Diagnosis[ edit ] Diagnosis of oral pigmentation is by a complete history taken by the clinician followed by a thorough clinical examination. A biopsy may be indicated where the following features are present: It may cause embarrassment or discomfort for some, particularly when smiling or talking. Some methods used to eliminate or reduce this pigmentation include gingivectomy, laser therapy and cryosurgery. There are pros and cons for each type of management strategy.
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References Letter to Editor Black hairy tongue BHT , also known as lingua villosa nigra, is a rare but benign and painless condition. Its clinical expression is like a blackish carpet of the dorsal surface of the tongue Figure 1 , usually in the posterior two-thirds anterior to the circumvallate papillae . Usually it does not affect the tip or the sides of the tongue, and it represents a particular form of a wider condition called hairy tongue, for which other colorations have been described brown, yellow, and green . It is more common in adult patients but it has been described in pediatric patients .
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