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. Pigmented Lesions of the Oral Mucosa Pocket Dentistry Kiss and Tell: Variations of Normal and Pathology of the Lips Today's RDH A Rare Case of Oral Mucosal Pigmentation: Differential Diagnosis and Case Presentation JCDA