Should I get a 2nd opinion about these freckles on my lips from another dermatologist? Last time they say it's just sun spots but the bottom one in particular still keeps me 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 A Black Spot on the Upper Gum for Many Years: Melanotic Macule Springer Nature Link Oral pathology: Noting a pigmented macule that often presents a diagnostic dilemma Registered Dental Hygienists