Pathology · single question

A panoramic radiograph shows an obvious foreign body. In the same area, a corresponding finding in the gingiva is noted on clinical exam. What is this gingival finding most likely called?

  1. Amalgam tattoo
  2. Melanotic macule
  3. Addison's disease pigmentation
  4. Peutz-Jeghers pigmentation
Show answer and explanation

Correct answer: A. Amalgam tattoo

An amalgam tattoo is a localized area of gray-blue mucosal discoloration caused by amalgam particles becoming embedded in soft tissue (often from a prior restoration, extraction, or trauma involving amalgam), frequently corresponding to a small radiopaque fragment visible on radiograph in the same anatomic location — an important, common, and benign cause of focal oral pigmentation.

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