As a result of congenital and developmental systemic diseases, errors in the growing enamel organ result in enamel abnormalities such as enamel hypoplasia or opacities. The great occurrence of these flaws shows how susceptible teeth are to alterations in the prenatal and postnatal environment. Enamel hypoplasia contributes to dental caries and tooth wear on teeth because it makes the enamel thinner, more plaque-retentive, and less resistant to acid decomposition than normal enamel. This article explored enamel hypoplasia’s causes and clinical manifestations and presented strategies for managing damaged teeth.