The dental literature contains a small number of reports of primary multirooted anomalies and even fewer reports on the clinical significance of these findings. When conducting routine clinical examinations, the authors found multirooted anomalies in three Native American children. The anomalies included a primary bifurcated maxillary left canine, a primary three-rooted mandibular right first molar and bilateral primary three-rooted mandibular first and second molars. The clinical significance of these types of anomalies is discussed.