Solitary pigmentation of the tongue: lentigo simplex or pigmented fungiform papilla? ORAL MELANOSIS leading to the diagnosis of HIV infection. Despite being a weak association, any unexplained oral pigmentation in a high risk individual should make one suspect HIV associated oral melanosis and proceed Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists Simple cryosurgical treatment of the oral melanotic macule ScienceDirect