There are many types of dental anomalies seen in cleft lip and palate (CLP) patients. Both sets of dentition may be affected; however, they are commonly seen in the affected side. Most frequently, missing teeth, supernumerary or discoloured teeth can be seen; however, enamel dysplasia, discolouration and delayed root development are also common. In children with cleft lip and palate, the lateral incisor in the alveolar cleft region has the highest prevalence of dental developmental disorders; this condition may be a cause of tooth crowding. This is important to consider in order to correctly plan treatment keeping in mind considerations for function and aesthetics. By correctly coordinating management invasive treatment procedures can be prevented resulting in successful and conservative treatment.