Abstract
Orofacial clefts (OFC) are among the commonest birth defect in developed and developing countries alike. In underdeveloped and developing countries, babies born with oral clefts are generally anaemic with low birth weight and may be unfit for surgery. The surgical reconstruction is also challenging and the aesthetic outcome cannot be guaranteed by the surgeon. Presurgical nasoalveolar moulding (PNAM) has been suggested to bridge the gap between the clefted segments before surgical repair. It is a simple yet effective technique that needs to be initiated at the right time and age to achieve ideal functional and aesthetic outcomes. This chapter highlights the effectiveness of the nasoalveolar moulding technique and details the manner in which the appliance is fabricated and activated.