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Proximal: The buccal cusp is shorter than the first.

The lingual cusp (or cusps) are much better developed than the first and give the lingual a full, well-developed profile. Occlusal: The two or three cusp versions become clearly evident. In the three-cusp version, the developmental grooves present a distinctive 'Y' shape and have a central pit. In the two cusp version, a single developmental groove crosses the transverse ridge from mesial to distal. (Review: the lower second premolar is larger than the first, while the upper first premolar is just slightly larger than the upper second.)

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