Oral and maxillofacial trauma consists of various injuries but penetrating injuries are very rare and frequently require a multidisciplinary approach to treatment. The primary survey is always the initial step in trauma management before continuing with further evaluation and treatment. The following case reports discuss the clinical strategy of our rare encounter of penetrating injuries at the same time. These cases demonstrate that complex penetrating injuries of the oral and maxillofacial region require a structured and multidisciplinary approach to prevent further side effects and obtain an ideal clinical outcome.