Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal COM March 2009 Diagnosis UW School of Dentistry 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 pathology: Noting a pigmented macule that often presents a diagnostic dilemma Registered Dental Hygienists
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labial melanotic macule 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.