The close relationship among oral, systemic and psychologic health requires that oral health be evaluated thoroughly as part of health maintenance supervision. An understanding of normal sequence and patterns of tooth eruption is the foundation for identifying and treating children with abnormal dental development. Distinguishing normal from pathological dental development requires careful evaluation of the patient, including medical, dental and family history, clinical examination, radiographic evaluation and possibly special laboratory tests. Developmental anomalies of teeth are marked deviations from the normal standards in color, contour, size, number, and degree of development of the teeth. Systemic as well as local factors may operate to produce these developmental disturbances. These developmental anomalies have multiple, complex problems as they affect both form and function and can have significant psychological impact. These conditions may present early in life and require both immediate intervention and management of a protracted nature, including coordination of multi-disciplinary carealongwith accurate diagnosis, timely intervention with a comprehensive treatment plan. This paper presents a clinical update on the various dental anomalies alongwith their management options and consequences.