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Diplomate, American Board of Orthodontics

American Board of Orthodontics – Certified Case Presentations

Board certification is voluntary. Dr. Viecilli presented of their own treated cases with full cephalometric data, superimposition analysis, and outcome measurements to a live panel of ABO examiners.
Dr. Rodrigo F. Viecilli, DDS, PhD
4.9★ 220+ Reviews
27+ Peer-Reviewed Publications
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What Is ABO Board Certification?

The American Board of Orthodontics is the only certifying body recognized by the ADA for the specialty of orthodontics. Board certification is entirely voluntary. It is not required to practice orthodontics. The process has two stages: a written examination (taken during residency) and a clinical examination (taken after graduation). Certification must be renewed every 10 years.

Traditional Case Presentation (Pre-2020)

The orthodontist presented their own completed cases. With full records, cephalometric tracings, superimpositions, and outcome measurements. To a live panel of ABO examiners who questioned the candidate on diagnosis, treatment planning, mechanics, and results.

Scenario-Based Exam (2020–Present)

In 2020, the ABO transitioned to a scenario-based clinical examination. Candidates answer written questions about ABO-provided patient cases at a Pearson VUE testing center. The exam tests clinical knowledge and critical thinking but does not require the orthodontist to present their own treated cases.

The ABO cited the case presentation requirement as a barrier to certification for many orthodontists. The scenario-based format increased accessibility. But it no longer requires proof that the candidate achieved excellent outcomes on their own patients.

2 Stages

Written exam + Clinical exam

100%

Voluntary. Not required to practice

10 yr

Renewal cycle required

6

Cases Dr. Viecilli presented

What This Means for You

How to Read These Case Presentations

Each case below includes the same documentation Dr. Viecilli presented to ABO examiners. Here is what each section shows:

Cephalometric Measurements

Pre-treatment and post-treatment skeletal and dental measurements from lateral cephalograms. The “Change” column shows what the treatment accomplished. Values outside normal range are flagged.

Treatment Objectives vs Outcomes

What the treatment plan intended to accomplish and whether each objective was achieved, partially achieved, or not achieved. Board examiners evaluate this directly.

Superimposition Analysis

Pre/post cephalometric tracings overlaid on stable cranial base structures. Shows exactly how teeth moved and how the jaws changed position relative to the skull.

ABO CRE Scoring

The Cast-Radiograph Evaluation scores alignment, marginal ridges, buccolingual inclination, occlusal contacts, overjet, interproximal contacts, and root angulation. Lower is better. Under 30 is the passing threshold.

Case Presentations

Class II Division 1 — Deep Overbite with Crowding

Case 1

Patient Summary

Patient
{{PATIENT_AGE_SEX}}
Classification
{{ANGLE_CLASSIFICATION}}
Chief Complaint
{{CHIEF_COMPLAINT}}
Treatment Duration
{{TREATMENT_DURATION}}
Appliances Used
{{APPLIANCES}}
Extractions
{{EXTRACTIONS}}
Diagnosis Narrative: {{DIAGNOSIS_NARRATIVE}}

Cephalometric Analysis

Measurement Norm Pre-Tx Post-Tx Change
SNA (°) 82 ± 2 {{SNA_PRE}} {{SNA_POST}} {{SNA_CHANGE}}
SNB (°) 82 ± 2 {{SNB_PRE}} {{SNB_POST}} {{SNB_CHANGE}}
ANB (°) 2 ± 2 {{ANB_PRE}} {{ANB_POST}} {{ANB_CHANGE}}
FMA / MP-SN (°) 25 ± 5 {{FMA_PRE}} {{FMA_POST}} {{FMA_CHANGE}}
U1 to SN (°) 104 ± 2 {{U1SN_PRE}} {{U1SN_POST}} {{U1SN_CHANGE}}
IMPA / L1 to MP (°) 90 ± 5 {{IMPA_PRE}} {{IMPA_POST}} {{IMPA_CHANGE}}
Overjet (mm) 2–3 {{OJ_PRE}} {{OJ_POST}} {{OJ_CHANGE}}
Overbite (mm / %) 2–3 mm {{OB_PRE}} {{OB_POST}} {{OB_CHANGE}}
Lower Face Height (%) 55 ± 2 {{LFH_PRE}} {{LFH_POST}} {{LFH_CHANGE}}
Wits Appraisal (mm) 0 ± 2 {{WITS_PRE}} {{WITS_POST}} {{WITS_CHANGE}}

Treatment Objectives vs Outcomes

Objective Method Outcome
{{OBJECTIVE_1}} {{METHOD_1}} {{OUTCOME_1}}
{{OBJECTIVE_2}} {{METHOD_2}} {{OUTCOME_2}}
{{OBJECTIVE_3}} {{METHOD_3}} {{OUTCOME_3}}
{{OBJECTIVE_4}} {{METHOD_4}} {{OUTCOME_4}}
{{OBJECTIVE_5}} {{METHOD_5}} {{OUTCOME_5}}

Superimposition Analysis

{{SUPERIMPOSITION_DESCRIPTION}}

Smiling patient with traditional metal braces for fix Crossbite Treatment, giving thumbs up at Limestone Hills Orthodontics in Austin, TX.
Orthodontic clinic led by Dr. Rodrigo Viecilli at Limestone Hills Orthodontics as a board-certified orthodontist in Austin, TX.
A close-up of a smiling mouth with clear ceramic braces, highlighting a discreet orthodontic option. Limestone Hills Orthodontics in Austin, TX, provides ceramic braces for adult patients.

ABO Cast-Radiograph Evaluation (CRE)

{{CRE_ALIGNMENT}}
Alignment
{{CRE_MARGINAL}}
Marginal Ridges
{{CRE_BUCCO}}
Buccolingual
{{CRE_OC_REL}}
Occlusal Rel.
{{CRE_OVERJET}}
Overjet
{{CRE_CONTACTS}}
Contacts
{{CRE_ROOT}}
Root Angulation
{{CRE_TOTAL}}
Total (pass ≤ 30)

Clinical Photographs

At Limestone Hills Orthodontics in Austin, TX, close-up of adult open bite and crowding with misaligned teeth and minor gum redness.
Person’s mouth close-up after Adult Open Bite and Crowding treatment at Limestone Hills Orthodontics in Austin, TX; "Intraoral Center" text at lower left.
Crowded, misaligned teeth with visible gums shown before treatment at Limestone Hills Orthodontics in Austin, TX.
A patient at Limestone Hills Orthodontics in Austin, TX shows straight, white teeth and healthy gums after overbite correction.
Showing clean, straight teeth and healthy gums after crossbite correction at Limestone Hills Orthodontics in Austin, TX.
At Limestone Hills Orthodontics in Austin, TX, a close-up of a mouth shows clean, white teeth and healthy gums after treatment.

{{CASE_2_TITLE}}

Case 2

Patient Summary

Patient
{{PATIENT_AGE_SEX}}
Classification
{{ANGLE_CLASSIFICATION}}
Chief Complaint
{{CHIEF_COMPLAINT}}
Treatment Duration
{{TREATMENT_DURATION}}
Appliances Used
{{APPLIANCES}}
Extractions
{{EXTRACTIONS}}
Diagnosis Narrative: {{DIAGNOSIS_NARRATIVE}}

Cephalometric Analysis

Measurement Norm Pre-Tx Post-Tx Change
SNA (°) 82 ± 2 {{SNA_PRE}} {{SNA_POST}} {{SNA_CHANGE}}
SNB (°) 82 ± 2 {{SNB_PRE}} {{SNB_POST}} {{SNB_CHANGE}}
ANB (°) 2 ± 2 {{ANB_PRE}} {{ANB_POST}} {{ANB_CHANGE}}
FMA / MP-SN (°) 25 ± 5 {{FMA_PRE}} {{FMA_POST}} {{FMA_CHANGE}}
U1 to SN (°) 104 ± 2 {{U1SN_PRE}} {{U1SN_POST}} {{U1SN_CHANGE}}
IMPA / L1 to MP (°) 90 ± 5 {{IMPA_PRE}} {{IMPA_POST}} {{IMPA_CHANGE}}
Overjet (mm) 2–3 {{OJ_PRE}} {{OJ_POST}} {{OJ_CHANGE}}
Overbite (mm / %) 2–3 mm {{OB_PRE}} {{OB_POST}} {{OB_CHANGE}}
Lower Face Height (%) 55 ± 2 {{LFH_PRE}} {{LFH_POST}} {{LFH_CHANGE}}
Wits Appraisal (mm) 0 ± 2 {{WITS_PRE}} {{WITS_POST}} {{WITS_CHANGE}}

Treatment Objectives vs Outcomes

Objective Method Outcome
{{OBJECTIVE_1}} {{METHOD_1}} {{OUTCOME_1}}
{{OBJECTIVE_2}} {{METHOD_2}} {{OUTCOME_2}}
{{OBJECTIVE_3}} {{METHOD_3}} {{OUTCOME_3}}
{{OBJECTIVE_4}} {{METHOD_4}} {{OUTCOME_4}}
{{OBJECTIVE_5}} {{METHOD_5}} {{OUTCOME_5}}

Superimposition Analysis

{{SUPERIMPOSITION_DESCRIPTION}}

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ABO Cast-Radiograph Evaluation (CRE)

{{CRE_ALIGNMENT}}
Alignment
{{CRE_MARGINAL}}
Marginal Ridges
{{CRE_BUCCO}}
Buccolingual
{{CRE_OC_REL}}
Occlusal Rel.
{{CRE_OVERJET}}
Overjet
{{CRE_CONTACTS}}
Contacts
{{CRE_ROOT}}
Root Angulation
{{CRE_TOTAL}}
Total (pass ≤ 30)

Clinical Photographs

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Cases 3–6: Template Ready

Why This Data Matters for Your Care

Measurable Results

Cephalometric data proves whether treatment corrected the skeletal problem or just moved teeth. The numbers show the difference between a cosmetic fix and a structural correction.

Superimposition Transparency

Overlay tracings show exactly what moved and by how much. This is the standard for evaluating whether the treatment plan was executed correctly. Not just whether the teeth look straight.

Own Cases, Live Examiners

Dr. Viecilli presented their own treated cases to ABO examiners. Orthodontists with no financial relationship to this practice. Since 2020, the ABO exam uses provided cases instead. An orthodontist who submitted their own work to external peer review is telling you they stand behind their clinical decisions with measurable proof.