Quantum confinement has become a powerful tool for creating new materials with extraordinary properties. Since 1980s, the quantum effects on materials have become relevant as far as the scientific community has focused its attention on smaller devices. When certain particle scale is trespassed, quantum confinement effects start to play a relevant role in the macroscopic properties of the matter. Since their beginning, quantum-confined structures have been widely used in optoelectronic device technology rather than in sensor applications. Nevertheless, sensor applications based on quantum dots experiment a real boost thanks to the semiconductor nanocrystals. The possibility of having high-quality, industrially scaled-up, biocompatible quantum dot nanocrystals has supposed a real breakthrough in the biological and medical fields. Quantum dots significantly improve the sensing tools in applications such as cellular assays, cancer detection, or DNA sequencing. This chapter summarizes the state of the art of the use of quantum dots in the sensor field.First of all, it is necessary to give a definition of what quantum confinement is and why it is so important in order to develop new materials with interesting properties. Historically, the scientific community has classified the existing materials based on their composition, and more recently also based on their internal structure. In other words, the external properties of a material were attributed to its basic components (iron, aluminum, etc.), and how these basic units were geometrically and spatially arranged inside the material. This latter consideration reaches its highest importance with the composite materials, which make possible to engineer their final properties simply by controlling