The nasoalveolar molding (NAM) technique could be a new approach to presurgical infant orthopedics that reduces the severity of the initial cleft alveolar and nasal deformity. This method facilitates the primary surgical repair of the nose and lip to heal under minimal tension, thereby reducing scar formation and improving the esthetic result. This paper reviews the essential principles of nasolaveolar molding therapy, numerous types of appliances used in this therapy, protocol followed, and a critical evaluation of the benefits and drawbacks of this technique. Universally authors have agreed the positive outcome of nasolaveolar molding for better esthetics once cleft lip and palate (CLP) repair, but the long–term effects of this therapy are yet to be substantiated. Despite a relative scarcity of high–level evidence, nasoalveolar molding seems to be a promising technique that deserves further research