left lip and cleft palate are the most common congenital orofacial deformities, affecting one in 1000 births in Europe. 1 Patients with cleft lip and/or cleft palate need medical care as newborns, throughout their childhood and adolescence, and until early adulthood, coordinated by a multidisciplinary team involving surgeons and dental practitioners.Several dental anomalies are often associated with this deformity. 2 Maxillary lateral incisor agenesis or hypoplasia is the most frequent for patients with cleft lip and/or palate. [3][4][5][6][7][8] Maxillary lateral incisors are often missing because of agenesis or extraction and the orthodontist and surgeon collaborate to plan the best option to manage the gap left by the missing incisors.The first option is orthodontic gap closure. This treatment brings the homolateral canine