Cleft lip and cleft palate are facial and oral malformations that occur early in pregnancy while the baby is developing inside the mother. It develops separately; it is possible to have a cleft lip without a cleft palate, a cleft palate without a cleft lip or both together. Cleft lip is a physical split or separation of the upper lip and appears as a narrow opening or gap in the skin and deeper tissues of the upper lip. This separation often extends beyond the base of the nose and includes the bones of the upper jaw and upper gum. Cleft Palate is a separation or opening in the roof of the mouth, i.e. it causes opening of the bony front portion of the roof of the mouth and soft back portion of the roof the mouth. Problems associated with cleft lip and cleft palate:1. Esthetics (Appearance)2. Function – Speech3. Dental problems (prevents teeth development and eruption and also prevent the bone growth) Oral Hygiene maintenance problem.