Chronic cheek biting and Chronic cheek chewing. radiopacities with irregular borders. melanotik, tato amalgam atau lesi berpigmen oral. Gingival tattoo: Rawal et al. Amalgam tattoo in a patient with prior history of melanoma:. Amalgam tattoo is an iatrogenic lesion caused by traumatic implantation of dental amalgam into soft tissue. Non-gamma-2 amalgam represents the standard type of this com-pound material today due to its higher chemical stability and resistance regarding corrosion compared to the formerly used copper amalgam. Amalgam tattoo. AMALGAM TATTOO. Tuesday: 8:30am - 5:00pm. (F) Periapical radiograph of FIG 9. A. The amalgam tattoo is mostly positioned in the gingival mucosa where the tissues are much softer and the blood vessels are closely packed. It allows for the acquisition of high-resolution images of the in-situ distribution of various molecules including. Dental floss 14. April 2011 · New England Journal of Medicine. # e most frequent way that amalgam particles are introduced into the tissues is during placement or removal of an amalgam ! lling. They can appear on your gums, cheek, lips, tongue or the roof of the mouth (palate). Stimulating these cells helps to dislodge trapped amalgam particles. This. Dentists call these spots amalgam tattoos. 9% of the adult population and in Sweden in about 8%. Discussion: Amalgam tattoo can sometimes be confused with melanotic lesions, being. Shigeyuki Nagai. In addition, gold-silver-palladium alloy is reportedly associated with oral pigmentation resulting. The gingiva and alveolar mucosa are most commonly involved. Other names. Dennis Page of the Department of Oral Pathology (now Oral Diagnostic Sciences) of the VCU School of Dentistry developed this collection of images to help students learn about the most common abnormalities of the oral cavity. . Amalgam tattoo - Oral Mucosal Lesion. Monday: 8:30am - 5:00pm. Dr. Koji Mizutani. edu. May 05, 2014. It is asymptomatic. Authors Patrick Dubach 1 , Marco Caversaccio. Previous areas of mucosal abrasion can be contaminated by amalgam dust within the oral fluids, broken amalgam pieces can fall in extraction sites, linear gingival mucosa can be contaminated. 1365-2133. When fragments of these materials take up residence in our cheek, gums, or lip, an. Pale gums: anemia and side effect of bleaching. Amalgam tattoo, uvula, shows a multinucleated giant cell (double arrows) and diffferent sized pieces of amalgam (large arrow) surrounded by histiocytes and lymphocytes in an area of mild fibrosis. secara tidak sengaja. Amalgam tattoo is the most common localized pigmented lesion in the mouth. Images in clinical medicine. Phone: +91 1724648877 / 9015455577 Email: care@thedentalarcade. Koji Mizutani. Meskipun mereka sering tidak menimbulkan. J ESTHET RESTOR DENT. Conversely, mucosal melanomas are rare but often lethal; therefore, excluding oral melanomas in this setting is crucial. 3% of the US adult population. Amalgam tattoo. Amalgam tattoo and melanoma Introduction Black macules on the oral mucosa may be diagnostic of melanotic macule, melanotic nevus, amalgam tattoo or oral pigmented lesions due to endodontic cement, vascular abnormalities and melanoma. Amalgam tattoos often present as a solitary area of discoloration caused by dental amalgam becoming embedded under the mucosal surface within the oral cavity. 9. Codes ICD10CM: K13. Here's how to figure out the difference. A 46-year-old man is presented with a half decade history of an amalgam tattoo on his left maxillary premolar-molar gingiva. 41. However, some dental amalgam components have been reported to cause hypersensitivity reactions [2][3][4][5]. 5,6 Histologically. Biopsy should be performed to demonstrate the presence of. 5,6 Histologically. A 64-year-old man was referred for evaluation of an asymptomatic pigmented lesion on the buccal mucosa (Panels A and B). Abstract. Amalgam tattoo 5x . Amalgam tattoos are common, asymptomatic, pigmented oral lesions that clinically exist as isolated, blue, gray, or black macules on the gingival, buccal, and alveolar mucosae, the palate, and/or. 1. Amalgam tattoos are common, oral pigmented lesions that clinically present as isolated, blue, grey, or black macules on the gingivae, the buccal and alveolar. View all Images (13) Other Resources UpToDate PubMed Alerts and Notices. They can appear on your gums, cheek, lips, tongue or the roof of the mouth (palate). Moreover, several retrospective clinicopathological studies have found amalgam tattoo be the most common oral pigmented lesion to undergo biopsy and be submitted for histopathological examination. Synonym (s): tattoo (3) . Below you can find the list of this and other symptoms with possible reasons for it. Board review style answer #1. What are amalgam tattoos? In modern dentist ry, many of the metal components of dentures, dental implants and fillings are made of a material known as 'amalgam'. Extensive Amalgam Tattoo (Amalgam Pigmentation) on . Pigmentation Disorders / chemically induced*. D. As amalgam has been the most commonly used material for dental fillings until the 1980s, there is still a large amount of prosthetic work being done. In this preliminary study, amalgam tattoos were reliably differentiated from melanocytic lesions of the oral cavity and the lip, and HSI is presented as a diagnostic tool for the rapidly growing field of digital pathology. Keratinized gingival grafts and connective tissue grafts were used to aid in the elimination of the external pigmentation and both were shown to be very effective in masking or eliminating unesthetic pigmentations. Cotton-Tip applicator 13. It is a healthcare caused lesion, due to entry of dental amalgam into the soft tissues. Microscopically, graphite resembles amalgam in tissue although special stains can segregate the two [8]. Details images of amalgam tattoo differential diagnosis by website in. As many people choose tattoos to keep their bitter and sweet memories. Before composite and ceramic became the materials of choice for tooth fillings, they used to be made up of materials such as mercury, tin, copper, and silver. Amalgam tattoo, the most common exogenous oral pigmentation, can sometimes be confused with melanotic lesions, being then biopsied. BACKGROUND A 56-year-old female presented for periodontal treatment with a large amalgam tattoo located in alveolar mucosa on the facial aspect of. It is common, painless, and benign, but it can be mistaken for. Shigeyuki Nagai. Amalgam Tattoos. 1 General description, clinical uses and manipulation of dental amalgam. 1. As amalgam has been extensively used for dental restorations and can cause pigmentation. Amalgam tattoos are twice as common as melanotic macules and 10 times as common as oral nevi. The condition does not develop as an allergy-induced or irritant-induced oral mucosal reaction/response. These fillings can even wind up in the lips or cheeks. He was convinced that mercury released from dental amalgam was responsible for human diseases affecting the cardiovascular system and nervous system Also stated that patients claimed recoveries from multiple sclerosis, Alzheimer’s disease and other diseases as a. Amalgam tattoos are leakages from these dental fillings. White spots: stomatitis, leukoplakia, thrush. Diffuse lesions often display a grayish brown discoloration while other tattoos present a darker blue-black contrast. 2 The amalgam tattoo should be distinguished from other pigmented mucosal lesions (Table 1), especially from a melanoma, and his- tological examination is sometimes necessary to confirm the diagnosis. It is a healthcare caused lesion, due to entry of dental amalgam into the soft tissues. , and Marco Caversaccio, M. The lesions are unusually macular, focal and gray or black. Images in Clinical Medicine from The New England Journal of Medicine — Amalgam TattooImages in Clinical Medicine from The New England Journal of Medicine — Amalgam TattooThe characteristics of these two phenomena of mucosal melanoma of the oral cavity and amalgam tattoos are described and a case vignette illustrating the differential. 8: Usually small bluish or grey to black localized pigmentation, which is not elevated: Accumulation of amalgam fragments or small amalgam particles. Oral Surg Oral Med Oral Pathol 1980;. During the placement or removal of amalgam restorations, metallic fragments may enter the oral mucosa by various mechanisms (e. Images in clinical medicine. they show up on x-rays),: 138 although in many cases, amalgam tattoos have no radiographic features since the responsible particle (s) of amalgam are very small even though clinically the area of discolored mucosa is much. Red gums color: inflammation. © Eur J Oral Sci, 1998 Mucosal biopsies from 48. Expand. Pronunciation of Amalgam Tattoo with 1 audio pronunciations. Let’s embark on this informative journey together and explore the possibilities that modern dentistry has to offer. Amalgam Tattoos form when the amalgam filling material that is made of metals, such as mercury, silver, tin, and copper, gets embedded into the soft tissues of the mouth. 1503/cmaj. To prevent them, you can ask your dentist to use a rubber dam the next time you get a filling. Refuat Hapeh Vehashinayim 2004; 21: pp. When the amalgam is removed with a high-speed dental handpiece,. Wooden wedge 17. A 53-year. When the amalgam is removed with a high-speed dental handpiece, amalgam particles can be embedded or traumatically implanted in the oral mucosa. A series of 268 cases of amalgam tattoo is analyzed both clinically and histologically. Amalgam Tattoo. Sinusitis. These conditions can be differentiated from labial melanotic macule by a combination of clinical and histological features. As amalgam has been the most commonly used material for dental fillings until the 1980s, there is still a large amount of prosthetic work being done on. hen confused with melanosis (especially when there is no radiopacity) or when they are . Huggins, a practicing dentist in Colorado. Amalgam Tattoo. 9% of the adult population and in Sweden in about 8%. Amalgam Tato Pada Pasien Dengan Riwayat Makula hitam pada mukosa mulut mungkin. Combine Photos Using Paint 3D on Windows . It can be in the form of dark-grey or blue macule located at the area adjacent to a restored tooth. ABSTRACT A 60‐year‐old woman presented with a pigmented lesion on the upper left gingival mucosa of 2 years duration. Amalgam Tattoos. The most common oral solitary pigmented lesion is the dental amalgam tattoo. 2x2 gauze (2) 4. . Concept of. Software solutions capable of classifying pigmented lesions of the skin already exist, but conven-tional red, green and blue images may be reaching an upper limit in their per-Metallothionein in human gingival amalgam tattoos. 92 Buchner A, Hansen LS: Amalgam pigmentation (amalgam tattoo) of the oral mucosa. Clinically, it presents as an asymptomatic, ill-defined black macula or plaque whose main location is. 1 *, Essaoudi MA. Amalgam tattoo General. 1 Focal argyrosis or and colors reported clinically are blue, gray, and black. Such grayish pigmentation can be caused by the diffusion of dental amalgam into the soft tissue during dental procedure and is termed ‘amalgam tattoo’. 6% of all restorations] compared to 157 million amalgam restorations performed in 1979). The main symptom of black gums is gum color that appears black or dark brown. salah satu etiologi amalgam tattoo. We therefore diagnosed the condition as tattooing of the buccal mucosa associated with dental alloys. The case presented here involved a 33-year-old woman who had had an amalgam tattoo for 2 years and complained of localized soreness and occasional swelling as well as systemic symptoms of weight loss, fatigue, sinusitis, and headaches. c. The most frequently affected sites include the gingival, the buc- cal, and the alveolar mucosa, the palate, and the tongue. Department of Plastic, Maxillofacial and Oral. , Melanocytes are found in or at the basal layer of the epidermis. doi: 10. 6% of all restorations] compared to 157 million amalgam restorations performed in 1979). View. The most frequently affected sites include the gingival, the buc- cal, and the alveolar mucosa, the palate, and the tongue. 9% of the adult. Amalgam tattoo is a dark gray or blue pigmented macular lesion from traumatic implantation of amalgam into the soft tissues. Images courtesy of Texas A&M University Baylor College of DentistryIn this case report, the successful use of an erbium, chromium-doped:yttrium, scandium, gallium, and garnet laser for the removal of an amalgam tattoo is explained. a mixture of mercury and another metal, especially one used by dentists to repair teeth: 2. The patient was a 46-year-old woman with a 2 mm diameter radiopaque lesion in the right oral mucosa detected on a panoramic radiograph and presented as a black macula clinically. An amalgam tattoo, also known as a focal argyrosis, is a type of tattoo that results from the accidental deposition of silver or other metals in the skin. Amalgam tattoos aren’t removable, but they’re harmless and don’t require treatment. Fiqhi MK. doi: 10. Once enough of these errant amalgam particles enter a portion of the mouth lining, they can form a dark grey or blue patch known as an. Case Presentation A 59-year-old female presented with a large AT involving the alveolar mucosa and gingiva between teeth #7 and #8, where endodontic treatment and apicoectomy was. A novel minimally-invasive approach for metal tattoo removal with Er:YAG laser. 2041-1626. 4) Visit a doctor at the first sign of infection, swelling, or severe pain. Tuesday: 8:30am - 5:00pm. However, the clinicians need to be aware of the other and more frequent etiologies of intraoral pigmentation, such as amalgam tattoos. Images in clinical medicine. Search for more papers by this authorNo reports in the literature of cutaneous amalgam tattoo is reported, which is surprising because amalgam fragments can easily reach the dental surgeon during clinical procedures, especially if there is a lack of complete amalgam fillings. The amalgam tattoo or focal argyrosis, is an iatrogenic lesion that follows the traumatic implantation of amalgam particles in soft tissue or the passive transfer by chronic friction of the mucosa. Conversely, amalgam can become embedded in the mucous membranes over time, through an amalgam structure coming into contact with the lining and shedding small amounts of amalgam through friction. Dental amalgam has been one of the most used restorative materials for a century and a half. This person had 2 apicoectomies performed to save failing. Amalgam tattoos are usually caused by amalgam splinters inadvertently implanted into the mucosa during dental restorations [5, 7, 13, 15] but may also be caused by diffusion through the teeth . Pigmented lesion. The blue-back color of the lesion makes its appearance very noticeable when viewed in the palate. long radiopaque spine on panoramic images that extends from the temporal bone anterior to the mastoid bone. Amalgam tattoo is a grey, blue or black area of discoloration on the mucous membranes of the mouth, typically on the gums of the lower jaw. May 05, 2014. 11021. An amalgam tattoo is neither art nor does it have to be permanent. Blue-black discoloration of oral mucosa occurs during surgical or dental procedures when small amounts of filling material (amalgam) used in restorative dentistry are accidentally intro- duced into soft. You or your dentist may notice a gray, blue or black spot in your mouth that looks like a tattoo. Tattoo Gallery. An amalgam tattoo can appear when a tiny metal particle from a metal filling or dental crown becomes embedded in oral tissue in your mouth. By Bhavin Patel March 7, 2023. You can clearly identify the amalgam fragments in that area appearing as: a. November 30th, 2021. Thursday: 8:30am - 5:00pm. Despite studies concerning toxic reactions related to amalgam components in the literature, few studies have been devoted to evaluate local noxious effects of amalgam tattoos (AT) on biological tissues. May be confused with a melanocytic lesion. An amalgam tattoo is an implantation of amalgam into the oral mucosa. Amalgam tattoos. El tatuaje por amalgama se origina por el deposito en el tejido conectivo subepitelial de fragmentos de amalgama resultado de procedimientos iatrogenicos por parte del operador. noted in amalgam tattoos; however, cal cified bodies were shown by Harrison and co-workers3 and unpublished data from an earlier electron-probe microanalysis of 20 amalgam tattoos showed calcium and phosphorus together adjacent to amal gam scraps in four cases. (D) Amalgam tattoo on the right buccal mucosa close to a crown. 33%) as in previous studies, 3 16 but different from the study in Brazil that revealed buccal mucosa as the site of predilection. vn compilation. We present a case of an oral mucosal amalgam tattoo and also review the differential diagnoses of other oral mucosal macular pigmented lesions. Top 132 + Snake armband tattoo. Abstrak karena semen endodontik, kelainan vaskular dan. amalgam, pemolesan amalgam, kebocoran dari bahan obturasi endodontik, serta. Amalgam tattoo from filling. Reflectance confocal microscopy is a non-invasive, in vivo imaging system with cellular resolution. images in clinical medicine The new engl and journal of medicine n engl j med 364;15 nejm. Sinusitis. J ESTHET RESTOR DENT. The blue-gray pigmentation in gingival tissue, called metal or amalgam tattoo, has been found in 3. Amalgam tattoo 2x . radiolucencies with irregular borders. Particular Type of Amalgam Tattoo Associated with Rhizotomy in a Patient with Brain Malignant Tumor: A Diagnostic Dilemma †. Methods: A two-stage surgical. Symptoms of Black Gums . In a study of a mass screening oral examination in the United States, it was found in about 0. 4-0. Amalgam is a mix of metals used to make. The collection includes images of soft tissue abnormalities and radiographic abnormalities of. In cases where amalgam tattoo cannot be differentiated from other causes of oral pigmentation, a biopsy should be performed. It looks like a black, grey, or blue patch inside the mouth. Amalgam tattoo. Amalgam tattoos are a common macular pigmentation caused by pieces of amalgam (silver filling material) accidentally implanted into the mucosa. 2010. 162. A new technique was performed for the removal of an amalgam tattoo (AT), consisting in mucoabrasion combined with a free connective tissue graft (FCTG). Amalgam tattoo inside cheek Behind each tattoo, they always hide a meaning or story, the message they want to convey. Affiliation 1. • In many instances, psychological assistance and intervention is also necessary. Photo by Emilee. Show abstract. During the course of a. To prevent them, you can ask your dentist to use a rubber dam the next time you get a filling. From 1979 to 1990, there was a 38% reduction in the number of amalgam restorations provided in the USA. There are. Biopsy is indicated whenever the source of pigmentation cannot be definitively identified based on the clinical presentation. Matrix retainer/Tofflemire 15. info). Amalgam tattoo - Oral Mucosal Lesion Captions Print View all Images (13) (with subscription) Grayish macules in the vicinity of a filling on the buccal mucosa. In the next few years, 40% of this age group will have a tattoo. "Third Amalgam War' began in 1980 primarily through the seminars and writings of Dr. Amalgam tattoos are common, oral pigmented lesions that clinically present as isolated, blue, grey, or black macules on the gingivae, the buccal and alveolar mucosae, the palate, and/or the tongue. Browse 1,700+ dental amalgam fillings stock photos and images available, or search for dental extraction to find more great stock photos and pictures. FIGURE 2 Exemplary samples with amalgam (A04_04 and A04_05) and without amalgam M07_03 and amalgam as well as melanin (MAX_02) showing (1) true color HE-stained images at 20 × magnification. Figure 1. 2, Khalfi L. The blue-gray pigmentation in gingival tissue, called metal or amalgam tattoo, has been found in 3. 1 Coronavirus: Find the latest articles and preprintsThis article presents a case of amalgam tattoo and investigates whether it is related to the patient's repeated episodes of sinusitis. Amalgam tattoos are a common macular pigmentation caused by pieces of amalgam (silver filling material) accidentally implanted into the mucosa. Though these spots are not raised like bumps on the tongue. Amalgam tattoo. After 15. (C) Amalgam tattoo on the floor of mouth. A pigmented mucosal lesion requires an extensive differential diagnosis, particularly with malignant melanoma. Oral amalgam tattoos are typically asymptomatic, benign, solitary or multiple clinical lesions produced by inadvertent placement of dental silver amalgam restorative material into the oral soft. Amalgam tattoos are common, asymptomatic, pigmented oral lesions that clinically exist as isolated, blue, gray, or black macules on the gingival, buccal, and alveolar mucosae, the palate, and/or. As many people choose tattoos to keep their bitter and sweet memories. 9% of the US and 8% of the Swedish adult. Amalgam tattoo is the most common localized pigmented lesion in the mouth. The amalgam tattoo is mostly positioned in the gingival mucosa where the tissues are much softer and the blood. This app allows you to put your photos side by side, which means you don't need a third-party app. 4 References;The Dental Arcade, #620, Sector 18-B, Chandigarh, Pincode - 160 018. reported four cases of cultural practice of gingival tattoo in West African females of three different ethnic groups. small bubbles and swirls are seen. The characteristics of these two phenomena of mucosal melanoma of the oral cavity and amalgam tattoos are described and a case vignette illustrating the differential diagnostic issues are presented. Wednesday: 1:30pm - 7:00pm. Sebelumnya Melanoma: Laporan Kasus merupakan diagnostik makula melanotik, nevus. Observation: We report a case of large amalgam pigmentation on right hard palate. of prosthetic work being done on existing amalgam llings. Amalgam tattoos aren't the permanent ink decorations you can have done on your skin at a tattoo parlor. 4-0. Since many dentists now use tooth-colored materials to fill cavities and restore teeth, amalgam fillings are less common than in the past. i) Graphite tattoo: tend to occur on the palate and represent traumatic implantation from a lead pencil. The lesion had been present for 42 years since having endodontic surgery at teeth #8 and #9 after a traumatic childhood incident. Description: Amalgam tattoo is an exogenous pigment associated discoloration of the oral mucosa. He was convinced that mercury released from dental amalgam was responsible for human diseases affecting the cardiovascular system and nervous system Also stated that patients claimed recoveries. A pigmented lesion of the soft palate was excised to exclude melanoma. #shorts An amalgam tattoo is a result of dental amalgam particles getting embedded into gum tissue. Silver from the amalgam leeches out of the embedded particles and stains (ie, tattoos) selected components of the fibrous connective tissue (eg, elastic, reticulin, oxytalan fibers) and highlights the. vn compilation. Show abstract. An amalgam tattoo occurs when silver (amalgam) dental filling material deposits into the gums after a dental procedure. The tattoo can be single or multiple. A series of 268 cases of amalgam tattoo is analyzed both clinically and histologically, finding the most common location was the gingiva and alveolar mucosa, followed by the buccal mucosa. 1. In addition, gold-silver-palladium alloy is reportedly associated with oral pigmentation. starkid. Kitchen sink with running water Close up of a Stainless steel kitchen sink with running water. 1. A 54-year-old female was referred for management of a large amalgam tattoo involving the alveolar mucosa between teeth #6 and #9. Amalgam tattoo versus melanocytic neoplasm - Differential diagnosis of dark pigmented oral mucosa lesions using infrared spectroscopy. Also known as “silver fillings,” amalgam fillings are silver in appearance but not in composition. Amalgam Tattoo/Foreign Body Tattoo. Amalgam tattoo is one of the most common causes of intraoral pigmentation. Black metal pigments, so-called amalgam particles, accumulate over time around the gums near a filling. In a study of a mass screening oral examination in the United States, it was found in about 0. This study investigates the potential use of infrared spectroscopy for differential diagnosis of amalgam tattoos versus benign or malignant melanocytic neoplasms. Oral Amalgam Tattoo Mimicking Melanoma. Brown and black spots: smoking, diseases. They can appear in the mouth of someone with amalgam fillings or metal false teeth. The color variation of black gums may include:. [1]Amalgam tattoo 2 SPECIFIC INFECTIONS 2. Amalgam tattoo N Engl J Med. Four black females. Article. Amalgam tattoo is a common localized area of blue, gray, or black pigmentation caused by amalgam that has been embedded into the oral tissues during dental procedures. A relatively large amalgam tattoo in the esthetic zone can be adequately removed by a two-stage procedure using grafted palatal connective tissue and laser deepithelialization. Very difficult. Introduction. A possible diagnostic pitfall Ricart, Jose; Martin, Jose M. 1 This trend is expected to continue. Mathews DDS, Corresponding Author. Amalgam tattoos are painless, gray-blue macules that range in size from a few millimeters to greater than 1 cm. 1. , introduction of amalgam into. Codes ICD10CM: K13. We offer several private rooms, artists who are dedicated and experienced, and someplace where people of all backgrounds, sexual orientations, and identities can feel welcome and comfortable. In a study of a mass screening oral examination in the United States, it was found in about 0. It was asymmetric, had irregular edges and was without notches, erosion or. The amalgam tattoo presents as a soft, painless, non-ulcerated, blue / gray / black macule (a small, flat, distinct, coloured area of skin that is ≤ 10 mm in diameter and does not include a change in skin texture or thickness) with. Ryo Sasaki, DDS PhD, Sekiko Taneda, MD PhD, and Toshihiro Okamoto, DDS PhD. The source of the amalgam debris in this case remains unknown. After 1 year of follow-up, there was no evidence of recurrence. These fillings can even wind up in the lips or cheeks. Clinical examination showed an ex tremely large amalgam tattoo covering the labial gingiva and extending into the alveo lar mucosa of the entire maxillary incisor region (Fig 1). The condition is asymptomatic. and Khatib KE. As amalgam has been the most commonly used material for dental fillings until the 1980s, there is still a large amount of prosthetic work being done on. The goal of this project is to identify any in‐depth benefits and drawbacks in the diagnosis of amalgam tattoos and other. Amalgam tattoo 10x . The majority of oral pigmentations are benign lesions such as nevi, melanotic macules, melanoacanthomas or amalgam tattoos. Topical Anesthetic 12. Amalgam tattoo - Oral Mucosal Lesion. Small White Spots on Legs: Causes, Pictures & Treatment. Top more than 115 amalgam tattoo differential diagnosis latest. The gingiva and alveolar mucosa are most commonly involved. amalgam meaning: 1. 9% of the US and 8% of the Swedish adult population (2, 3). However, the amalgam pigmentations differ from them as they are not elevated and do not. Thousands of new, high-quality pictures added every day. Radiographically, radiopaque images can be seen, although not always apparent. AMALGAM TATTOOS Pigmented lesions of the oral cavity may com- monly result from exogenous sources, as in the case of amalgam tattoos. INTRODUCTION Amalgam pigmentation, generally called amalgam tattoo, is a relatively common finding in the oral mucosa 1. 4-0.