Patient F.A.M.S had several teeth extractions after medical authorization. To do this, forceps #150 and #151 were used and amoxicillin and dipyrone were prescribed. It is important to maintain oral health in patients with CKD since these are potential candidates for kidney transplantation. Due to the patient's dissatisfaction, it is indispensable, in complex cases like this, the elaboration of a term of consent, written that the patient is aware of the situation and expectation of his/her treatment, signed by the patient.