Our orthodontic care for cleft babies, including nursing guidance and observation of cleft status, begins before cheiloplasty. Orthodontic treatment of cleft lip and palate patients is carried out in three phases. The first phase is the stimulation of forward maxillary growth using protracter around five years of age if necessary. The second phase is the correction of mesial rotation of cleft-side central incisor and/or anterior cross bite after secondary alveolar bone grafting, which is performed between six and eight years of age in most patients. The third phase is the reconstruction of the permanent dentition with multi-bracket therapy.