This chapter explores the complex and evolving landscape of fake dentistry, examining its manifestations across different regions of the world. It investigates the impact on patients, the underlying factors contributing to its persistence, and the regulatory challenges that hinder effective control. Emphasis is placed on the critical roles of dental education, ethical practice, and professional accountability. Drawing on historical accounts and case studies, this chapter illustrates the multifactorial nature of fake dentistry, underscoring why it remains a difficult issue to eradicate. It also highlights the importance of identifying warning signs, strengthening regulatory frameworks, and restoring public trust in dental care. Key themes include advancements in dental authentication technologies, the integration of antifraud content in dental curricula, and the need for international collaboration and standardized policies. By addressing current gaps and proposing actionable solutions, the chapter encourages dental professionals and educators to champion authenticity and uphold the integrity of the profession, ultimately prioritizing patient safety and well-being.