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Talisman in the orofacial region
1Department of Oral Surgery, Faculty of Dentistry, National University of Singapore.
Oral Surgery, Oral Medicine, and Oral Pathology
|September 1, 1989
Summary
Traditional Southeast Asian talismans inserted under the skin are often found incidentally in dental X-rays. These charm needles, believed to offer beauty and protection, rarely require removal and should not be misdiagnosed.
Area of Science:
- Oral and Maxillofacial Radiology
- Cultural Anthropology
- Medical Anthropology
Background:
- Traditional practices in Southeast Asia include subcutaneous talisman insertion for perceived benefits like beauty, protection, and business influence.
- These talismans, referred to as charm needles or charm pins, are occasionally discovered as incidental findings in orofacial radiographic examinations.
Observation:
- A series of 12 cases revealed 65 talismans, predominantly in female (67%) and Muslim (66%) patients.
- The talismans were typically incidental radiographic findings within the orofacial region.
- Only one of the 65 talismans was surgically removed during the observation period.
Findings:
- Subcutaneous talismans in the orofacial region are an underreported radiographic finding in major dental literature.
- The study highlights the cultural significance and prevalence of these charm needles in specific demographics.
- Limited information exists regarding potential adverse effects associated with these embedded objects.
Implications:
- Radiologists and clinicians should be aware of these talismans to prevent misdiagnosis and mismanagement of orofacial conditions.
- Understanding the cultural context of these practices is crucial for appropriate patient care and communication.
- Further research into the long-term effects and management of subcutaneous talismans may be warranted, though definitive treatment is often unnecessary.