in the world of dentistry, a groundbreaking discovery has been made that should no longer remain hushed; it reshapes our understanding of pre-existing conditions. for years, the significant impact of these conditions on dental health was underplayed, but with the latest research, we are compelled to go back to the start and reevaluate our approaches. this study, with its compelling examples, shines a light on the importance of addressing pre-existing health issues in dental care, highlighting a once-hushed topic that is crucial for advancing the field.