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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Spot In The Mouth?

hi i have what i think is a mouth ulcer but the strange thing is that it has a black spot. i have had one or two before in the same place but never noticed the black spot. it is at the back of my mouth between the two rows of teeh on the rhs and is clearly visible when i open my mouth.
Wed, 3 Sep 2014
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Dentist 's  Response
Hello,
You may have a viral ulcer since you report this location with a prior occurrence. The changes with inflamed tissue may appear very dark. Trauma to an area with dried blood or hematoma may appear dark in color. Different pigmentations in tissue can be normal such as a nevi or a change of tissue color can indicate concern requiring a biopsy to evaluate for a melanoma. An amalgam tattoo can occur with removal of older filings.
I suggest rinsing the area with warm salt water. Maintain a soft diet, gentle daily dental care, stay hydrated and avoid acidic or spicy foods. Continue to monitor the area noting size, shape, texture and discomfort. A clinical diagnosis by your dentist will put your mind at ease. Your dentist would determine if a biopsy is needed to determine pathology of a suspicious lesion. As long as the area is healing and not showing abrupt changes, there is most likely less need for concern. Make sure you discuss your concern with dentist at your next dental visit.
Thank you for your inquiry. I hope you find my comments helpful.
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Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have gone through your query.
The black spots over the back side of your mouth can be a echchymosis or purpuric spots secondary to cheek biting by the teeth. The other possiblity can be a normal physiological pigmentation. Nothing to be panic, Consult a oral physician and get it evaluated once. It is harmless and this will go after a week or 10 days. If it is not reducing, then consult a oral physician.
I hope my answer will help you, take care.
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What Causes Black Spot In The Mouth?

Hello, You may have a viral ulcer since you report this location with a prior occurrence. The changes with inflamed tissue may appear very dark. Trauma to an area with dried blood or hematoma may appear dark in color. Different pigmentations in tissue can be normal such as a nevi or a change of tissue color can indicate concern requiring a biopsy to evaluate for a melanoma. An amalgam tattoo can occur with removal of older filings. I suggest rinsing the area with warm salt water. Maintain a soft diet, gentle daily dental care, stay hydrated and avoid acidic or spicy foods. Continue to monitor the area noting size, shape, texture and discomfort. A clinical diagnosis by your dentist will put your mind at ease. Your dentist would determine if a biopsy is needed to determine pathology of a suspicious lesion. As long as the area is healing and not showing abrupt changes, there is most likely less need for concern. Make sure you discuss your concern with dentist at your next dental visit. Thank you for your inquiry. I hope you find my comments helpful.