It can be an oral pigmented macule but if you are a smoker, smoker’s melanosis and any serious pathology need to be ruled out. Smoker’s melanosis is due to long-term tobacco smoking. Smoking cessation is the treatment of choice. The hyperpigmentation then disappears in a few months.
Cryosurgery using liquid nitrogen and laser are the other main treatment modalities. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.
thank you sir... but i do not smoke.. i have asked my dermatologist for laser treatment but she said its not affective... and sir what cause oral pigmented macule???? please do ans...