Background: This study was conducted to find out prevalence of tooth developmental  anomalies and tooth agenesis syndrome in patients of Fariyal Dental College Lahore visiting the out-door department during the year 2017.

Objective: The objective of this study was to conduct a retrospective examination of prevalence of developmental tooth anomalies and tooth agenesis syndrome .The relationship of age and gender was also focused.

Methods: All patients of Fariyal Dental College Lahore visiting the out-patient department during the year 2017 were observed and analyzed. The documents scrutinized for this purpose were hospital history charts including patient’s biodata, family history and oral examination details.

Results: Out of 160 total cases, 10 cases were of tooth developmental anomalies and 7 cases were of tooth agenesis syndrome were  observed.

Conclusion: There are 6% cases of developmental anomalies and 4% cases of tooth agenesis were found. Both findings are quite significant in the given number of patients.