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It's visible that, on the violence rates, most situations involve firearms. It's use is extremely explored to commit homicides, according to the statistics. The firearms are responsible for causing several injuries that can lead to sequels, which can be reversible or not, and compromise the social, professional and psychological life of the victim. Some studies show that there is a preference for the maxillofacial region, due to the capacity of disfigure a visible area that has a huge importance for the individual coexistence. Besides that, this region is considered unprotected and exposed. The most common sequels caused on this region are neurological, phonoaudiological, ophthalmological and orthopedic. The trauma can, basically, rush any anatomical area of the head: soft tissues, dent alveolar tissue, and cranioencephalic region. Besides the physical traumas suffered by the victims, the psychological traumas are also important, since the researches show that the quality of life post injury is a quite considerable factor. On cases that involve drilling by firearm, the approaches are the most complex, requiring emergency care and demanding multidisciplinary action. Thus, the knowledge about the topic and the principles of treatment are extremely important, so satisfactory results can be obtained on the patient's life. [ABSTRACT FROM AUTHOR]