ABSTRACT
There are numerous approaches to the treatment of the cleft lip and palate patient. Orthodontic treatment protocols therefore vary with different teams. In general, presurgical orthodontics may take place at four different time periods-infancy, primary dentition, mixed dentition, and permanent dentition. Each of these periods of treatment serve to facilitate the three major surgical interventions common to the treatment of patients with cleft lip and palate, which include primary lip and palate closure, alveolar bone grafting to the cleft site, and orthognathic surgery.
