The speed of innovation versus the speed of validation: A growing governance gap in contemporary endodontics

Endodontics has witnessed a significant acceleration in innovation. However, the pace at which these innovations are validated through scientific research has not kept up, creating what is referred to as the 'speed of innovation versus speed of validation gap'. This incongruence raises critical concerns about the foundation of evidence-based practice, patient safety and professional accountability. Currently, many innovations are adopted in clinical practice based on preliminary data, anecdotal evidence or popularity on digital platforms, often before thorough clinical validation is achieved. This trend challenges traditional knowledge translation frameworks and reveals significant limitations within existing governance models in dentistry. This article draws on principles of responsible innovation and healthcare regulations to examine the factors contributing to this gap in endodontics and its implications. Although recognising the necessity of innovation for the advancement of the discipline, it cautions against the uncritical and premature adoption of new techniques and technologies, as this may jeopardise clinical outcomes and erode public trust. The article advocates for a more integrated approach that combines innovation with anticipatory governance, critical appraisal and professional reflexivity. Closing this gap is imperative to ensure that advancements in endodontics are founded on robust scientific evidence and conducted in a socially responsible manner.