Oral Mucosal Melanosis IntechOpen Oral Melanotic Macule MEDizzy 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 Relative frequency of solitary melanocytic lesions of the oral mucosa Buchner 2004 Journal of Oral Pathology & Medicine Wiley Online Library Brown spots, especially on the lips, can be alarming to some. In some instances it can indicate rare oral mucosal melanoma, however in this case it was a non cancerous labial melanotic macule.