Human teeth manifest high degree of diversity in both primary and permanent dentition. Paramolar tubercle (parastyle) is one of the rare morphological variations particularly if present in primary dentition with a prevalence ranging from 0.3–1.5%.1 These deviations are thought to be the remnants of buccal cingulum in lower primates. Morphological aberrations of such kind give an insight to development and evolution of dentition. However, these can also predispose to a variety of clinical problems. A complete understanding of dental anatomy and its variations is therefore imperative for successful completion of dental procedures. These aberrations also hold a great importance in forensic field such as in the identification of criminals or victims during mass causalities. This case series presents a rare finding of occurrence of paramolar tubercles in primary molars in four North Indian children and presence of a similar parastyle in one of the siblings. This paper is an attempt to educate the clinicians towards the existence of such a trait and its clinical significance so that it can be studied in larger numbers.
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