①Turner’s fifth cusp
The smallest distal cusp is also referred to as the fifth cusp.
②Oblique ridge
The union of the distal buccal central occlusal surface and the mesiolingual distal accessory ridge.
③Postcusp (Metaconule)
A ridge from the distal buccal cusp may form a tubercle near the central groove.
④Carabelli tubercle
An accessory cusp may sometimes appear on the lingual mesial cusp of the maxillary first molar. ⑤Primitive cusp (protocone)
An accessory cusp may form at the mesial marginal ridge.
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