**5. Recommendation**

Treatment approach depends on the age and severity of the patients. Growth modification is the best treatment plan when the patient is still growing. We can take advantages of a child's growing years by guiding proper jaw bone formation with small intraoral appliances such as tongue plate and tongue appliance [6, 27]. These small intraoral appliances are recommended in cleft lip and palate patients who suffering from psychological and social problems associated with their malocclusion in early mixed children. Once the patient is an adult, camouflage may be an option for correcting mild deformities and surgery would be proper treatment plan for severe cases.
