When Novelty Outpaces Evidence: Social Media as an Unregulated Force Propelling Innovation in Endodontics: A Narrative Review

AIM: This narrative review explores how social media is influencing the pathways of innovation within endodontics, examines the rise of influencer-led clinical authority, and investigates the ethical, educational, and regulatory challenges associated with this trend, advocating for a comprehensive framework for responsible innovation. SUMMARY: Social media platforms have undergone a remarkable transformation, evolving from mere channels for informal communication to formidable agents of clinical influence in the healthcare field. Dentistry, and endodontics in particular, has seen platforms such as Facebook, LinkedIn, Instagram, YouTube, and TikTok increasingly serving as conduits for innovation. These platforms facilitate the rapid dissemination of new techniques, groundbreaking devices, and streamlined workflows, often circumventing traditional academic and regulatory structures that traditionally oversee and govern the spread of dental information. This shift has broadened accessibility to a wide range of ideas, promoting global engagement among dental professionals and patients alike. However, the unregulated media has also introduced considerable risks as the growing emphasis on visual appeal, rapid content production, and trendy innovations often overshadows the essential principles of biological plausibility, evidence-based validation, and consideration of long-term patient outcomes. Such dynamics raise critical questions about the reliability and safety of the information being shared on social media and the training and competence of the authors. CONCLUSIONS: Social media is increasingly shaping the perception and adoption of endodontic innovations beyond traditional academic governance. Influencer-driven content often lacks transparent citations, robust critical appraisal, and an adequate discussion of clinical limitations. Advanced techniques may be advocated without proper consideration of operator competence, requisite training, or necessary armamentarium. Commercial interests and patient expectations can expedite the premature adoption of innovations that are inadequately validated. Applying frameworks of responsible research and innovation can provide a balanced perspective on integrating innovation, education, and patient safety in the field of endodontics. CLINICAL RELEVANCE: Social media may influence how endodontic innovations are perceived and adopted in routine practice. Clinicians must engage in critical appraisal of online content, especially when techniques surpass their training or available resources, to mitigate the risk of inappropriate implementations and safeguard patient well-being.