Oral medicine: 7. red and pigmented lesions Dental Update Primary malignant melanoma of the tongue CJS 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 Black spots on tongue and pigmentation in NYC Ruby Laser Resurfacing Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists COM Dec. 2011 Diagnosis UW School of Dentistry