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To assess the knowledge, awareness and attitude to orthodontic treatment of patients and parents of children with orofacial clefts, receiving comprehensive cleft care treatment. Cross-sectional survey. A major tertiary health care facility in Nigeria, the Lagos University Teaching Hospital, Idi-araba, Lagos. Patients and parents of children with orofacial clefts receiving comprehnsive cleft care. Patients and parents of children with orofacial clefts were asked to complete the survey. Interviewer-administered questionnaires were used. A total of 123 patient