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Purpose: The purpose of the present study was to assess the acceptance of 4 techniques employed for child behavior management during dental treatment., Methods: Four hundred caretakers of 4- to 10-year-old children with cleft lip and/or palate presented for dental treatment at the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil. They were interviewed after explanation and presentation of photographs illustrating the sequence of the following techniques: tellshow-do; voice control; physical restraint; and hand-over-mouth., Results: The levels of acceptance of the techniques were 98%, 96%, 81%, and 85%, respectively. A large acceptance was observed for all techniques investigated. The caretakers' fear that the techniques might make the child afraid of the dentist was commonly mentioned as nonacceptance for all techniques., Conclusions: It was concluded that it is important for pediatric dentistry professionals to inform parents about each technique's objectives before application to avoid possible misunderstandings and to foster a trusting relationship between the child, the parents, and the dentist.

Cleft lip and palate are relatively common congenital malformations, which may require specialist paedodontic treatment. In this article, the case of a 9-year-old boy with bilateral complete cleft lip and palate is presented. He attended the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC) for routine examination, during which the presence of pre-canine supernumeraries bilaterally in the cleft area was seen. The extraction of these dental elements was justified by extensive carious lesions and because they represented a potential problem during secondary palatoplasty. The precautions needed in tooth extraction in patients with cleft lip and palate are described, together with illustrations of the clinical procedure.