Background: There are many congenital anomalies associated with cleft lip and/or palate. This research is to study the prevalence of congenitally missing teeth and supernumerary teeth in this population group. Materials and Method: One hundred eight cleft lip and/or palate Iraqi patients had participated in this study (57 male, 51 female), 3-12 years of age. 26 of them had orthopantomogram were within (6-12) years of age were inspected for congenitally missing teeth and supernumerary teeth. Patients whom age range 3-5 years were checked for the congenitally missing teeth by clinical examination with strongly insisting the teeth were not missed due to caries or trauma. Results: There were 19(73.076%) patients with 41 congenitally missing teeth for the 26 patients within 6-12 years age group who were with orthopantomogram, while there were 20(37.037%) patients with 32 congenitally missing teeth for the 54 patients within 3-5 years of age who were not indicated for orthopantomogram. There were (22) patient with (27) supernumerary teeth. Conclusion: The most frequently congenitally missing tooth was the permanent upper lateral incisor, on the other hand the tooth most frequently noted as extra tooth was the primary lateral incisor. Majority of them were with cleft lip and palate.