Newborns with unilateral cleft lip/ palate will be treated pre-surgically by Vacuum formed aligners in order to evaluate its effect on Nasoalveolar complex.

newborns with unilateral cleft lip/ palate will be allocated into two groups: treatment group will receive Vacuum formed aligners while control group will not receive Vacuum formed aligners.

the follow-up period will be 3 months till surgical lip closure. the assessment will be through a questionnaire for the parents' satisfaction outcome, standardized photographs for measurement of nasal changes and interlabial gap outcome and digital maxillary models for the maxillary dimension change outcome.

Inclusion Criteria:

• Non-syndromic Infants with complete unilateral cleft lip and palate
• Infants less than 3 months of age
• Males and females.
• Infants with displaced alveolus
• Patients whose parents provided written consent for the study.

Exclusion Criteria:

• Patients above 3 months of age
• Syndromic, malnourished and systemically ill infants.
• Patients with bilateral cleft lip and palate.
• Incomplete Cleft lip.
• Medically compromised patients
• Patient's/guardians who will be unwilling to go through the PNAM therapy