The individual with a cleft lip and/or palate or craniofacial syndrome may be faced with significant dental concerns affecting the tooth and bone structure in addition to feeding difficulties, middle ear problems and speech and language issues. Cleft palate and other craniofacial conditions are widely cared for in the context of a multi-specialty healthcare team (Strauss, 1999. Rehabilitation services for these conditions require the expertise of a multi-disciplinary team of medical, dental and other specialists. The complex nature of these conditions and the impact of growth and development on treatment outcomes may necessitate a number of rehabilitation services between birth and adulthood. The assessment team may include the following professionals: Audiologist Ear, Nose and Throat (ENT) Surgeon Oral and Maxillofacial Surgeon Orthodontist Paediatric Dentist Plastic Surgeon Prosthodontist Psychologist Social Worker Speech and Language Pathologist So, this multidisciplinary team is a group of individuals from different specialist backgrounds who work closely together, not only to bring each specialist's particular expertise to the patient in option."

A number of surgical procedures have been advocatedfor the reconstruction of defects in the oral cavityafter ablative surgery. This includes primaryclosures, skin grafts, local regional and distantflaps. The choice of a flap for reconstruction isgoverned by the type and size of defects and theadvantages and disadvantages of the variousreconstructive options.A large number of local methods have beensuccessfully employed for intraoral reconstructionsuch as oral mucosal flaps, my mucosal island flaps, tongue flaps, local muscular flaps such as temporalisor sternoceiodomastoid transfer and buccal fat pad. The use of a pedicled BFP graft is a logical, convenient, and reliable method for reconstruction oforal defects up to 4 cm in diameter on theipsilateral side of the soft palate and posterioralveolar ridge of the maxilla. It can also be used inconjunction with other local flaps and with regionalmyofascial flaps. Since both donor and recipientsites are in the oral cavity there is no visible scarin the donor are