{"id":30407,"date":"2026-03-06T06:00:45","date_gmt":"2026-03-06T12:00:45","guid":{"rendered":"https:\/\/www.aae.org\/specialty\/?post_type=podcast&p=30407"},"modified":"2026-03-03T10:18:36","modified_gmt":"2026-03-03T16:18:36","slug":"cemental-tears-and-clinical-discipline-falling-to-our-training-in-the-pursuit-of-surgical-excellence-ep-82","status":"publish","type":"podcast","link":"https:\/\/www.aae.org\/specialty\/podcast\/cemental-tears-and-clinical-discipline-falling-to-our-training-in-the-pursuit-of-surgical-excellence-ep-82\/","title":{"rendered":"Cemental Tears and Clinical Discipline: Falling to Our Training in the Pursuit of Surgical Excellence \u2013 Ep. 82"},"content":{"rendered":"

\"\"In this episode of\u00a0<\/span>Endo Voices<\/span><\/i>, Dr. Marcus D. Johnson sits down with Dr. Pierre Wohlgemuth for a thoughtful and collegial examination of two defining challenges in contemporary endodontics: the elusive cemental tear and the disciplined art of soft tissue management in surgical care.<\/span>\u00a0<\/span><\/p>\n

Cemental tears\u2014seldom discussed yet\u00a0likely underdiagnosed\u2014often masquerade as endodontic or periodontal pathology. With a limited but growing body of evidence,\u00a0accurate\u00a0identification demands clinical vigilance. Key red flags include vital teeth presenting with periapical\u00a0radiolucencies\u00a0and persistent disease following technically adequate root canal therapy. The discussion explores the roles of occlusal trauma, CBCT interpretation, and histologic confirmation, reinforcing the importance of expanding the differential diagnosis before defaulting to retreatment or extraction. Decisions surrounding tooth preservation versus implant placement are framed not as reflexive, but as biologically and prognostically driven.<\/span>\u00a0<\/span><\/p>\n

A central theme resonates throughout: clinicians do not rise to the level of their intentions\u2014they fall to the level of their training.<\/span><\/p>\n","protected":false},"featured_media":30408,"comment_status":"closed","ping_status":"closed","template":"","feature":[],"podcast-topic":[280,284],"class_list":["post-30407","podcast","type-podcast","status-publish","has-post-thumbnail","hentry","podcast-topic-problem-solving-in-endodontics","podcast-topic-saving-teeth"],"yoast_head":"\nCemental Tears and Clinical Discipline: Falling to Our Training in the Pursuit of Surgical Excellence \u2013 Ep. 82 - American Association of Endodontists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.aae.org\/specialty\/podcast\/cemental-tears-and-clinical-discipline-falling-to-our-training-in-the-pursuit-of-surgical-excellence-ep-82\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cemental Tears and Clinical Discipline: Falling to Our Training in the Pursuit of Surgical Excellence \u2013 Ep. 82 - American Association of Endodontists\" \/>\n<meta property=\"og:description\" content=\"In this episode of\u00a0Endo Voices, Dr. Marcus D. 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