Nonsyndromic oral clefts are among the most common birth defects, affe
cting approximately 1 in 1000 Caucasian newborns, In recent decades, m
any investigators have used genetic and epidemiologic methods to ident
ify etiologic factors, but results have often been inconclusive or con
tradictory, Etiologic heterogeneity is undoubtedly a major component i
n these birth defects, and there may not be a single answer to this pr
oblem, Here, we describe the main features of published studies pointi
ng out their strengths and limitations, Additionally, we give insight
into current methods for detecting the presence of interaction between
genetic markers and environmental exposures in the etiology of oral c
lefts.