Pigmented Lesions of the Oral Mucosa Pocket Dentistry Asymptomatic hyperpigmented lesions on tongue Indian Journal of Dermatology, Venereology and Leprology Congenital lingual melanotic macule Causes And Treatment For Black Spots On My Tongue NatruSmile Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 A 9 year old boy presented for evaluation of dark spots on the tongue. The family first noted these spots 5 months prior and reported that they remained stable. Can you make a diagnosis?