Medicine is largely dominated by a small number of very large pharmaceutical companies that compete for market share, but are effectively united in their efforts to expanding that market. The authors noted, “ A science of real integrity would be one in which practitioners are careful not to cling to cherished hypotheses and take seriously the outcome of the most stringent experiments.5 This ideal is, however, threatened by corporations, in which financial interests trump the common good. While this article specifically deals with medicine, the influence of major dental corporations have a similar sway on what, how and the way research is published. In an article published in 2022 in BMJ, titled The Illusion of Evidence Based Medicine, the authors were discussing the influence major corporations have on what is published. For sure this is not a relationship that fosters objectivity. Without judging the ethics of such a situation that is accepted by 80% of the schools’ endodontic faculties and the implicit approval by the school administrations, it is important that we who are exposed to these sources of influence should be kept totally aware of what incentives they are subject to and what corporations are making the payments. Appropriate faculty member COI disclosure, attestation, annual updates, and transparency are important mitigation measures.” The authors concluded that “Public knowledge of these conflicts could negatively affect individual faculty members, their institutions, and related areas such as academic publishing. The top decile of paid academic endodontists received $3,669,291.47 in industry payments (86% of the total), with a median payment of $24,013 (IQR, $17,043-$91,190).” Overall, the median of total industry payments for all 302 faculty members was $217.89 (interquartile range, $34.06-$3,070.00). “Of the 302 academic endodontists included, 240 (80%) accepted reported industry payments totaling $4,260,316.97. In the most basic form of financial inducement, in the November 2021 Issue of JADA published an article titled, Industrial Payments Made to Academic Endodontics. The purpose of this post is to bring greater attention to the bias we are subjected to by those companies that have the greatest financial resources to implement their goals. Over the years numerous articles have surfaced at times that throw into question the objectivity of the information we receive regarding endodontic instrumentation, the bias that may be present in our dental schools, in the research articles published, in a lack of reportage of alternative methods and a downplaying of negative events.
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