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2 The authors classify oral pigmentation into two major groups: Focal e.g., amalgam tattoo, melanocytic nevi, melanoacanthoma, and melanosis Diffuse e.g., racial/physiological pigmentation, smokers melanosis, drug-induced hyperpigmentation, postinflammatory hyperpigmentation, and pigmentation associated with disease states The authors do point out that some pigmentations may not be easily diagnosed or fit the usual patterns