Enamel hypoplasia can take a variety of forms, but all types are associated with a reduction of enamel formation due to disruption in ameloblast production. One of the most common types, Pitting Enamel Hypoplasia (PEH), ranges from small circular pinpricks to larger irregular depressions. Pits also vary in how they occur on a tooth surface, some forming rows and others more randomly scattered. PEH can be associated with other types of hypoplasia, but it is often the only defect observed. Causes of PEH can range from genetic conditions to environmental factors, and the frequency of occurrence varies substantially between populations and species, likely due to environmental, genetic and health differences. The most striking example of this is in Paranthropus robustus, with half of all primar