**3. Conclusion**

In Conclusion, Craniofacial Orthodontists can choose from a wide array of treatment options for their patients and can learn from the outcomes attained by applying a combination of outcomes at various other centres. Distance as a factor has been obsolete from many discussions advocating the use of PSIO or eliciting the need for newer PSIO techniques, however it has been revealed to cause a significant difference in the delivery of cleft care.
