Bilateral Upper Second Primary Molars with Supernumerary Roots

Introduction: Dental anomalies or variation in tooth morphology finds its place in dental anthropology and forensic dentistry studies.Dental anomalies in primary teeth are less prevalent compared to permanent counterparts. Chances of supernumerary root in upper molars are said to be associated with various dental anomaly. Case Description: Bilateral supernumerary roots were observed in the maxillary second primary molars and was also associated with additional cusps in both the primary teeth. The unerupted left second premolar appeared to have shifted palatally and the case was also associated with mesiodens located palatal to the upper left central incisor. Clinical Significance: Identifying and reporting dental anomalies have epidemiological and clinical importance. They form the dental evidence for identification of the deceased in Disaster Victim Identification process. Additional root/s on a primary molar may also interfere in the eruption of their permanent successors apart from various endodontic considerations.