The large number of people with special needs as well as issues concerning the care of these patientsresulted in the Resolution 25/2002, published in the Official Gazette of the Union - On 28/05/2002 by the Federal Council of Dentistry; it regulates the specialty, with the intent to enable dentists to take care for people in need of special dental care throughout their life or a period. One of the points raised in response to these patients is the issue of totality to understand the patient and propose to serv hin or her in all their health´s needs. This paper aims to draw from a qualitative analysis, the perceptions of dentists responsible for these consultations in five municipalities of greater Sao Paulo. It is evident that the professionals´ difficulties in describing what really is inherent with the patient in special need of dental care which is itself an health municipal public service and also what are their own limits facing the attendants described. It was concluded that recognition of these limits is a key factor that they can be overcome in order to glimpse the care.