Pigmented lesions of the oral mucosa and perioral tissues: a flow chart for the diagnosis and some recommendations for the management Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics Mucosal melanocytic macules Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology 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