The distal-lingual cusp (hypocone) is the most recently acquired structure in the evolution of the upper molar. There is a distinct tendency in recent man for the protocone to enlarge at the expense of the paracone, the metacone and especially also of the hypocone. This process becomes more intense from the first to the third molars so that finally one cusp remains on the lingual side and the originally rhomboid angular tooth assumes a more triangular shape.
The hypocone ranges from a size equivalent to that of the other cusps down to a very small cuspule and in many instances is completely absent.
Researches were made on the frequency of appearance of the cusp patterns of maxillary molars-in four forms (4, 4-, 3-, 3) according to DAHLSERG'S classification-and this study was made on 1878 living Japanese and 193 plaster casts.
The following results were obtained:
1) The difference between the rates of appearance of the cusp patterns on living Japanese or plaster casts as between the sexes is not statistically singnificant.
2) The 4 pattern appeared in the first molar in 81.2 per cent of the total number of cases. This rate is fairly low compared with figures for other racial groups.
3) The 4 pattern appeared in the second molar in 4.2 per cent of the total number of cases. This rate is extremely low compared with figures for othe racial groups.
4) In rate of appearance of the cusp patterns no significant difference between male and female can be recognized.
5) The Japanese seem to be highly specialized in a trend toward a reduction in the cusp pattern on the lower molar.
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