Dr. Cosmo Haralambidis posing with a young patient at Cranston Orthodontics

Orthodontics Isn't Just About Teeth — It's About How a Child Grows

The most effective orthodontic care for children doesn't begin the day braces go on. It begins years earlier — with a thorough, ongoing assessment of how a child's jaw, facial structures, airway, and dentition are developing over time.

At Cranston Orthodontics, growth and development analysis is not a checkbox on an intake form. It is a cornerstone of how Dr. Cosmo approaches every pediatric patient — a detailed, longitudinal process of monitoring, recording, and interpreting how each child is growing, so that orthodontic intervention can be timed and designed to work with that growth, not against it.

This level of diagnostic depth is what separates truly comprehensive orthodontic care from routine treatment — and it is a defining characteristic of what Dr. Cosmo offers every patient who walks through our doors.

What Growth & Development Analysis Involves

Jaw Growth & Alignment Analysis

The relationship between the upper and lower jaw — both in terms of their size and their position relative to each other and to the skull — is assessed using cephalometric X-rays, cone beam 3D imaging, and clinical examination. This allows Dr. Cosmo to identify skeletal discrepancies early, when they are most responsive to guidance, and to track how those patterns evolve over time.

01

Dental Development

The eruption sequence and positioning of both baby and permanent teeth are monitored closely. Abnormal eruption patterns — teeth coming in too early, too late, in the wrong position, or blocked by crowding — are identified and managed before they create larger problems.

02

Facial Growth Patterns

The overall pattern of facial growth — whether a child is growing horizontally, vertically, or in a combination — has a significant impact on how orthodontic treatment should be planned and timed. Dr. Cosmo evaluates facial growth patterns and incorporates this information into every treatment recommendation.

03

Jaw Joint Development

The health and development of the temporomandibular joints — the joints that connect the lower jaw to the skull — are evaluated as part of a comprehensive growth assessment. Early signs of joint dysfunction or asymmetrical development are identified and monitored.

04

Airway and Soft Tissue Assessment

Growth and development cannot be properly assessed without evaluating the airway and surrounding soft tissue — the tongue, lips, cheeks, and throat structures that interact with and influence how the jaw and teeth develop. This assessment is detailed in our dedicated Airway & Breathing Evaluation page.

05

Growth Timing and Pubertal Assessment

The timing of orthodontic intervention is heavily influenced by where a child is in their overall growth cycle. Dr. Cosmo uses established clinical tools — including hand-wrist X-rays where appropriate and pubertal assessment — to evaluate skeletal maturity and determine whether a child is approaching, in the midst of, or past their peak growth velocity. This information is critical for timing functional appliance therapy and other growth-modification treatment.

06

What Happens After Analysis

The outcome of a growth and development assessment at Cranston Orthodontics is not a generic recommendation. It is a personalized, evidence-based plan that reflects your child's unique growth trajectory and the specific issues that require attention.

That plan may involve:

Active early treatment to correct a developing problem now
A period of active monitoring with scheduled recall visits
Coordination with other specialists — including ENT physicians, sleep medicine providers, myofascial therapists, or speech-language pathologists
A clear timeline for when comprehensive Phase Two treatment should begin

Dr. Cosmo will walk you through his findings in plain language, show you what he sees in the diagnostic records, and explain his reasoning for every recommendation. You will leave your child's evaluation with a clear understanding of where your child is in their development and exactly what the path forward looks like.

Schedule Your Child's Growth & Development Evaluation Today

Comprehensive growth assessment starts with a complimentary new patient exam at Cranston Orthodontics. Dr. Cosmo personally evaluates every pediatric patient — with the diagnostic depth and clinical expertise to give you the most accurate, complete picture of your child's orthodontic future.

Schedule a Free Evaluation

Frequently Asked Questions

A growth and development analysis is a detailed, ongoing assessment of how a child's jaw, facial structures, airway, and dentition are developing over time. It matters because the most effective orthodontic care is timed to work with a child's natural growth — not just applied whenever teeth appear crooked. By understanding exactly how and when a child is growing, Dr. Cosmo can intervene at precisely the right moment for the best possible outcome.

key areas: the relationship and alignment of the upper and lower jaw, the eruption sequence and positioning of both baby and permanent teeth, overall facial growth patterns, the health and development of the jaw joints, airway and soft tissue dimensions, and skeletal maturity to determine where a child is in their growth cycle. Each of these factors directly influences how and when treatment should be planned.

Dr. Cosmo uses established clinical tools — including cephalometric X-rays, cone beam CT imaging, and pubertal assessment — to evaluate skeletal maturity. In some cases, hand-wrist X-rays may also be used. This tells him whether a child is approaching, in the midst of, or past their peak growth velocity — information that is critical for timing growth-modification treatment like functional appliances for maximum effectiveness.

Facial growth patterns describe the direction in which a child's face is developing — primarily horizontal, primarily vertical, or a combination of both. These patterns have a significant impact on how orthodontic problems develop and how they should be treated. A child growing primarily vertically, for example, may require a different treatment approach and timing than one growing more horizontally. Dr. Cosmo incorporates facial growth pattern data into every treatment recommendation.

Possibly, yes. Many of the issues that growth and development analysis identifies — jaw imbalances, abnormal eruption patterns, airway constriction, and early joint asymmetry — are not visible to the eye and have no obvious symptoms at first. By the time they become apparent, the optimal window for simple, growth-guided correction may have already passed. An early assessment is the only reliable way to know what's actually developing beneath the surface.

Dr. Cosmo presents his findings in plain language, walks you through the diagnostic records, and explains the reasoning behind every recommendation. The outcome is a personalized plan that may include active early treatment to correct a developing problem now, a monitoring schedule with scheduled recall visits, referrals to specialists such as ENT physicians or myofascial therapists, or a clear timeline for when comprehensive Phase 2 treatment should begin. There is no generic recommendation — the plan reflects your child's unique growth trajectory.

General dentists monitor oral health and can flag obvious concerns, but a comprehensive growth and development analysis requires the diagnostic tools and specialized training of a board-certified orthodontist. Dr. Cosmo uses cone beam CT imaging, cephalometric analysis, and detailed skeletal maturity assessment to build a complete three-dimensional picture of your child's development — a level of diagnostic depth that goes well beyond what a routine dental exam provides.