A Focal Intrinsic Physiologic Pigmentation of : Journal of Pharmacy and Bioallied Sciences Labial melanotic macule. B). Increased numbers of me lanocytes along Download Scientific Diagram Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists 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?