16 Most often, the lesions present many years after the amalgam was. Browse Getty Images' premium collection of high-quality, authentic Amalgam Tattoo stock photos, royalty-free images, and pictures. g. May be result of fracture of amalgam filling during extraction or due to small particles of amalgam being spilled into wounds during restorative procedures. Amalgam tattoos are common oral lesions. oral, berikatan dengan protein ligan yang ada di epitel oral kemudia bermigrasi. Amalgam Tattoo. hen confused with melanosis (especially when there is no radiopacity) or when they are . The goal of this project is to identify any in-depth benefits and drawbacks in the diagnosis of amalgam tattoos and other pigmented intraoral lesions using hyperspectral imagery collected from amalgam tattoos, benign, and malignant melanocytic neoplasms. Let’s embark on this informative journey together and explore the possibilities that modern dentistry has to offer. Amalgam Tattoo. 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. 1111/j. 8: Usually small bluish or grey to black localized pigmentation, which is not elevated: Accumulation of amalgam fragments or small amalgam particles. In a study of a mass screening oral examination in the United States, it was found in about 0. Amalgam tattoo is a dark gray or blue pigmented macular lesion from traumatic implantation of amalgam into the soft tissues. When the amalgam is removed with a high-speed dental handpiece, amalgam particles can be embedded or traumatically implanted in the oral mucosa. Oral Amalgam Tattoo Mimicking Melanoma. A biopsy is usually required to determine the nature of such intraoral discolorations. Amalgam tattoos are not the traditional. The amalgam tattoo is a frequent finding in persons who have had amalgam restorations (ie, fillings). The most frequently affected sites include the gingival, the buc- cal, and the alveolar mucosa, the palate, and the tongue. A two-stage surgical approach was used to remove the pigmentation, beginning with removal of amalgam fragments from the. Four black females. Amalgam tattoos often mimic the. 6% of all restorations] compared to 157 million amalgam restorations performed in 1979). Pigmented lesion. Epub 2018 Nov 6 doi: 10. 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. George Cherian. This. If you think tatts are a guy thing, think again. Clinically. May be confused with a melanocytic lesion. 2x2 gauze (2) 4. If you haven't noticed, tattoos are popular. 10%) and alveolar mucosa (33. This study investigates the potential use of infrared spectroscopy for differential diagnosis of amalgam tattoos versus benign or malignant melanocytic. Amalgam tattoo: report of an unusual clinical presentation and the use of energy dispersive X-ray analysis as an aid to diagnosis - The Journal of the American Dental AssociationThis collection of photos contains both cancer and non-cancerous diseases of the oral environment which may be mistaken for malignancies. In a study of a mass screening oral examination in the United States, it was found in about 0. A. Refuat Hapeh Vehashinayim 2004; 21: pp. edu. The diagnosis of amalgam tattoo is simple, usually based on clinical findings associated with presence or history of amalgam fillings removal. Tato Amalgam tidak menyebabkan gejala apa pun dan mereka tidak terangkat atau menyakitkan. the extensive amalgam tattoo. , and Pablo Del Barrio-Díaz, M. ] The lesion was observed along the gingiva adjacent to a porcelain tooth fused to a metal bridge (from the left central incisor to the canine, extending to part of the alveolar mucosa). 9% of the adult population and in Sweden in about 8%. Amalgam tattoo is an iatrogenic lesion caused by traumatic implantation of dental amalgam into soft tissue. Air-water Syringe 8. 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. April 2011 · New England Journal of Medicine. "Third Amalgam War' began in 1980 primarily through the seminars and writings of Dr. x MADAM, Amalgam tattoo is the most common exogenous pigmentation of the oral mucosa1,2; surprisingly, there are no reports of similar lesions on the skin. 2) Expect to have some numbness, tingling, and crust in the area of the tattoo. Topical Anesthetic 12. Similar findings can be seen with pencil graphite, coal and metal dust, and broken disks and dental burs. HVE Tip 7. Amalgam tattoo is an iatrogenic lesion caused by traumatic implantation of dental. Amalgam is the silvery substance that your dentist uses to fill cavities, and it's made from a mixture of tin, zinc. Amalgam tattoo is the most common localized pigmented lesion in the mouth. Except this cosmetic issue, amalgam tattoo does not cause any apparent signs. Amalgam tattoo - Oral Mucosal Lesion. amalgam, pemolesan amalgam, kebocoran dari bahan obturasi endodontik, serta. 79 – Other lesions of oral mucosa SNOMEDCT. It occurs as a result of colouring of the tissue by alien pigment which was administered intra or subepidermaly either intentionally or accidentally. 1503/cmaj. Meskipun mereka sering tidak menimbulkan. Risako Mikami. Fondriest is a highly knowledgeable dentist who will. Treatment of the amalgam tattoo in the esthetic zone. Daniels, Dr. sharp and detailed image. Shigeyuki Nagai. Easy. Radiographically, radiopaque images can be seen, although not always apparent. 1 Bacterial origin Necrotizing periodontal disease Necrotizing gingivitis (NG), necrotizing periodontitis (NP), and necrotizing stomatitis (NS) are severe inflammatory peri-odontal diseases caused by bacterial infection in patients with specific underlying risk factors (poor oral hygiene, smok-Dermoscopy of an amalgam tattoo. Dentists call these spots amalgam tattoos. D. Kitchen sink with running water Close up of a Stainless steel kitchen sink with running water. As many people choose tattoos to keep their bitter and sweet memories. Though these spots are not raised like bumps on the tongue. Abstract. The lesion extends across the residual alveolar. David P. Amalgam tattoo of the oral mucosa is a relatively frequent finding and generally occursExogenous sources of pigmentation such as amalgam tattoo and black hairy tongue are also discussed. They can have well-defined or have diffuse margins. Mucosal pigmentation can occur due to deposition of exogenous foreign materials such as dental amalgam, tattoo pigment, or graphite. Tujuan: Makula hitam pada mukosa oral dapat. (Fig. Case Report. It is asymptomatic. Adequate image diagnosis based on plain X-ray and CT images is necessary. The main symptom of black gums is gum color that appears black or dark brown. It is asymptomatic. 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. 2001, Archives of Oral Biology. diagnosis of amalgam tattoos and other pigmented intraoral lesions using hyper-spectral imagery collected from amalgam tattoos, benign, and malignant melanocytic neoplasms. Morsicatio buccarum is a condition characterized by chronic irritation or injury to the buccal mucosa (the lining of the inside of the cheek within the mouth), caused by repetitive chewing, biting or nibbling. Authors Cristián Vera-Kellet 1 , Pablo Del Barrio-Díaz 1 Affiliation 1. Top more than 115 amalgam tattoo differential diagnosis latest. In a study of a mass screening oral examination in the United States, it was found in about 0. Images in clinical medicine. . 5 “While copper and zinc are rapidly lost from the. DDS, MS Jerry L. vn compilation. Microscopically, graphite resembles amalgam in tissue although special stains can segregate the two [8]. . Pontificia Universidad Católica de. Patrick Dubach, M. This. Study with Quizlet and memorize flashcards containing terms like Macule (oral melanontic macule on lip), Patch (amalgam tattoo after retrograde amalgam), Erosion (erosive lichen planus on palatal gingiva) and more. Below you can find the list of this and other symptoms with possible reasons for it. After excisional biopsy of the lesion, the patient's. salah satu etiologi amalgam tattoo. doi: 10. 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. Amalgam tattoos can be described as exogenous pigmentation in the oral mucosa. (E) Amalgam tattoo on the alveolar ridge after extraction. Amalgam is a common material used for dental fillings and contains silver, tin, mercury, and other metals. PathologyOutlines. Tattoo. round/ovoid radiolucency on panoramic image anterior and superior to mastiod process. 1371/journal. By in. A 63-year-old woman had received treatment to. It is common, painless, and benign, but it can be mistaken for melanoma . They almost always cause slight tenderness upon palpation. hen confused with melanosis (especially when there is no radiopacity) or when they are . 9. Find high-quality stock photos that you won't find anywhere else. The odds are that this spot on your gums is nothing more than a harmless “tattoo,” leftover from a metal amalgam filling. In this article, we will suggest you the most beautiful and meaningful tattoos today, which will certainly not disappoint you. Amalgam tattoo is an iatrogenic lesion caused by traumatic implantation of dental amalgam into soft tissue. Amalgam Tattoos. localized argyria should be. After 15. Amalgam tattoos Although its importance has been on the decline for many years, amalgam is still used as a fill-ing material in dentistry. displacement of metal particles in oral soft tissues during restorative dental procedures using amalgam. Amalgam Tattoos. Once the diagnosis of an amalgam tattoo has been established, the removal of this lesion is not necessary, except for aesthetic reasons. 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-Today, the amalgam tattoo is a phenomenon in the oral cavity, because the filling material amalgam was used in many patients. Yang penting, mereka ditemukan di sekitar gigi dengan restorasi amalgam besar atau. Huggins, a practicing dentist in Colorado. 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. Amalgam tattoo, the most common exogenous oral pigmentation, can sometimes be confused with melanotic lesions, being then biopsied. The condition is asymptomatic. 7 Proses pathogenesis ini sesuai dengan ukuran dan komposisi. Search from Tooth Amalgam stock photos, pictures and royalty-free images from iStock. 9% of the adult population and in Sweden in about 8%. It causes tiny-sized discolored spots that are less than 0. Bluish-gray and blue spots: drugs, poisoning. Combine Photos Using Paint 3D on Windows . A pigmented lesion of the soft palate was excised to exclude melanoma. Amalgam tattoo (Figure 4) is probably the most common form of LA [91][92][93]. Amalgam tattoos are a common macular pigmentation caused by pieces of amalgam (silver filling material) accidentally implanted into the mucosa. Amalgam tattoo adalah suatu pigmentasi yang sering terjadi pada bagian. A complete surgical resection. , and Pablo Del Barrio-Díaz, M. radiolucencies with irregular borders. When the amalgam is removed with a high-speed dental handpiece,. According to Puig and Malvehy, the dermoscopic appearance of acral lentiginous melanoma of mucous membranes may be different in "in situ" and in invasive melanoma. 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. Amalgams have also been used to seal the apex of root canal treated teeth. Mathews DDS, Corresponding Author. Amalgam tattoo collagen staining 2x . Pronunciation of Amalgam Tattoo with 1 audio pronunciations. 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. Risako Mikami. However in several cases, these particles. 7 Pigmentation (including bleeding) illustrations. 4-0. Images in clinical medicine. Determining the significance of mucosal pigmented lesions may represent a diagnostic challenge for clinicians. INTRODUCTION. However, the amalgam pigmentations differ from them as they are not elevated and do. Conversely, mucosal melanomas are rare but often lethal; therefore, excluding oral melanomas in this setting is crucial. 3) Allow about three weeks for the tongue tattoo to heal. 17. What causes an amalgam tattoo? Amalgam ! llings contain mercury, silver, tin, and copper, giving the ! lling its metallic color. Amalgam tattoo: L81. It was asymmetric, had irregular edges and was without notches, erosion or induration ( Figure 1A ). Amalgam tattoo versus melanocytic neoplasm - Differential diagnosis of dark. A series of 268 cases of amalgam tattoo is analyzed both clinically and histologically. Introduction Amalgam tattoos usuall iy occun th gingivae r anl d alveola rAmalgam tattoo (also termed localized argyrosis, or focal argyrosis) is a grey, blue or black area of discoloration on the mucous membranes of the mouth, typically on the gums of the lower jaw. Dr. 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. Dental Aspirating Syringe 9. 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. 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. She reported that authors ofAmalgam tattoos Although its importance has been on the decline for many years, amalgam is still used as a fill-ing material in dentistry. View. Amalgam Tattoos. Details images of amalgam tattoo treatment by website 3tdesign. After a mastectomy, 3D nipple tattoos are often used instead of nipple reconstruction. 2016 Apr 28;374(17):e21. 1 *, Essaoudi MA. D. Case #1. The lesion had been present for over 20 years following endodontic. In cases where amalgam tattoo cannot be differentiated from other causes of oral pigmentation, a biopsy should be performed. Vera-Kellet C, Del Barrio-Diaz P. vn September 29, 2023. The most common location was the gingiva and alveolar mucosa, followed. Depigmentation procedure was performed under topical. [. D. Amalgam tattoo General. Diagnosis: Amalgam tattoo. Amalgam particles may accidentally and/or traumatically embed into the mucosa, causing an amalgam tattoo during the fitting of crowns, removal of amalgam restorations, extractions of amalgam-restored teeth, endodontic treatment, and flossing shortly after placing an amalgam restoration. It looks like a black, grey, or blue patch inside the mouth. Amalgam tattoo General. La profundidad a la que se encuentren albergados los residuos de este material influye en la presentacion clinica de las lesiones. Saliva ejector 6. The irregular, radiopaque particles, characteristic of foreign bodies, sometimes help in the diagnosis. Amalgam tattoo is an iatrogenic lesion caused by traumatic implantation of dental amalgam into soft tissue. A pigmented lesion of the soft palate was excised to exclude melanoma and the histology suggested an amalgam tattoo which was confirmed on energy dispersive X-ray analysis by the detection of silver and copper. soft tissue opacity. Although all answer choices can result in pigmented macules in the oral cavity, amalgam is the only exogenous material. Plus, all the other important clinical insight you need to know about amalgam tattoos. 1. Particular Type of Amalgam Tattoo Associated with Rhizotomy in a Patient with Brain Malignant Tumor: A Diagnostic Dilemma †. 5 million amalgam restorations [31. An amalgam tattoo can appear anywhere in the mouth but usually appears next to a filling. The condition does not develop as an allergy-induced or irritant-induced oral mucosal reaction/response. Rajani notes that the patient chart indicates an amalgam tattoo of the buccal mucosa at tooth #19. However, the clinicians need to be aware of the other and more frequent etiologies of intraoral pigmentation, such as amalgam tattoos. 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. Find Amalgamation stock images in HD and millions of other royalty-free stock photos, 3D objects, illustrations and vectors in the Shutterstock collection. If the spot inside your cheek is dark blue, grey or black, it could be a leakage from a dental filling. Focal argyria may also present with slate gray patches or punctate blue gray macules in areas of skin that were at. The reported case showed an unusual form of an extensive amalgam tattoo, probably due to the continual migration of metal particles to the palatal mucosa during chewing. Amalgam Tattoo is a harmless condition that causes dark-colored lesions inside our mouth. The failure rate of Class II amalgams ranged from 2 to 7 times that of SSCs, with amalgam restoration failure rate being a mean 4 times more than that of SSC restorations. 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. She summarized the data from these studies. Small White Spots on Legs: Causes, Pictures & Treatment. e. . 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 . During the course of a. The option to use tattoos to mimic body parts is technically known as “medical micropigmentation. 161. [1]Amalgam tattoo 2 SPECIFIC INFECTIONS 2. Cotton-Tip applicator 13. a mixture of mercury and another metal, especially one used by dentists to repair teeth: 2. A novel minimally-invasive approach for metal tattoo removal with Er:YAG laser. Biocompatibility of dental amalgams. Periapical X-ray examination may be useful to detect the radiopacity associated with amalgam. May be clumped. They are due to deposition of a mixture of silver, tin, mercury, copper, and zinc, which are components of an amalgam filling, into the oral soft. Some contain a brief patient history which may add insight to the actual diagnosis of the disease. Early treatment of any issue will help to provide the best possible outcome. Images in clinical medicine. It is common, painless, and benign, but it can be mistaken for. Images in clinical medicine. Oral Amalgam Tattoo Mimicking Melanoma. Male doctor in uniform checking up female patient's teeth in dental clinic. An amalgam restoration that will contribute to the ling-term dental health of a patient requires proper finishing and polishing procedures. Tattoo. Amalgam tattoo from filling. IMAGES IN CLINICAL. 9. Although its importance has been on the decline for many years, amalgam is still used as a filling material in dentistry. To prevent them, you can ask your dentist to use a rubber dam the next time you get a filling. 230584 Figure 1: (A) Photograph of a black and blue-grey lesion in the maxillary gingiva of a 73-year-old man with an amalgam tattoo. After 1 year of follow-up, there was no evidence of recurrence. 7 μm 2), it was possible to distinguish intraoral amalgam tattoos (intramucosal metallic foreign bodies) from melanocytic lesions of the intraoral mucosa. It offers breast cancer survivors who want. , introduction of amalgam into. Gross. November 30th, 2021. starkid. Amalgam tattoo. A 54-year-old female was referred for management of a large amalgam tattoo involving the alveolar mucosa between teeth #6 and #9. The amalgam tattoo is mostly positioned in the gingival mucosa where the tissues are much softer and the blood vessels are closely packed. 1. (F) Periapical radiograph of FIG 9. In addition, dental amalgams lead to the development of amalgam tattoos that appear as. By Bhavin Patel March 7, 2023. 1) That portion of a tooth covered with enamel. The color variation of black gums may include:. 9% of the adult population and in Sweden in about 8%. Black spot inside cheek: Pictures, causes, treatment, and more What causes black spots inside the cheek? Pictures Blood blisters Amalgam tattoos. This study investigates the potential use of infrared spectroscopy for differential diagnosis of amalgam tattoos versus benign or malignant melanocytic neoplasms. Images in clinical medicine. 3% of the US adult population . 4 References;The Dental Arcade, #620, Sector 18-B, Chandigarh, Pincode - 160 018. Clinical Features. This type of tattoo is actually a side effect of common dental fillings. An amalgam tattoo occurs when silver (amalgam) dental filling material deposits into the gums after a dental procedure. external auditory meatus. 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. Related Papers. • Melanoma Patients with melanoma must receive close follow-up care involving oncologists, surgical oncologists, radiologists, and dermatologists. D. 5 Industries which involve exposure to heavy metals, such as construction work, lead mining and plumbing may also result in the development of pigmented oral lesions via a similar mechanism. 16 Amalgam tattoo showed the female predominance as in previous studies 12 16 17 and was preferentially encountered at gingiva (38. Over time, an amalgam filling may sink down. A 64-year-old man was referred for evaluation of an asymptomatic pigmented lesion on the buccal mucosa (Panels A and B). 230584 Figure 1: (A) Photograph of a black and blue-grey lesion in the maxillary gingiva of a 73-year-old man with an amalgam tattoo. describe dx. They can appear on your gums, cheek, lips, tongue or the roof of the mouth (palate). Amalgam tattoo is the most common localized pigmented lesion in the mouth. (C) Amalgam tattoo on the floor of mouth. comClass II amalgam restorations. Amalgam tattoo is the most common localized pigmented lesion in the mouth. ABSTRACT A 60‐year‐old woman presented with a pigmented lesion on the upper left gingival mucosa of 2 years duration. 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. A structureless pattern. 9% of the adult population and in Sweden in about 8%. Thursday: 8:30am - 5:00pm. J ESTHET RESTOR DENT. Authors Patrick Dubach 1 , Marco Caversaccio. Amalgam tattoo is the most common localized pigmented lesion in the mouth. 4) Visit a doctor at the first sign of infection, swelling, or severe pain. By far the most common of these is unintended implantation of amalgam, known as amalgam tattoo, which affects 3. with macrophages engulfing small amalgam particle s. 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. Patrick Dubach, M. X-ray emissions from the specimen were detected over variable times. Clinical considerations. – It is asymptomatic and may rarely be radiopaque. Phone: +91 1724648877 / 9015455577 Email: care@thedentalarcade. Amalgam tattoos aren't the permanent ink decorations you can have done on your skin at a tattoo parlor. Observing these characteristics, the lesion is radiographed and if presenting a radiopaque area compatible with the pigmented region, the diagnosis of amalgam pigmentation is concluded [15. Very difficult. An amalgam tattoo is an implantation of amalgam into the oral mucosa. - Amalgam tattoo 2 - Amalgam tattoo - Simple aphthosis 2 - Aphthous ulcers - Simple aphthosis - Oral aphthae in Behçet syndrome - Herpes simplex - oral - Chickenpox oral 2 - Chickenpox oral 1 - Herpes zoster - palate - Hand-foot-and-mouth disease – Buccal - Hand-foot-and-mouth disease – Tongue - Enanthem in Coxsackie infectionAmalgam tattoo versus melanocytic neoplasm - Differential diagnosis of dark pigmented oral mucosa lesions using infrared spectroscopy. A bluish-black or gray macular lesion of the oral mucous membrane caused by accidental implantation of particles of silver amalgam into the tissue during tooth restoration or extraction. 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 . Codes ICD10CM: K13. Amalgam tattoo in a patient with prior history of melanoma:. In general, such strange colored lesions in the mouth occurs with a variety of reasons that mimic amalgam tattoos. Non-gamma-2 amalgam represents the standard type of this compound material today due to its higher chemical stability and resistance regarding corrosion compared to the formerly used copper amalgam. You or your dentist may notice a gray, blue or black spot in your mouth that looks like a tattoo. d. Search this Collection. An amalgam restoration that will contribute to the ling-term dental health of a patient requires proper finishing and polishing procedures. Intraoral X-rays may be helpful in detecting amalgam-related radiopacity. However, the clinicians need to be aware of the other and more frequent etiologies of intraoral pigmentation, such as. HLA-DR. 1 Metal alloys—amalgam. Dr. D. 57 × 0. Amalgam contact lichenoid reactions are the most frequently seen in the oral cavity and can also arise from amalgam tattoos. Microscopic. J ESTHET RESTOR DENT. The most common location was the gingival mucosa, followed by the buccal and palatal. Amalgam tattoos often mimic the symptoms of. Already, 25% of 18- to 30-year-olds have a tattoo. Oral Amalgam Tattoo Mimicking Melanoma N Engl J Med. Department of Plastic, Maxillofacial and Oral. 9% of the adult. tion of silver amalgam was clearly suggestive of an amalgam tattoo. The most common material used for the colouring of the oral mucosa is amalgam from amalgam fillings and metal particles. Codes ICD10CM: K13. org april 14, 2011 e29 A. Extensive Amalgam Tattoo (Amalgam Pigmentation) on . Monday: 8:30am - 5:00pm. 2), 2 ), but can also be seen on the hard palate, buccal mucosa, and floor of the mouth. Background Dark pigmented lesions of the oral mucosa can represent a major diagnostic challenge. The goal of this project is to identify any in‐depth benefits and drawbacks in the diagnosis of amalgam tattoos and other. Monday: 8:30am - 5:00pm. There are also images related toWhen performing a one-stage treatment of removing ATs in areas of high esthetic demand, it is possible to achieve good results and ideal gingival color. "Third Amalgam War' began in 1980 primarily through the seminars and writings of Dr.