Crown Cercopithecoidea (Old World monkeys) share bilophodont molars characterized by four cusps arranged into two transversely-aligned pairs connected by crests or “loph(id)s”. This derived dental configuration provides a flexible template that has been modified in different lineages of Old World monkeys to meet the mechanical demands of food-processing in species with diverse and varied diets. This molar Bauplan evolved in the early stages of Old World monkey evolution, and one consequence of these morphological changes in occlusal morphology relative to apes and more basal catarrhines is a set of distinct patterns of tooth wear. Adaptive explanations for the origins of bilophodonty have emphasized dietary reconstructions but have not explored the implications of molar crown reorganization on the interaction between tooth wear and tooth function. This study combines description of new fossil material of early Miocene stem cercopithecoids and 3D dental topographic analyses of cross-sectional M2 wear series of extant catarrhines (n=511, 24 species) and Miocene fossil catarhines (n=81, 7 genera) to explore how functional aspects of molar topography are altered by tooth wear, to test whether the acquisition of bilophodont molars resulted in distinct occlusal topographies and patterns of topographic change with wear among Old World monkeys, and to determine whether differences in patterns of topographic change with wear reflect differences in diet.Descriptions of new fossils of the early Miocene stem cercopithecoid Noropithecus bulukensis confirm its generic distinction from Victoriapithecus macinnesi and highlight the dental metric and morphological variation that complicates identification of isolated teeth. Results of dental topographic analyses show that wear-mediated patterns of change in functional topographic metrics do not reflect broad dietary differences in extant catarrhines. While topographic features of unworn molars exhibit a phylogenetic signal, the pattern of wear-mediated topographic change does not. Molar topography of victoriapithecids is similar to extant cercopithecids with frugivorous and hard-object feeding diets, supporting previous dietary reconstructions. Victoriapithecid molar occlusal surfaces exhibit less complexity, less curvature, and higher relief than proconsulids prior to heavy wear stages. They are not distinct from occlusal topographies of small-bodied non-cercopithecoid catarrhines at any wear stage. Overall, these results suggest that the acquisition of bilophodont molar morphology in early and middle Miocene stem cercopithecoids was not associated with a shift in occlusal topography relative to more basal catarrhines. Rather, it is among proconsulids that shifts toward more complex, higher curvature occlusal surfaces are found.