“…In Italy, the frequency of upper second molars with four roots was described with 1.27% ( n = 157) [11]. Comparable results were demonstrated in Greece (1.24%, n = 402) [12], in Cyprus (1.37%, n = 438) [13], and in the Portuguese study mentioned above (1.44%, n = 277) [3]. On the other hand, in East Asia, lower occurrence rates of this rare morphological anomaly were identified in population-based CBCT studies in Thailand (0.22%, n = 457) [9], South Korea (0.49%, n = 820) [14], and China (0.28%, n = 1066 [15]; 0.77%, n = 519 [16]; 0.98%, n = 1226 [17]; and 1.12%, n = 979 [18]).…”