Traumatic oral soft tissue lesion is usually due to habits that cause injuries as food burns, lip and cheek biting, orthodontic devices, Sharp ends of wires in space maintainer or habit breaker, and any traumatic events. The color variation depending on the location or depth, quantity of the pigmentation, the superficial appear brown the deeper looks blue or black that makes the diagnosis of the pigmented oral lesions challenging and crucial for the exclusion of potential risk of malignancies. This article presents a broad overview of oral conditions that affect children, focusing on abnormalities of color and nodular changes. Ulcerative disorders are covered extensively in other readily accessible literature.