Pigmented Lesions of the Oral Mucosa: Clinical Presentation, Histology, and Recommendations for Management COM Jan. 2008 Diagnosis UW School of Dentistry Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal 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? Pigmented Lesions Pocket Dentistry