LEIPZIG: Germany: As the planet teeters at the threshold of numerous ecological breaking points, thinking and acting in an environmentally compassionate manner can, and indeed must, be rigorously incorporated into all facets of the dental profession. In light of this imperative, efforts to sustainably reconfigure the clinical space have taken great strides over recent years, engaging with not only the more obvious material elements within the practice but also with indirect environmental impacts such as travel to and from appointments. While adopting a sustainable approach is without question ethically sound, how it jibes with an economic model that holds profit and cost-efficiency as sacrosanct is a more delicate issue that demands both compromise and pragmatism on the part of the dentist.