Maxillofacial defects like oronasal fistulae present a functional problem due to the unsuccessful surgical reconstructive and repair attempts. The only option that remains with the patient is to go for maxillofacial obturation of the same. Prosthodontic rehabilitation of maxillary palatal defects in the anterior region is a crucial job for every prosthodontist as esthetics is of paramount importance here. Oronasal fistula results from congenital malformations or it can be an acquired defect resulting from surgery for oral neoplasms or trauma. The cleft palate patient is mainly characterized by the presence of an oronasal communication, malformation or agenesis of the teeth close to the cleft, and deficient sagittal and transverse growth of the maxilla. Prosthodontic rehabilitation depends on the conditions available, such as size and location of fistula, age of the patient, psychological status, and demand for esthetics. The present case report is about a patient with cleft lip and palate with an oronasal fistula (communication) that had recurred following the cleft reconstruction surgery. Out of various available prosthetic treatments, emphasis is being placed on the approach chosen to make it acceptable to the patient.