Adults with clefts may have crooked, poorly shaped or missing teeth. Crooked teeth can be straightened with braces. Poorly shaped and missing teeth can be restored or replaced with dental bridges or jaw implants. In addition, teeth may not meet properly due to a cleft. Failure of the teeth and jaws to meet together can interfere with chewing and speech. An Osteotomy procedure can reposition jaws which do not come together properly. The Cleft Team Orthodontist, Maxillofacial Surgeon and Plastic Surgeon work together to determine the best treatment plan for each individual patient.