Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal Pigmentation Document Gale OneFile: Health and Medicine Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months 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.