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The rise of predatory journals has created a pressing ethical dilemma in academic publishing, exploiting researchers' urgency to publish while prioritizing profits over quality. These journals, characterized by deceptive practices and inadequate peer review, often undermine scientific integrity and disproportionately affect early-career academicians and those from underfunded institutions. While open-access publishing aims to democratize knowledge, its reliance on high processing charges (APCs) poses accessibility challenges, particularly in resource-limited settings.

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The etiology of diffuse gingival enlargement is multifactorial, and the definitive diagnosis may be challenging. To highlight the nuances of the differential diagnosis, we present two cases of generalized gingival overgrowth and discuss the diagnostic dilemmas. In the first case, an 82-year-old male with a medical history of hypertension and prostatitis had a chief complaint of symptomatic oral lesions of a 20-day duration, accompanied by fever and loss of appetite.

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