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 Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists Causes of Black Spots on Tongue Living In Well Being Can a black pigmented lesion of the oral cavity : Journal of Family Medicine and Primary Care Black Lesion on the Tongue