Macular Pigmented Oral Mucosal Lesions: An Amalgam Tattoo Case Report Dentistry Today Causes of Black Spots on Tongue Living In Well Being ORAL MELANOSIS leading to the diagnosis of HIV infection. Despite being a weak association, any unexplained oral pigmentation in a high risk individual should make one suspect HIV associated oral melanosis and proceed Can a black pigmented lesion of the oral cavity : Journal of Family Medicine and Primary Care Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists