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Dental and Oral Health (Adults)

Black Spots



Why do I have black spots on the tip of my tongue? The buds around the tip are becoming brown, and then turn to black. It is a little numb; stings really bad when I use mouthwash, even minty toothpaste. Is this common? I’m an Asian female.


Thank you for visiting NetWellness.  There are several reasons for black spots to develop in the mouth, including use of certain medicines or even cigarettes.  Most mouth spots are benign and not serious, but there is one rare exception called oral melanoma that is related to the skin cancer of the same name.

Because of this unlikely possibility, I recommend you see your dentist or a dental specialist such as an oral and maxillofacial pathologist or surgeon for a personal consultation.

Best wishes.

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Response by:

D Stanley Sharples, DDS
Clinical Assistant Professor of Primary Care Dentistry
College of Dentistry
The Ohio State University