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. Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Pigmented Lesions of the Oral Mucosa Pocket Dentistry