Science and Education Publishing International Journal of Dental Science and Research 1 2 2013 11 07 Dental Anatomic Variations in Primary Dentition: A Case Series 36 39 EN Sharmila Surendran Department of Pediatric Dentistry, Meenakshi Ammal Dental College and Hospital, Chennai, India Phani Babu Vimala geetha A. Eapen Thomas IJDSR2013123 10.12691/ijdsr-1-2-3 2013 08 29 2013 11 01 2013 11 07 Many morphological variables have been identified both in primary and permanent dentitions. This report describes incidental finding of some uncommon dental traits like central accessory cusp or dens evaginatus, seventh accessory cusp in primary second molars and protostylid, triangular morphology of primary first molars. These characters have been amply documented in the permanent dentition. Presence of these extra cusps may have dental problems such as caries, sensitivity, occlusal interference and hence there is a need for continuous dental surveillance.