Pigmented Lesions of the Oral Cavity Pocket Dentistry Oral Melanotic Macule: Symptoms and Treatment Skinsight Pigmented Lesions Springer Nature Link Is focal melanotic lesion potentially malignant? A case report ScienceDirect Reactive hyperplasias,precancerous and malignant lesions of the oral mucosa Krahl 2008 JDDG: Journal der Deutschen Dermatologischen Gesellschaft Wiley Online Library This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips.