Oral pathology: Noting a pigmented macule that often presents a diagnostic dilemma Registered Dental Hygienists 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 Removal of lip pigmentation with our Alma Q laser. Such lip spots (aka labial melanotic macules) appear for no apparent reason. Similar spots can appear due to smoking, sun damage, drug reactions, Solar Lentigo Trillium Clinic Dermatology Chapel Hill
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