The therapeutic decision as a reason of quarrel

The therapeutic decision usually is a regalia prerogative of the practitioner. However it seems to be contested.

From three definition of sovereignty, given by classical author of political science and the observations of the current practices and needs (new attitude and need of the patients, changes in training's methods, use of new numeric tools) is illustrated this phenomenon of the decisions making field's degradation.

Without a resistance to all current form of concurrence in the field of therapeutic decision, a transformation of the profession of practitioner in dento-maxillo-facial orthopedics on a simple executive or animator of the care process in this field is expected. The practitioner awareness and a reenforcement of the training resources could limit the impact.