Oral Melanotic Macule: Symptoms and Treatment Skinsight An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth. An oral melanotic What Causes Black Spots on the Roof of Mouth? Lip pigmentation Kiss and Tell: Variations of Normal and Pathology of the Lips Today's RDH Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome