Introduction: The labio-maxillo-palatine clefts are the consequence of the absence of union between the facial buds. These abnormalities are present at birth and disrupt the vital functions of the patient such as feeding, pho-nation, breathing and their management requires a multidisciplinary collaboration in which orthodontics occupies a significant position. The aim of this work is to describe the orthodontic management of a 12-year-old patient with a bilateral cleft in the department of Orthopedics Dento Faciale of the Dental Consultations and Treatments Center of Casablanca, Morocco. Case Report: A 12-year-old Moroccan girl with bilateral cleft lip-palate associated with class III skeletal shift and dental abnormalities in number, shape and position (agenesis of 12 and 22 and retention of 13 and 23 and an 11 of atypical form). The aim of this treatment was to reduce the gap between bone bases, obtain a correct anterior guide, a functional occlusion and improve facial aesthetics. Conclusion: The role of the orthodontist within the multidisciplinary team in the management of these anomalies has been widely described in the literature; however, the interest of reporting the modalities of their management lies in the diversity of clinical forms, contextual characteristics and patient-specific factors. In this case, our work has greatly improved the esthetics and oro-facial functions of the young patient, which are essential to the well-being, self-esteem and social integration of any individual within society.
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