Aim: For the exploration of the pervasiveness of dental substitution with a prominence on distribution of changed kind of substitutions in maxilla and submaxilla. Study design: This research and assessment was carried out in Department of orthodontics Lahore Medical and Dental Collage from December 2019 to November 2020. Materials and Methods: All about of this research done with panaromic radiographs of 728 adolescent victims (276 males, 452 females). They were treated in our clinic and they were included in study below. For each victim variables like age, sex, presence of tooth substitution, type, location and classification of tooth substitution recorded. Results: Proper category of tooth substitution was found in 07 subjects present with 0.96% frequency of this abnormality. These 7 victims have 8 transposing teeth in general. The ratio of female to male is 71.9% to 28.7%. The problematic apparent mostly in maxilla. It was present in 5 of the victims (71.46%) 4 with unilateral and 1 with bilateral expressed kind. Two of the victims had swapped position of teeth in submaxilla. Conclusion: In a sample of Pakistani populace the tooth substitution was found in 0.96% and substitution amongst upper canine and first premolar was the most commonly perceived substitution.

Maxilla, tooth substitution, mandibulla, lateral incisor, canine.