Obturators are custom made plastic material that is made to fit the precise contour of the hard and the soft palate that extends onwards to seal off the mouth from the nasal cavity. Fabricated by an orthodontist or a prosthodontist, it requires frequent replacements as the baby grows and preferably given at 2-3 days after birth. Breastfeeding in a cleft baby is difficult although there are a few compromised techniques that are employed such as breastfeeding positions, compression technique, supplementer usage, and nipple shield alone or in combination. Once the obturator is delivered the child stops regurgitation or vomiting as the lining of the nasal cavity is protected. Breastfeeding is very essential as it also facilitates the proper development of jawbones and facial muscles and in order to do that feeding of a child since day one of birth is a very important prerequisite that can be achieved by delivering an efficient palatal obturator.

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Application of elastics in orthodontics has various outcomes in relation to maxillary arch, mandibular arch, facial pattern and occlusal plane. All these factors can be modified depending upon the response of the individual towards the treatment procedure. Elastics being a dependable mode of changing such parameters have been employed in orthodontics from time to time. In the present case report class II elastics were incorporated with a motive to stimulate growth and change or improve the facial profile as the individual was in a growing phase. With continuous application of elastics and patient cooperation satisfactory occlusion and facial profile was achieved for the patient.

Class III malocclusion is one of the most difficult problems to treat. It has a multifactorial etiology involving both genetic and environmental causes. The dental and skeletal effects of maxillary protraction with a facemask are well documented in several studies. Although incorporation of expansion appliance along with facemask therapy can improve correcting both sagittal and transverse discrepancy of maxilla. The following case shows early treatment of a 9 year old boy with maxillary deficiency using an expansion screw along with facemask. Facemask therapy was followed by fixed orthodontic treatment to settle the occlusion. Treatment was completed after 14 months with positive overjet, class I molar and canine relationship on right and left side.