Oral Melanotic Macule: Symptoms and Treatment Skinsight Dentistry and Medicine: Pigmentation and Discoloration of Oral and Facial Tissues Pigmented Lesions of the Oral Mucosa Pocket Dentistry Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 56M with an asymptomatic, darkly pigmented lesion on the attached gingiva of the maxilla, an irregularly shaped macule with varied pigmentation, including shades of black, brown, and gray. Brendan Gallagher, DDS Black Spots on Teeth & Gums Stains or Something Serious?