Therapeutic management of cleft lip and palate is a long and complex procedure demanding the cooperation of experts from different scientific fields. The level of cooperation and the ethos of our noble profession calls for organization of experts at a single centre, where treatment planning and implementation will be performed. The staff of competent cleft management centre should include the following professionals: radiologist, anaesthesiologist, geneticist, plastic surgeon, maxillofacial surgeon, social worker, speech therapist, neurologist, neurosurgeon, nursing staff, orthodontist, paediatrician, paedodontist, prosthodontist, psychiatrist, psychologist and an ear-nose-throat (ENT) specialist.Orthodontic treatment may be performed at different stages of the patient’s development, depending on the particular problem. Patients presenting with a cleft lip only or a soft palate cleft may never require orthodontic treatment. Treatment of a syndromic patient has to be done in consultation with different specialities. Patients with unilateral or bilateral cleft lip, alveolus and palate may require orthodontic treatment during the following four different stages:-

1. Neonatal maxillary orthopedics in an infant.

2. Orthodontic-orthopedic treatment during the primary dentition.

3. Orthodontic treatment during the mixed dentition.

4. Orthodontic treatment alone or in conjunction with orthognathic surgery in the permanent dentition.

Cleft lip and palate involve a multitudinous factors required to be considered while treatment planning and execution. However, it is realistic to accept the fact that many treated patients will show some relapse and that ideal orthodontic results are often not possible to attain. However, the latter should not detract from the clinician’s motivation and commitment to achieve as optimal a result as is possible.

a patient born with a cleft should be seen from the beginning by the pediatrician for general care then by a team of professionals, a plastic surgeon, an orthodontist, and a speech pathologist added to an ENT and audiologist from the beginning, that was the motive behind cleft palate society when it was formed, as they went over to expand many others got into the system and that is lost. when we go around the world and with many interested in the group we move from the nice wound to nice smile to real communication skills, at the in habilitation a functioning child, not a cripled child the Journal of Craniofacial Surgery provides the guidelines and directions for a great outcome

Cleft Lips and Palates ;The Roles of Specialists

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Internet Scientific Publications

Abu-Hussein Muhamad, Abdulgani Azzaldeen and Nizar Watted (2014) Cleft Lip and Palate; A Comprehensive Review International Journal of Basic and Applied Medical Sciences 4(1): 338-355

Muhamad Abu-Hussein, Nezar Watted, Viktória Hegedűs, Péter Borbély Abdulgani Azzaldeen (2015) Human Genetic Factors in Non-Syndromic Cleft Lip and Palate: An Update International Journal of Maxillofacial Research 1(3):7- 23.