ORAL MELANOTIC MACULE (OMM) (Also called focal melanosis labial melanotic macule) A benign, localized, flat pigmented lesion of the oral mucosa Caused by a focal increase in melanin production Oral Melanotic Macule: Symptoms and Treatment Skinsight Initial clinical appearance with melanotic macules located on lower Download Scientific Diagram 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 (Purple or Brown) Lesions in the Mouth melanotic macule Archives Kazemi Oral Surgery Facialart.com