Santa Monica · Cone beam guided · By appointment

Cavitation surgery in Santa Monica.

A cavitation is an area of jawbone that never healed properly after a tooth was removed, most often a wisdom tooth. It often does not show on a standard flat x-ray. Dr. Panahpour looks for it with 3D cone beam imaging.

Since 1994 in practice SMART mercury safe 70% physician referred 14+ countries
Jawbone specimen showing an unhealed cavity at an old extraction site
3D imaging firstCone beam CT before any surgical decision
What a cavitation is

The tooth came out. The bone never fully filled in.

When a tooth is extracted, the socket is supposed to fill with new bone. Sometimes it does not. The gum closes over the top, while underneath a pocket of poorly healed bone can remain. Biological dentists call this a cavitation.

Because the surface looks healed, and a standard x-ray flattens the jaw into a single image, these sites are easy to miss. Cone beam CT shows the bone in three dimensions, slice by slice.

The procedure

Five stages, guided by 3D imaging.

What happens when a site does need treatment.

01

Imaging

Cone beam CT shows the inside of the bone in three dimensions, where a panoramic x-ray cannot.

02

Access

A small, minimally invasive opening is made at the old extraction site.

03

Cleaning

Poorly healed tissue is removed and the bone is disinfected with a laser.

04

Ozone

Medical grade ozone is applied to disinfect the site before it is closed.

05

PRF

Platelet rich fibrin, made from a small sample of your own blood, is placed to support the bone as it heals.

Before any surgery

Not every shadow is a cavitation.

Cavitations are still discussed and debated within dentistry, and a scan alone does not settle every case. That is why the decision is never made from imaging in isolation. Dr. Panahpour reads the images together with your history, your symptoms and what your physician has found.

Some sites are best treated. Some are best watched. You will hear both possibilities, and the reasons, before anything is scheduled.

Related care

Often part of the same plan

Cavitation work often sits alongside these protocols.

Zirconia implants

Zirconia implants

Ceramic, metal free implants, planned with 3D cone beam imaging. Zirconia in practice since 2001.

About zirconia implants ›
Ozone therapy

Ozone therapy

Medical grade ozone to disinfect the field before anything is closed. Used in this practice since 2008.

How ozone is used ›
Safe mercury filling removal

Safe mercury filling removal

Silver amalgam removed under the SMART protocol: the tooth isolated, vapour captured at the source and a separate air supply for you.

Safe removal, step by step ›
Biological dentistry

Biological dentistry

Materials and methods chosen for how your body responds to them: mercury safe, metal free where it suits, and as little drilling as the tooth allows.

Biological dentist in Santa Monica ›
Bite therapy and TMJ

Bite therapy and TMJ

When the bite is uneven the jaw tilts, the skull compensates and the neck follows. The bite is measured first, before any restorative work.

How bite therapy works ›
Biomimetic restoration

Biomimetic restoration

Bonded restorations that behave like natural tooth, trained at the Alleman-Deliperi school in Sardinia. Often an alternative to a crown.

How biomimetic works ›
Dr. Alireza Panahpour in his practice
Dr. Alireza Panahpour, DDS

Seven in ten patients are sent by their doctor.

Around seven out of ten of Dr. Panahpour's patients are referred by a physician, a chiropractor or another practitioner, often after other avenues have been explored.

He has practised biological dentistry since 1994, with training at NYU, Columbia, Sardinia and Sweden, and wrote The Good Dentist so patients can understand the work before they sit in the chair.

Since 1994Cone beam CTOzonePRFNYUColumbia
1994In biological practice in California
70%Of patients referred by a physician, not marketing
14+Countries patients travel from
4thGeneration of dentists in the family
I've had three surgeries with Dr. Panahpour and I couldn't be in better hands. His focus on the whole-body system, his constantly updated knowledge, and his genuine care for me as a patient are second to none. I would whole-heartedly recommend him to anyone who wants to understand the connection between oral health and body health.
S.B. · Patient · 2024 · Written authorization on file
The office

Visit us in Santa Monica.

Santa Monica, California
2701 Ocean Park Blvd, Suite 108
Santa Monica, CA 90405
Parking
Garage in the building
Nearby
Five minutes from Venice and Mar Vista
Hours
By appointment

Patients come from

Patients also travel in from across Southern California and from more than fourteen countries.

Santa MonicaVeniceMar VistaBrentwoodPacific PalisadesCulver CityMarina del ReyMalibuWest Los Angeles
Questions

What people ask before booking.

What is a jawbone cavitation?

An area of bone that did not heal properly after an extraction, most often at an old wisdom tooth site. The gum heals over it, so it cannot be seen from the outside.

Why didn't my regular x-ray show it?

A standard x-ray compresses the jaw into one flat image, so changes inside the bone can be hidden by the bone around them. Cone beam CT shows the area in three dimensions.

What does cavitation surgery involve?

A small opening at the old extraction site, removal of the poorly healed tissue, disinfection with laser and ozone, and platelet rich fibrin from your own blood to support healing.

Is cavitation surgery right for me?

That depends on the imaging, your history and your symptoms. Not every finding needs surgery. Dr. Panahpour will explain what he sees and the options, including monitoring.

What is recovery like?

It depends on how many sites are treated and how large they are. You will receive aftercare instructions specific to your treatment and a follow up plan.

Can the missing tooth be replaced afterwards?

Often, once the bone has healed. A metal free zirconia implant can be considered after healing is confirmed on imaging.

Is this available in Sacramento?

Yes. Cavitation evaluation and care are also offered at the Sacramento office.

Bring your scans, or start fresh.

If you already have a cone beam scan, bring it. The first conversation is unhurried, typically 60 to 90 minutes, by phone or in person.

01

Reach out

Call, send a WhatsApp, or write through the form. Your message goes straight to Dr. Panahpour.

02

A real conversation

Your history, what has already been tried, and what you want from this. No rush.

03

A clear plan

What he finds and what he would do, including when the answer is that you need nothing.

Closer to Sacramento? See the Sacramento office