Bilateral cleft lip and palate neonates will be randomly assigned to one of two groups: (gp1
presurgical Naso-alveolar molding (NAM) using Grayson method, gp 2 computer aided design NAM
(CAD/NAM). The aim of the study is to compare between short term clinical effects of both
interventions as regards alveolar alignment, nasal esthetics and interlabial gap.