Bilateral accessory central cusp of 2nd deciduous molar: an unusual occurrence

Presence of accessory cusp on the occlusal surface of a tooth may occasionally pose problems to dentists’. Although its presents may not be a cause for alarm in most instances, nevertheless it can lead to serious consequences if it is damaged. This report describes a rare finding of bilateral central accessory cusp seen on the occlusal surface of both the 2nd maxillary deciduous molars and the need for continuous dental surveillance and preventive measures have been highlighted.