Conditions Diagnosed and Treated at Limestone Hills Orthodontics
Crooked teeth are a symptom, not a diagnosis. The underlying cause might be jaw size, jaw position, tongue posture, airway restriction, a persistent childhood habit, or a combination. Click any condition below to read how Dr. Viecilli diagnoses the cause, which severity level fits, and which treatment path is recommended.
Not sure which condition you have?
Why Early Evaluation Matters
The American Association of Orthodontists recommends that every child receive an orthodontic evaluation by age 7, and the reasoning is practical: several bite problems are significantly easier to correct while jaw growth is still active. A crossbite that takes a removable expander and six months to correct at age 8 often requires jaw surgery alongside braces at age 18 if left until the permanent teeth have fully erupted. That said, most age-7 evaluations lead to a recommendation of observation, not immediate treatment. The goal of early evaluation is to identify the small percentage of cases where intervening now prevents a much harder correction later.
How Limestone Hills Orthodontics Approaches These Conditions
Diagnosis drives treatment. Two bites that look the same to a patient can need completely different mechanics. Dr. Viecilli relies on three clinical principles across every condition on the list above.
Biomechanics Over Convention
Least-Invasive Effective Option
Root Cause, Not Just Alignment
Diagnostic Workflow
Every new-patient consultation at Limestone Hills Orthodontics follows the same sequence so nothing is missed, regardless of the reason the family came in.
3D Cone-Beam CT Scan
Every new-patient consultation at Limestone Hills Orthodontics includes a complimentary i-CAT FLX V7 CBCT scan at no charge. The scan provides a three-dimensional view of the teeth, roots, jaw bones, and airway in a single image, which a two-dimensional panoramic X-ray cannot replicate. This step is completed before Dr. Viecilli enters the room.
Digital Intraoral Scan
A Medit i700 digital scanner captures the full arch shape and bite relationship without physical impressions. The scan takes 3 to 5 minutes and produces a precise 3D model of the dentition that informs appliance design, aligner fabrication, and retainer planning. Patients see their own teeth on screen in real time.
Clinical Examination by Dr. Viecilli
Dr. Viecilli personally conducts every clinical examination. He evaluates facial symmetry, jaw function, airway screening findings from the CBCT, soft tissue, and tooth position against the diagnostic records gathered in steps 1 and 2. No clinical decisions are delegated to an assistant or associate at this stage.
Diagnostic Synthesis
After the examination, Dr. Viecilli integrates the imaging data, the clinical findings, and the patient’s growth stage into a diagnosis. For growing patients, the jaw development trajectory is factored alongside the current bite. Conditions that require a referral to another specialist are identified at this step before a treatment plan is written.
Treatment Plan Presentation
The complete treatment plan is presented in the same appointment, including the specific condition identified, the recommended treatment path, the clinical rationale for that choice, the timeline, and exact pricing. Families leave with all of that information in writing and no same-day decision required.