Management of vertical excess and impacted teeth

Management of vertical excess and impacted teeth

Date & Time



Hall A


Dr. Irfan Sultan / Dr. Amjad Al Warawrah



Thinking in Three-Dimensions: Ditch Your Old Cookbook!

Time: 8:40-9:40

Speaker: Sercan Akalcin

Place\Room:Intercontinental, Riyadh



Management of impacted maxillary canines

Time: 9:40-10:00

Speaker: Riyyad Al battikhi

Place\Room: Intercontinental, Riyadh



Vertical occlusal problems: treatment options and challenges

Time: 10:00-10:35

Speaker: Anthony T. Macari

Place\Room: Intercontinental, Riyadh

Time: 10:35-10:45 Discussion

Time: 10:45-11:00 Coffee break

Speaker: Anthony T. Macari

Place\Room: Intercontinental, Riyadh

Coming Up Events
Thinking in Three-Dimensions: Ditch Your Old Cookbook!

One of the most common limiting factors in orthodontic treatment planning is the limited understanding of the critical issues in the three-dimensional space. Many of the dental and skeletal components of the malocclusion are, in fact, interrelated. We have many tools to help clinicians make better diagnostic judgments and develop sophisticated treatment plans in our constantly evolving profession. This presentation aims to showcase the use of technology and three-dimensional tools available to us and help clinicians think outside the box in the treatment planning of orthodontic malocclusions. Case demonstrations will be presented to facilitate the learning of the concepts.

Management of Impacted Teeth in Orthodontic Practice

Treatment of Impacted Teeth in Orthodontic Practice is important, as existence of impacted
tooth/teeth may hurdle orthodontic treatment sometimes and become a
dilemma especially if complications exist.
The purpose of this presentation is to discuss the prognosis of impacted teeth and the available
approaches of impacted teeth managements in orthodontics.
Orthodontist has two approaches to manipulate the impacted teeth, those are:
1- Open exposure or open orthodontic eruption.
2- Closed orthodontic eruption.
However, not all impacted teeth are available to be treated by forced orthodontic eruption, so
other approaches may be chosen in treatment plan like:
1- Extraction of the impacted tooth with poor prognosis or in the sequence of orthodontic
treatment plan (e.g. space deficit).
2- "Disregard" and observation for a few cases under restricted conditions. .
The presentation shows cases as examples of management possibilities, complications and
discuss the matters from a clinical standpoint.


Management of impacted maxillary canines

Impaction of permanent maxillary canine is one of the most difficult problems that are confronting orthodontists. The location of impacted permanent canine must be de fined because treatment to a large extent is based on this differential diagnosis. This can be done by taking  proper x ray  views (Periapical X-Ray, Panoramic X-Ray. And Cone Beam X-ray.) and clinical examination 
Orthodontist  must be knowledgeable about the variety of   management  of impacted maxillary canines: Various surgical and orthodontic techniques  are used to  align impacted maxillary canine within dental arch
  The simplest  and the most common methods used to bring impacted maxillary canines into  oral cavity are surgically exposing the impacted maxillary canines  and allowing them to erupt naturally during early or late mixed dentition
Orthodontist must formulate treatment plan that are in the best interest of the patient (duration of treatment and the financial burden) and avoiding damage to adjacent teeth. This treatment  plan requires choosing  appropriate surgical technique can be used and the Orthodontist be able to apply measured forces in a favorable direction. This treatment plan allows Orthodontist  for complete control in  moving  and align the  impacted maxillary canine  and avoiding  damage to adjacent teeth 
After 40 years of practicing orthodontic the lecturer will present an orthodontic technique is used for the successful alignment of impacted maxillary canines, in addition clinical cases will be presented to explain this technique 

Vertical occlusal problems: treatment options and challenges

Treatment of vertical malocclusions is complex and challenging because of the potential for
relapse and the possibility of compromised esthetics. The treatment approaches are discussed
separately for early treatment of growing individuals and non-growing patients. Treatment
ranges from correction of etiologic habits to control of vertical growth and dentoalveolar
vertical irregularities. Orthodontic miniscrews and plates have expanded the sphere of success,
but long-term studies and controlled clinical trials are needed. Limitations of treatment include
the persistence of known etiologic factors and initial growth pattern, the difficulty to accurately
predict the individual course of development or the response to treatment. In addition, facial
components are evaluated as part of the complete vertical diagnosis and presence of
constitutional limitations in the soft tissue are highlighted.

Dr. Sercan Akyalcin

Dr. Sercan Akyalcin serves as the Head of Orthodontics at Harvard School of Dental Medicine. He has a DDS-PhD degree and is a graduate of the orthodontic program at the University of Texas Health Science Center at Houston. He was a faculty member at Tufts University School of Dental Medicine in Boston, where he also served as the chair and graduate program director of Orthodontics before joining Harvard University.

Dr. Akyalcin is active in many leadership roles, serving on the Northeast Society of Orthodontists (NESO) Board of Directors and representing NESO on the house of delegates at the AAO. He also advocates for the Northeast region on the AAO Council on Education. As a dental educator and orthodontist, he has published fifty peer-reviewed papers, co-edited a textbook, contributed to twelve other orthodontic books, and served on the editorial boards of orthodontic and dental journals. In addition, he has been recognised with several awards in the field, including the 2019 Edward H. Angle Research Prize. He is a sought-out speaker at national and international forums and conferences for this expertise in the field. In addition, he is an examiner for the Council on Dental Accreditation and the American Board of Orthodontics.

Dr. Mhd. Azhar Kharsa

Dr. Mhd obtained his dental degree from the University of Damascus in 1992. In 2003, he was awarded a Certificate in Orthodontic Specialization from the University of Medicine and Pharmacy of Timisoara, "Victor Babes”. In 2004, he was awarded a Ph.D. în Medicină Dentară from the same university where he granted a certificate of Orthodontist Title. He was also awarded a certificate of Improving Global Health: Focusing on Quality and Safety from the University of Harvard in 2018.
Dr. Mhd has many publications in well-renowned journals and is a recognized speaker in Orthodontics. He is currently the Quality Director and Head of Orthodontic Department at King Fahad Hospital of Madinah in Saudi Arabia.

Dr. Riyad Al Batteekhi

Dr Riyad was a former director of dental corps at the Royal Medical Servies, and the former chairman of the orthodontic committee at the Jordanian Medical Council. Moreover, Dr. Riyad was the former president of the Jordanian Orthodontic Society, a former clinical assistant professor at the dental school of the Jordan University of Science and former parttime lecturer at the University of Jordan. Dr Riyad was also a former visiting professor at the orthodontic department at Marquette University and Pittsburgh University USA. Dr. Riyad is an active member of the Jordanian Orthodontic Society and is a recognised Jordanian speaker in Orthodontics.

Anthony T. Macari

Dr. Macari is a dental graduate from Saint Jospeh University in Lebanon in 2001, he was later awarded his MSc in Human Morphology from the American University of Beirut in 2007. Dr. Macari received his orthodontic training at the American University of Beirut and became a specialist orthodontist in 2005. He was further awarded the European Board in orthodontics in 2018. Dr. Macari is currently an Associate Professor in Orthodontics at the American University of Beirut. Vertical