Poor esthetics and its management is a vital orthodontic goal in adults is one of the prime concerns during orthodontic treatment is
maintaining the esthetics. It becomes more mandatory in cases where there are anterior teeth/tooth losses and during orthodontic
treatment may lead to psychosocial problems. One of the rare conditions is the Binder Syndrome, which is, one of the rare
conditions that shows midline cleft and at times missing premaxilla consequence of which is missing anterior teeth. Orthodontic
treatment aimed at alignment of teeth while maintaining space for prosthesis of the missing anterior teeth becomes an integral part
of patient management in such cases. Utilizing the riding pontics during Orthodontic treatment helps in reducing the pychological
trauma particularly in patients with Binder Syndrome.
Keywords: Binder Syndrome; Riding Pontic; Psychosocial trauma; cleft.