Hello, based on your description, the black spots with a red lesion inside could be due to minor trauma (like accidentally biting the cheek), mild inflammation, or pigmentation changes. Since thereâs no pain, swelling, or bleeding, itâs less likely to be something serious. These types of lesions often heal within 10â15 days if left undisturbed.
Next Steps
Avoid touching the affected area with your tongue or fingers to prevent irritation or further injury. If you notice that it increases in size, becomes painful, bleeds, or ulcerates, schedule an in-person examination with your dentist. They may recommend further evaluation, including a biopsy if necessary, to determine the cause. In the meantime, maintain good oral hygiene by brushing gently and rinsing your mouth after meals.
Health Tips
Do not apply any over-the-counter creams or gels other than what your dentist has prescribed, as these may irritate the tissue further. Avoid tobacco and alcohol use, as both can delay healing and increase the risk of oral lesions. Pigmented spots in the mouth can sometimes appear after minor injury or due to ruptured blood vessels, which are harmless, but persistent spots should always be examined by a professional to rule out other underlying causes. If you develop pain, swelling, or difficulty in opening your mouth, seek immediate dental attention. Continue monitoring it calmly and follow your dentistâs advice.