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Oct 04, 2023 6:00 PM - 9:00 PM


“Problems of Dental and Skeletal Developmental in the Adolescent Child: What to look for, What to do, When to do it and Why”
Presented by Dr. Scott Stein

WEDNESDAY, October 4, 2023

ZOOM 6:00 pm until 8:00 pm – 2 MCE Credits

Log-in begins at 5:45 pm •• You must be on for the entire meeting to receive MCE credits.

Session Description:
The recognition of problems of dental and/or skeletal development in young children (ages 7 – 10) can provide opportunities for correction that might not always present themselves at later ages or may not have as great of a chance for success. Recognition of normal functional, dental, and skeletal development helps the clinician to recognize deviations in form and function therefore allowing them to provide appropriate treatment options and referral at the most opportune time. Evidence based diagnostic criteria and treatment options for the most common orthodontic problems of dental, skeletal and functional problems will be presented.

Learning Objectives
At the conclusion of this course, participants should be able to:
1) Recognize normal dental and skeletal development of children in the developing mixed dentition (ages 7 – 10)
2) Recognize crowding of the dental arches/lack of room for developing and erupting teeth; borderline extraction cases and treatment options for early arch development for teeth to be able to erupt into attached gingiva versus oral mucosa
3) Recognize crossbite with accompanying functional mandibular shift, its impact on the development of condylar and facial asymmetry as well as the importance of early correction to help the normalization of facial growth and symmetry
4) Recognize developing Class III skeletal MA relationships / underbites and early treatment options that may lessen the need for future surgical intervention or make it more predictable and stable
5) Recognize Class II skeletal and dental MA relationships with special consideration of excess overjet and its relationship to maxillary incisor trauma.
6) Be able to understand the outcomes of prospective studies conducted on two- phase treatment of Class II patients treated with a phase of Early Orthodontic Treatment vs. those treated with a single phase of treatment after exfoliation of all deciduous teeth as related to efficiency of Class II treatment. Be able to balance that evidence with the impact on increased risk of maxillary incisor trauma in patients with excess overjet and the reduction of trauma risk that is provided by early orthodontic treatment to correct excess overjet
7) Recognize open bite and excessive vertical facial growth and development with special consideration of oral mode of respiration (mouth breathing); sleep disorder breathing and orthodontic management of airway development.
8) Be able to discuss the importance of incorporation of early palatal expansion as a treatment modality for gaining room for eruption of teeth in the presence of dental crowding, reduction of overjet in Class II relationships, in conjunction with facemask use for early Class III correction, as well for correction of posterior cross bite

Dr. Scott Stein is a native Rochesterian. He received his B. A. in Biology from the University of Buffalo as well as his degree in dentistry. He was elected to the Omicron Kappa Upsilon National Dental Honor Society at the completion of dental school. Dr. Stein then attended the Eastman Dental Center where he received his Certificate in Orthodontics. He has been elected to the International College of Dentists.
Dr. Stein maintains a full-time private practice in Pittsford, NY and has previously been a part-time clinical instructor and co-director of the Orthodontic Biomechanics and Orthognathic Surgery courses at the University of Rochester’s Eastman Institute for Oral Health - Division of Orthodontics. Dr. Stein has co-authored articles and text book chapters on various orthodontic topics and has been a guest lecturer at Children’s National Medical Center in Washington D.C., the Monroe Community College Dental Hygiene and Assisting programs, as well as Rochester General Hospital. He attends continuing education courses throughout the year and has received training at the Pankey Institute.

Monroe County Dental Society is a component of the 7th District; recognized as a CERP provider through NYSDA.
• Continuing Education (CE) credits are awarded for all lectures that meet the NYSED requirements.
• One hour of credit is awarded for each 50 minutes of presentation attended.
• CE forms for NYS Continuing Education requirements will be given to each attendee when checking in at registration.
• To verify attendance, a four-digit code, read at the end of each seminar must be marked on the CE form.
• After completing the form, please bring the white copy to the registration table before leaving.
• The yellow copy is for your own records. It is recommended that you retain copies of all your CE forms in case of audit.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at

Program Cost:   

MCDS member no charge (included in your 2023-2024 MCDS membership)

$100.00 NON-MCDS member

$50.00   Each staff person (of MCDS Member or non-MCDS member)            

Course Credit:  2 MCE Credit Hours

Name: (please print) Attach a list of additional attendees if necessary

Mailing Address: 

Phone #:


Email Address (for registration confirmation):  

Payment Method:

Please make checks payable and return to:
Monroe County Dental Society
155 Culver Road, #200
Rochester, NY  14620

Please note there is a convenience fee for credit card payments.