41 patients with benign focal melanotic lesions on the oral mucosa were studied. The results showed that among the patients, 27 were female and 14 male, the mean age was 33 years old, and the most common site was the lip and gingiva. Clinically, the lesions were focal and well-defined, the size was about 0.6 cm in diameter. Histologically, 21 cases were pigmented nuvus on the oral mucosa (18 cases with nevocellular nevus and 3 cases with the common blue nevus), 2 cases were junctional change, 5 cases were the lentigo simplex, and 13 cases were oral melanotic macule. The characteristics of the oral melanotic macule and the junctional change were discussed.