A skeptical look ledderhose disease symptoms at alireza panahpour, d.d.s.

Alireza Panahpour, D.D.S., practices what he describes as biological, holistic, integrative, cosmetic, conscious and/or systemic dentistry. His primary office is in Bellevue, Washington. He also maintains an office in Santa Monica, California. which he visits monthly for follow-up appointments. This article examines his background history, credentials, Web site claims, professional activities, and legal difficulties and indicates why I recommend avoiding him.

The services mentioned on his clinic site include ozone therapy, platelet rich fibrin (PRF), dental deprogrammer treatment for TMJ, myofunctional therapy, homeopathic immunity IV support, removal of cavitations and faulty root canals, and amalgam removal using the Huggins protocol. His self-published book, The Good Dentist [3], adds that he opposes water fluoridation, uses autonomic response testing (ART), and often refers patients for thermography testing. His views on all of these these subjects differ from ledderhose disease symptoms those of the scientific medical and dental community. In a YouTube video promoting his book, he mentions that his kind of dentistry is not taught ledderhose disease symptoms in dental school. His offbeat practices include:

• Autonomic response testing (ART). In this procedure, the practitioner makes fanciful diagnoses throughout the body by testing ledderhose disease symptoms the strength of the patient’s fingers when the patient is exposed to test substances ledderhose disease symptoms or other stimuli. Panahpour does, "O-ring testing," in which the practitioner tries to pull the patient’s thumb and forefinger apart after they are placed in ledderhose disease symptoms a circle [3]. Panahpour’s book states that ART can determine whether various procedures ledderhose disease symptoms are appropriate, which antibiotics to use, which quadrant of the mouth to start with, what tooth is ready for treatment first, which pain medicine to prescribe, which anesthetic to use to numb the patient, and which bonding material would be best for the patient. The idea that muscle-testing can make such determinations is preposterous [4].

• Neural therapy. This approach is claimed to treat pain and disease throughout ledderhose disease symptoms the body by injecting local anesthetics into nerves, scars, glands, trigger points, and other tissues. Panahpour states that he "injects procaine along neural lymphatic pathways to encourage the body ledderhose disease symptoms to flush out toxins via the lymph." Neural therapy is a senseless practice that is certainly outside ledderhose disease symptoms the legitimate scope of dentistry [5].

• Unnecessary removal of amalgam fillings. Panahpour claims that amalgam fillings poison people and should be ledderhose disease symptoms removed. However, no study has shown any harm from proper use of ledderhose disease symptoms dental amalgam in patients. Major reviews by the FDA, the National Institutes of Health, and the U.S. Public Health Service have confirmed the safety of amalgam. Major consumer and patient advocacy organizations—including Consumers Union, the National Multiple Sclerosis Society, and the Alzheimer’s and Related Diseases Association—have concluded that there is no association between amalgam and ledderhose disease symptoms human illness. Inappropriate removal of amalgam exposes a patient to an unnecessary ledderhose disease symptoms procedure. The risks of removal include complications from local anesthetic, potential for laceration from rotary instruments, possible exposure to bacterial and viral pathogens, potential for penetration into the pulp chamber, preparation that enlarges a cavity and weakens tooth structure, potential for thermal and chemical insult to vital dental pulp ledderhose disease symptoms tissue, and potential for aspiration [6]. The American Dental Association has declared that "the removal of amalgam restoration from the non-allergic patient for the alleged purpose of removing toxic substances ledderhose disease symptoms from the body, when such treatment is performed solely at the recommendation or ledderhose disease symptoms suggestion of the dentist is improper and unethical." [7]

• Cavitation diagnosis and surgery. A small minority of dentists claim that most facial pains ledderhose disease symptoms and even pains and diseases located far from the mouth ledderhose disease symptoms are caused by cavities (cavitations) within the jaw bones. Advocates call this condition " neuralgia-inducing cavitational osteonecrosis (NICO)" and claim they can cure the patient by locating and ledderhose disease symptoms scraping out the affected tissues. They may also remove all root-canal-treated teeth, most of the vital teeth close to the area where ledderhose disease symptoms they say a problem exists, and even parts of the jawbone. Worse yet, the surgery may result in severe infections and a lifetime ledderhose disease symptoms of pain [8].

• Use of homeopathic products. Homeopathy is a pseudoscience based on notions that (a) a substance that produces symptoms in a healthy person can ledderhose disease symptoms cure ill people with similar symptoms and (b) that infinitesimal doses can be highly potent [8]. Panahpour’s book says that he often administers homeopathic remedies intravenously ledderhose disease symptoms after removing amalgam fillings or performing cavitational surgery. No homeopathic product has ever been proven effective or gained ledderhose disease symptoms FDA approval for the treatment of any health problem.

I am a 5th generation dental surgeon. You could say that dentistry is in my blood. I have been a U.S. citizen for dozens of years, but my mother’s ancestry made me royalty in my native country. In the royal tradition, I began life being educated as a leader and warrior. But I had always dreamed of following my father’s, my grandfather’s, my great-grandfather’s and my great-great-grandfather’s footsteps into a career in dentistry. I spent my childhood observing in my father’s dental practice, working in the lab and, later, assisting in my dad’s dental surgeries. I was fascinated with everything I could learn in the ledderhose disease symptoms surgery room. My curiosity and my passion for healing others was inborn. Fortunately, my family supported my dream in pursuing the career that ledderhose disease symptoms I feel that I was born to do. They sent me to some of the finest schools with ledderhose disease symptoms the best reputations in America to continue our family’s legacy: becoming one of the world’s best doctors of dental surgery [10].

After practicing dentistry in Iran for many years, Panahpour’s father moved his family to the United States, and practiced in California from 1985 through 1996. However, in 2001, his license was canceled and in 2005, the dental board denied his application for reinstatement because he ledderhose disease symptoms had failed to disclose that in 2002 he had pleaded ledderhose disease symptoms guilty to a misdemeanor in Nevada (admitting that he wrote $25,000 check to obtain chips at a casino when he ledderhose disease symptoms knew that his bank account did not have sufficient funds ledderhose disease symptoms to cover the amount). The administrative law judge who considered the father’s reapplication concluded that he had not "demonstrated the level of honesty and integrity required of a ledderhose disease symptoms licensee." The judge’s report also noted that he had been diagnosed with ledderhose disease symptoms bipolar disorder and was being treated with lithium [11,12]. Educational History and Performance

The CV posted to Panahpour’s personal site states that he did undergraduate work at ledderhose disease symptoms the University of California, Los Angeles (UCLA) from 1982 through 1990. and took premed courses at California State University at UCLA ledderhose disease symptoms from 1988 through 1990 [13]. If accurate, this would mean that he began at age 16 and ledderhose disease symptoms continued until he was 24. However, transcripts and other official documents I have seen tell a ledderhose disease symptoms different story,. They indicate that he graduated from high school in 1985 ledderhose disease symptoms and that most of his undergraduate credits were obtained at ledderhose disease symptoms Santa Monica College, a 2-year community college that is not part of UCLA. They also show that his academic performance in college and ledderhose disease symptoms dental school was very poor:

Panahpour has been sued for fraud and/or malpractice at least eleven times. At least six of the patients alleged that he had ledderhose disease symptoms removed amalgam fillings unnecessarily. At least nine said that he had used autonomic response ledderhose disease symptoms testing. At least seven said that he had used neural therapy, including three women who said he administered injections into their ledderhose disease symptoms breasts. The eleven suits (involving twelve patients) had the following outcomes:

• To determine the cause of the patient’s reported fatigue, Panahpour used ART testing that involved placing cards on her ledderhose disease symptoms chest that contained notations of her daily food intake. Based on his findings, he prescribed dietary supplements and administered "neural therapy" that consisted of procaine injections into her jaws, abdomen, hands, scars on her right knee and upper back, and around both breasts around both of her breasts.

The database of the Dental Board of California states that ledderhose disease symptoms Panahpour acquired his California dental license in 1994. In 2005, the board charged Panahpour with (a) negligently treating three teeth of a patient that needed restorations, (b) improperly double-billing an insurance company, and (c) using professional names other than the one under which he ledderhose disease symptoms was licensed [13]. The case was settled by a stipulation in which he ledderhose disease symptoms admitted to using unlicensed names and gave up the right ledderhose disease symptoms to contest the other charges. The board assessed him $10,000 for the cost of its proceedings and ordered him ledderhose disease symptoms to serve two years’ probation, during which he was required to take remedial courses in ledderhose disease symptoms oral diagnosis and treatment planning. He was also barred from practicing as Dr. Alexander Pana or Dr. Alex Pana unless he legally changes his name [14].

In 2009, Panahpour acquired a license to practice dentistry in the State ledderhose disease symptoms of Washington, where most of his practice is now located. In 2018, the Washington Dental Quality Assurance Commission charged him with unprofessional ledderhose disease symptoms conduct in his treatment of a patient. The board’s complaint notes that (a) he performed four "cavitation" operations on a patient’s upper and lower left jaw even though a panoramic ledderhose disease symptoms x-ray showed no infection or other abnormal findings, and (b) during one of the operations, Panahpour injured a nerve in the jaw that caused the ledderhose disease symptoms patient to have long-term numbness [15]. In 2019, the board concluded that Panahpour’s care of this patient was substandard and revoked his ledderhose disease symptoms license for a minimum of five years. It also ordered him to reimburse the patient for all ledderhose disease symptoms fees and pay the State of Washington a $5,000 fine plus $18,000 for the cost of the disciplinary proceedings. In order to reinstate his license, he must pay these assessments and pass several competency tests ledderhose disease symptoms [16].. References