Objective: The aim of this study was to examine the prevalence of dental developmental alterations in dilacerated teeth patients presented to Nishtar Institute of Dentistry, Multan. Study Design: Retrospective study Place & Duration: Study was conducted at conducted in Nishtar Institute of Dentistry, Multan for duration of Twenty months from 1st January, 2019 to 30th August, 2020. Methods: All the patients of both genders who were attended our institution during the study period for stomatological treatments were included in this study. Patient’s ages were ranging from 7 to 70 years. All the files of patients were analyzed on panoramic radiographical examination to examine the prevalence of DDAs. Patient’s demographical details including age, sex, residence, location of teeth, involved teeth and associated DDAs were analyzed after taking informed consent from all the patients and parents/guardians. Results: Out of 1500 patients 30 (2%) patients found with 48 dilacerated teeth. From 30 patients 50% patients had one or more than one dilacerated teeth. Majority of patients were females. Hypodontia was the most common dental developmental alterations followed by enamel pearls, taurodontism and microdontia. Conclusion: It is concluded that the prevalence of DDAs in patients with dilacerated teeth was high in our setup. Keywords: Dental Developmental Alterations (DDAs), Prevalence, Dilacerated Teeth.