Introduction-Considered a major global public health problem in tropical and subtropical regions, dengue was the only one among neglected tropical diseases to show an increase in mortality in recent years. Factors related to the life cycle of the main vector, females of Aedes aegypti mosquito, influence the spatial distribution and the seasonal nature of the disease. The incidence of dengue cases is dependent on a complex network of relationships between vector, virus and host, as well as the occurrence of severe cases and death. Since the introduction of the virus, the state of São Paulo has been presenting epidemics involving an increasing number of municipalities, incidence of cases and deaths due to dengue. Objective-To evaluate the spatial, temporal and spatial-temporal distribution of dengue deaths in the state of São Paulo. Methods-This is an ecological study, with spatial and temporal components, based on the notification of dengue deaths at SINAN, with the municipalities and microregions of the state of São Paulo as analysis units from 1998 to 2017. Deaths from dengue in the State of São Paulo were described according to sex and age. The crude mortality rates standardized by sex and age and smoothed by the local empirical Bayesian method were estimated and mapped according to the municipality of residence. The serotypes detected by the Adolfo Lutz Institute were mapped according to microregion. The temporal trends of mortality were estimated. High-risk space and space-time clusters and spatial variation in time trend were detected and mapped. The spatial relative risk of dengue mortality adjusted by time and covariables considered was estimated by Latent Gaussian Bayesian models with INLA approach (2007-2016). It was approved by the Research Ethics Committee of the School of Public Health of the University of São Paulo under opinion number 1,687,650. Results-A total of 1,121 dengue deaths with laboratory confirmation were identified and residents of the State of São Paulo between 1998 and 2017. The median age was 57 years. The annual average of the gross mortality from dengue in State of São Paulo in the historical series was 65