Children with cleft lips and cleft palates have dental issues that require greater care and may require close monitoring. But the main dental care practices remain the same as other kids. Early dental care practices include proper cleaning, good nutrition, and fluoride treatment for healthy teeth. Children with cleft lips and palates are usually advised to use toothette, a mouthwash with a sponge on the handle which is used to swab the teeth. This is because a normal soft brush may not work with children with clefts due to the irregular shapes of their teeth.