment in patients with multiple systemic disorders is essential in order to prevent the potential risks of complications and emergencies resulting from inappropriate care.