In the fabric of Malaysia’s diverse cultural landscape, certain traditional practices hold a unique place, one of which is the age-old tradition of susuk.
Rooted in local beliefs and customs, susuk involves the insertion of small, metallic objects (usually needle-like object made of either gold, copper, silver, iron, or other metals, even precious stones like diamonds) under the skin, a practice that has found its way into various aspects of Malaysian life, including dentistry.
Most of the time, it is an incidental finding during routine oral radiography.
While susuk is not exclusive to dentistry, it has made its mark in the realm of oral health. Individuals seeking a captivating smile or enhanced oral aesthetics may opt for susuk in the facial region, including the oral cavity.
This practice, deeply embedded in cultural and mystical beliefs, is perceived to bring about advantages, often influencing the choices of those who believe in its mystical powers.
The allure of susuk lies in the perceived advantages it promises. In the context of dentistry, individuals may believe that the insertion of these metallic objects can enhance the aesthetics of their smiles, promote oral health, or even improve speech.
The perceived benefits, though rooted in cultural traditions, contribute to the continuing practice of susuk in the Malaysian community.
Susuk practitioners have been appearing since the time of the pharaohs. It has been alleged that an old man aged hundreds of years old may look as young as someone in his early 20s, because of the susuk implantation.
The process is normally done by the help of shamans through spells to make it effective. Understanding why the Malaysian community embraces and practices susuk requires delving into cultural beliefs.
Susuk is often associated with notions of beauty, attraction, and protection from supernatural entities. It is deeply entrenched in the cultural fabric, passed down through generations as a tradition that holds both aesthetic and metaphysical significance.
While susuk is embraced by some for its perceived benefits, it is crucial to acknowledge the potential consequences associated with this practice.
Inserting foreign objects under the skin poses inherent risks, including the possibility of infection, inflammation, or migration of the inserted materials. These risks, if realised, can have implications for both oral and overall health.
As dental professionals, it is imperative to approach discussions about cultural practices such as susuk with sensitivity and respect. Acknowledging the cultural significance while providing evidence-based guidance on oral health is a delicate balance that practitioners must strike.
Open communication channels can foster understanding and bridge the gap between cultural traditions and modern dental care.
In conclusion, susuk in dentistry reflects the intricate interplay between cultural traditions and oral health practices in Malaysia. While some seek its perceived advantages, it is vital to approach such practices with a discerning eye, considering the potential risks involved.
Susuk and dentistry, this seemingly unlikely pair, might just well be the sweet spot where practitioners may play a pivotal role in providing holistic care that respects cultural beliefs while ensuring the best possible oral health outcomes for their patients.
Assoc Prof Dr Lim Ghee Seong is a dental lecturer at the Department of Restorative Dentistry, Faculty of Dentisty, Universiti Malaya. Dr Nurul Huda Hamzah is a senior lecturer at the Department of English Language, Faculty of Languages and Linguistics, Universiti Malaya.
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