BRO’s Cleft Lip & Palate Team

“Since the day I started Blue Ridge Orthodontics, it was my dream to be able to start a Cleft Lip and Palate Team for Western North Carolina. Starting as a young teenager and into early adulthood, I had the fortune of working with my father, a plastic surgeon, on medical mission trips in the Dominican Republic and South America where the focus was cleft lip and palate surgery. This left a lasting impression on me, and during dental school, I was able to work in the Department of Craniofacial Plastic Surgery at the Children’s Hospital of Philadelphia with the most complex cleft patients.  As I moved into my orthodontics residency, I was able to continue my training on the Cleft and Craniofacial Team in the Department of Orthodontics at Virginia Commonwealth University. Since starting Blue Ridge Orthodontics, I was able to develop relationships over the years to make it feasible to operate a multidisciplinary Cleft Lip and Palate Team based here in Asheville, NC.

This is a wonderful addition to our community, as oral and facial clefting is one of the most common developmental differences. Until our team formed, patients and their families routinely had to travel to Charlotte, Winston-Salem, Chapel Hill or Duke to see a cleft team. Our team is one of only six cleft teams in all of North Carolina, and our goal is to serve these patients with world-class care.”

–  Dr. Roberts

Dr. Roberts

Our Team Members

Speech Pathology

a professional who will perform a comprehensive speech evaluation to assess communicative abilities and who will closely monitor your child throughout all developmental stages.


a professional who provides guidance and counseling for your child and your family in dealing with the social and emotional aspects of a cleft abnormality and assists your family with community resources and referrals

Otolaryngologist (Ear, Nose, and Throat)

a physician who will assist in the evaluation and management of ear infections and hearing loss that may be side effects of your child’s cleft abnormality.


a dentist who evaluates and cares for your child’s teeth.


a dentist who evaluates the position and alignment of your child’s teeth and coordinates a treatment plan with the surgeon and other specialists.

Oral Surgery

Oral and maxillofacial surgeons are healthcare specialists that treat a range of conditions affecting the hard and soft tissues of the face, mouth, jaws, and neck.


a professional who will assist in the evaluation and management of hearing difficulties your child may have.


a professional who reviews the medical and family history, as well as examines your child to help in diagnosis. A genetic counselor also counsels your family regarding risk for recurrence in future pregnancies.

What are Cleft Lip and Cleft Palate?

Cleft lip and cleft palate are birth abnormalities of the mouth and lip. These abnormalities affect about one in every 700 births. The cleft lip and cleft palate abnormalities occur early in pregnancy. This is the time when the sides of the lip and the roof of the mouth should fuse together, but they do not. Babies can be born with both cleft lip and cleft palate, but children with these are otherwise healthy with no other birth abnormalities.

What can cause a Cleft Lip & Palate?

The exact cause of cleft lip and cleft palate is not completely known. They happen as a result of multiple genes inherited from both parents, and it is also suspected that a variety of environmental factors come into play. Because genetics are involved, the chance for a second child to be born with a cleft lip or cleft palate is increased.

We would love to help you! Contact our Cleft Lip & Palate team by filling out the form below, email  info@brosmiles.com or call 828.687.0872

Cleft Lip and Palate Consultation

Meet The Rest of Our Team in WNC

Our friendly, professional team delivers high-quality orthodontic care and outstanding customer service. We’ll greet you with a smile, treat you with a smile — all while working to improve your smile.

Our staff is constantly learning, mentoring one another and in training – from on-site workshops on customer service, to targeted seminars for specific departments. We’re proud to have grown to more than 35 team members, all of whom are here for you!