The mandibular second molar is the tooth located distally from both the mandibular first molars of the mouth but mesial from both mandibular third molars. This is true only in permanent teeth. The function of this molar is similar to that of all molars in regard to grinding being the principal action during mastication, commonly known as chewing. Though there is more variation between individuals to that of the first mandibular molar, there are usually four cusps on mandibular second molars: two on the buccal and two palatal. There are great differences between the deciduousmandibular molars and those of the permanent mandibular molars, even though their function are similar. The permanent mandibular molars are not considered to have any teeth that precede it. Despite being named molars, the deciduous molars are followed by permanent premolars. In the universal system of notation, the deciduous mandibular second molars are designated by a letter written in uppercase. The right deciduous mandibular second molar is known as "T", and the left one is known as "K". The international notation has a different system of notation. Thus, the right deciduous mandibular second molar is known as "85", and the left one is known as "75". In the universal system of notation, the permanent mandibular second molars are designated by a number. The right permanent mandibular second molar is known as "31", and the left one is known as "18". In the Palmer notation, a number is used in conjunction with a symbol designating in which quadrant the tooth is found. For this tooth, the left and right second molars would have the same number, "7", but the right one would have the symbol, "┐", underneath it, while the left one would have, "┌". The international notation has a different numbering system from the previous two, and the right permanent mandibular second molar is known as "47", and the left one is known as "37". An eighth cusp was found in a primary second lower molar in an Argentinean child.