Everyday Oral Surgery Flappy Flaps Are Crappy Flaps: Simple Tunneling Techniques for Grafting Atrophic Ridges (with Dr. Joshua Campbell)
What does it look like to simplify bone grafting and implant surgery without cutting corners on outcomes? In this episode of Everyday Oral Surgery, Dr. Grant Stucki sits down with Tennessee oral and maxillofacial surgeon Dr. Joshua Campbell to discuss his evolution towards simpler and streamlined grafting techniques. Dr. Campbell walks through how a soft tissue tunnelling course changed the way he grafts bone, why he relies heavily on cortical–cancellous particulate and OsteoGen® Plugs, and how he stages cases to avoid risks when patients don’t heal as expected. He also delves into why the tunnelling technique for bone grafting is preferred over the flap technique, what the method involves, and what factors to consider when determining implant placement. Learn about the cone beam CT, how it works, how it can be implemented using printed guides, and why the use of complex technological tools in simpler situations is crucial. He also explains the importance of analyzing planned versus actual outcomes, different tooth extraction techniques, the importance of a lingual flap for difficult extractions, the specific instruments and suturing techniques he uses, and more. Tune in now!
Key Points From This Episode:
- Dr. Campbell’s background and how he found his way into oral and maxillofacial surgery.
- Hear about his early years experimenting with multiple grafting techniques.
- Learn why simplifying and streamlining grafting approaches is the best option.
- Explore how a soft tissue tunnelling course inspired him to adapt his approach.
- Unpack his concept of “stacked risk” and how this applies to bone grafting.
- Find out what essential surgical instruments are needed for his approach.
- Discover how he decides between grafting and using narrower implants.
- Important loading considerations and how a bone plate can prevent fractures.
- What guided implant surgery is and how it differs from freehand implant surgery.
- Uncover the technology and tools available to help improve implant surgery.
- He breaks down his methods for suturing, post-operative care, and graft protection.
- Dr. Campbell’s personal recommendations and final takeaways.
Links Mentioned in Today’s Episode:
Dr. Joshua Campbell — https://www.farragutoralsurgery.com/meet-us/dr-joshua-campbell/
Farragut Oral Surgery and Implant Center — https://www.farragutoralsurgery.com/
The University of Tennessee Medical Center (UTMC) — https://www.utmedical.org/
Dr. Joshua Campbell Email – josh@farragutoralsurgery.com
OsteoGen® Plugs — https://www.impladentltd.com/OsteoGen-Plugs-p/op.htm
Southern Implants — https://southernimplants.com/
Simplant — https://www.dentsplysirona.com/en-us/discover/discover-by-brand/simplant.html
Co-Axis® Implants — https://southernimplants.com/solutions/innovative-products/co-axis-implants/
4 Molt Surgical Curette — https://www.hufriedygroup.com/en/surgical-curettes/4-molt-surgical-curette
Molt 4 — https://www.hufriedygroup.com/en/surgical-curettes/4-molt-surgical-curette
Bomb Elevator — https://m