Silicon (Si) is a benefic element for higher plants such as wheat (Triticum aestivum) in which it is accumulated in the shoot tissues. In this crop, leaf diseases and spike diseases are the cause of yield losses, and therefore several studies had been conducted under field and greenhouse conditions to demonstrate that plants supplied with Si reduced most of the diseases damage due to the amelioration of the plant defenses. However, the benefits of Si depend on its accumulation in the plant’s tissue, which is influenced by the availability of the element in the soil as well as the up-take ability of the wheat cultivar. In this chapter we present the current knowledge about the mechanisms of Si absorption and its accumulation in different tissues of the wheat plant, the most studied options for silicate fertilization, and the benefits of Si on grain yield. We also present some insight of the effect of Si-supply in wheat on the reduction of main leaf and ear diseases, bringing evidence and explanation of the defense mechanisms involved. In addition, we provide an overview of the Si effect on the physiology (gas exchange, chlorophyll a fluorescence and carbohydrate metabolism) of the wheat plant. Finally, questions have been raised about the Si uses as fertilizer that still needs to be answered. We recognized that some studies have enhanced our understanding of Si providing evidence of the Si use as disease management strategy, but further research is needed to make the Si uses a simple task for wheat growers under field condition.