The Journal of the American Dental Association
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J Am Dent Assoc, Vol 110, No 1, 52-54.
© 1985 American Dental Association
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Journal of the American Dental Association, Vol 110, Issue 1, 52-54
Copyright © 1985 by American Dental Association

Case Reports

Amalgam tattoo: report of an unusual clinical presentation and the use of energy dispersive X-ray analysis as an aid to diagnosis



JP McGinnis Jr, JL Greer, and DS Daniels

An unusual appearing gingival amalgam pigmentation (amalgam tattoo) that completely surrounded the maxillary right first premolar in a 13-year-old boy is presented. Because of the wide distribution and apparent clinical progression of the discoloration, an excisional biopsy was performed. The histopathologic diagnosis of amalgam pigmentation was confirmed in paraffin sections by energy dispersive X-ray microanalysis. Silver, tin, and mercury were detected in the specimen.




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