Description

Uncommon and peculiar radiological findings resulting from cultural or religious beliefs and practices may be seen in individuals from certain parts of the world. With people migrating from these locations to other parts of the world, such findings often mystifies clinicians who may be unfamiliar with such traditions.1 Susuks or charm needles are one such cultural practices common in southeast Asia. These are metallic pins usually made of silver, gold or its alloys, measuring about 5–10 mm in length and 0.5 mm in diameter. It is claimed that susuk makes its wearers more beautiful, keeps them young, improves health, relieves pain and even help them attain an affluent career. A shaman would slowly rub the skin and gently insert the pins while doing some chanting. The procedure is painless with minimal or no bleeding and the pins remain in the soft tissues without causing any visible scarring or altered sensations.2 Orofacial region is the most common site for placement of susuks; however, it may be seen in other regions such as pubis, breasts, spine, limbs, etc.3

A female patient aged 41 years presented with a chief complaint of spacing and proclination of upper front teeth. She …