In Algeria, even if medicine is free, but this does not exclude the expensive cost of oral health care, especially when it comes to multidisciplinary care.
If added to that patients have systemic diseases, the issue is more complex.
Often, practitioners are faced with the difficulty of working with the attending physicians,
Which is made difficult, if not impossible, by the lack of cooperation of the patients themselves.
When we know that the inflammatory process at the origin of the development of periodontal diseases, as well as the evolution of the caries, necessarily lead to the loss of the dental organ and that if the process is not stopped one understands why their development Is more severe and more frequent in the diabetic subject than in the general population.
All this must make imperative the introduction of perfect hygiene before any multidisciplinary therapeutic management.
Therapeutic course, carried out in a diabetic child, is delivered with practitioners’ major concern was to restore the altered occlusal function in a mouth where the stage of decay of the teeth was well advanced.