Oral Melanotic Macule An Unusual Occurrence In Gingiva Journal of Health and Allied Sciences NU 05 May 03 Eng This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding Oral melanoacanthoma and oral melanotic macule: a report of 8 cases, review of the literature, and immunohistochemical analysis Pigmented Lesions of the Oral Cavity: A Review 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.