Statement of problem. Cleft Lip and Palate (CLP) are common congenital defects of the present day. They result from a failure of facial bud sticking during embryological phenomena. Their therapeutics based on multi-disciplinary care to restore as much as possible the aesthetic and functional prejudices generated by these anomalies. Purpose. Through this work, we will illustrate, through a clinical case supported at the Consultation and Dental Treatment Center of Rabat, clinical and laboratory stages of realization of Nasoalveolar Molding (NAM). Material and methods. We describe original techniques used in our service for manufacturing of NAM fireworks and we define recommendations after insertion and follow-up procedures.Result. Place of NAM in management of these anomalies has increasingly recommended, given limitations of surgery alone to ensure satisfactory aesthetic results. Several fixed or removable appliances has used, in order to reposition gaps in cleft and / or to reshape affected bordering tissues. Conclusion. Despite the controversies surrounding this therapy, it remains highly recommended and scientifically based.

Anti-cancer treatments (surgery, radiotherapy and chemotherapy) lead to numerous sequelae and side effects, unpleasant or even disabling in the oral cavity. In the absence of appropriate dental care, the consequences can be highly detrimental.The side effects of radiotherapy, the loss of substances following often associated surgical interventions and the unfavorable context of these patients require rational planning and consultation approved by the various practionners.The management of patients before, during and after these anticancer treatments by the specialist in maxillofacial prosthesis is important, in fact the objectives outlined to be achieved in terms of the management of PMF are: restoration of orofacial functions, participation in the proper conduct of anticancer treatment, palliation of its complications and psychological support for these patients.The aim of this article is to review the various complications of radiotherapy, as well as the protocols and recommendations for the management of patients before radiotherapy and to highlight the role of the specialist in maxillofacial prosthodontics in this management.

The effects of anticancer treatments and cancerous pathology most often lead to tissue defects, deformities and mobility limitations that significantly alter the functions of chewing, swallowing, breathing and communication. These complications are taken care of by different practioners belonging to different specialties.The odontological care of cancer patients must be part of a multidisciplinary collaboration, indeed, it aims to plan and optimize the conduct of care in relation with the progress of anti-cancer treatment (Radiotherapy, chemotherapy, etc.).The objective of this work is to focus on the areas of collaboration between the specialist in maxillofacial prosthosontic and the radiotherapist / oncologist and to propose a liaison sheet between these two practioners to facilitate communication and achieve a symbiosis.This liaison sheet constitutes a tool streamlining the multidisciplinary consultation between the odontologist and the radiotherapist / oncologist and consequently facilitating the care of these patients.

Objective This study aimed to propose digitally designed impression trays, for newborns with cleft lip and palate (CLP) defects, using the computer-assisted design and manufacturing (CAD/CAM) technique, based on measurements of width, length, and height made on processed and scanned plaster models. Thus, we will describe the different software and concepts that can be used for the design of these impression trays. Design A total of 59 plaster casts of newborn patients with CLP were collected and then scanned. After that, digital dental casts were three-dimensional (3D) evaluated, using precise anatomical landmarks. Setting The Maxillofacial Prosthodontics Team at the Dental consultation and treatment center in Rabat, Morocco. Patients and Participants The study involved plaster casts of newborns with CLP, who had undergone presurgical neonatal treatment in the Maxillofacial Prosthodontics service in Rabat, Morocco. Interventions None, Main Outcome Measure(s) 3D evaluation of 59 scanned plaster casts of newborn patients with CLP. Results This work allowed us to obtain digital impression trays for each anatomical variation of orofacial clefts. These trays will limit the problems linked to conventional techniques for making neonatal orthopedic plates. We also emphasized the importance of a multidisciplinary approach involving several professionals in Morocco from various fields and specialties. Conclusion This original technique is advantageous for the practitioner as well as for the patients and their parents. It allows for precise recording, better adaptation, time-saving, and parental comfort.

apparent cause for the genesis of this anomaly. The probable causes are malnutrition, teratogenic and infectious agents, congenital craniofacial syndrome, head and neck cancer, or neurogenic injury [4,5].When the surgery is not an indication or inadequate (example: Oral or systemic factors contraindicated surgical intervention [10]) the prosthetic management