Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics 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 Pigmented Lesions of the Oral Mucosa Pocket Dentistry Oral Melanotic Macule MEDizzy Skin Concerns] 25 y.o. male. Got this 4 years ago during a winter when my lips kept cracking from dryness. Anything I can do to remove the black spot? : r SkincareAddiction