Since Louis Bolk (1916) first described an unusual projection on the buccal surfaces of maxillary molar crowns, researchers have had trouble explaining its etiology and giving the feature an appropriate name. The trait has been termed a maxillary paramolar cusp, paramolar tubercle, stylar anomalous cusp, supernumerary inclusion, and a parastyle. There are few more enigmatic features in the human dentition. Albert Dahlberg was aware that some system of identification needed to be established to standardise methodology and he devised his own descriptive method (Dahlberg, 1945). The importance of Dahlberg's terminology was that he considered the feature in terms of its location on the mesiobuccal cusp of the permanent maxillary second and third molars (that is, on the paracone or cusp 2) and, by applying his paleontological knowledge, he referred to it as a parastyle (Dahlberg, 1945). A similar feature was noted in a corresponding position on the protoconid of the lower molars and Dahlberg called it a protostylid.Another difficulty encountered by researchers when studying parastyles has been how to describe their size objectively. These traits are difficult to assess with only limited guidelines (e.g., a single standardised plaster reference plaque) for comparison. Many previous references to parastyles have been case reports or linked to descriptions of the management of supernumerary teeth that have included photographs and radiographs as illustrations (Nagaveni et al., 2010; Parolia et al., 2011;Duddu et al., 2012;Nabeel et al., 2012;Jain et al., 2014;Shuangshuang et al., 2016).A smaller number of more detailed studies have provided insights into the frequency of occurrence and variation in expression of the parastyle in different human populations. The frequency of occurrence of the parastyle has been estimated to vary from zero to 0.1% in first molars, 0.4 to 2.8% in second molars and 0 to 4.7% in third molars (Kustaloglu, 1962). These data were obtained from analyses of material representing recent Homo sapiens (Whites, American Blacks, Melanesians, Filipinos, Hawaiians, Middle Easterners [Kish], and Native Americans [Southwest Indians, Northwest Coast Indians, Peruvians]). Kustaloglu (1962) found that the parastyle was more common in Native Americans than the other population groups (2.6%).A retrospective study of the parastyle in childrenABSTRACT The aims of this study are to describe the frequency of occurrence and degree of expression of the parastyle in six different ethnic groups; to assess inter-and intra-observer errors when scoring the feature; and to compare the expression of the feature in a small number of twin pairs. Dental casts were examined for evidence of the parastyle from samples available in the Adelaide Dental School. A dental plaque developed by Katich & Turner was used to standardize scoring. The highest percentage frequency of parastyle occurrence was found in a sample of European twins with a value of 1.7%. The buccal aspect of the mesiobuccal cusp of the permanent maxillary right sec...