Cleft / palate is one of the common congenital deformities in craniofacial region, associated with different types of dental anomalies like (Tooth agenesis, impaction, and supernumerary teeth) with marked changes in palatal dimensions. This study aimed to determine the prevalence of teeth agenesis and dental anomalies in cleft lip/palate patients using CBCT, and to compare the palatal dimension of cleft group with control subjects. Twenty-eight cleft cases collected during the period from 2015 to 2022, CBCT images evaluated, the study sample classified into two groups (14 bilateral and 14 unilateral cleft lip/palate) and the non-cleft control group (14 CBCT images). The presence of dental anomalies was assessed in relation to cleft type, and then palatal width, arch width, and palatal depth measurements were performed. All linear measurements in mm compared with control group. Tooth agenesis was the most frequent dental anomalies in groups, 71.4% missing lateral incisors and 57.1% in bilateral and unilateral cleft groups respectively. Impacted canine and supernumerary teeth were more frequent in unilateral than bilateral cleft. Male had higher frequency of tooth agenesis and other anomalies. Palatal dimensions were higher in bilateral cleft group with very significant differences in palatal width and arch width. Accurate assessment of maxilla for tooth agenesis, dental anomalies and palatal dimensions is mandatory. Team work required for full rehabilitation of children with cleft lip/palate.