Background: Military fighters are one of the highest risk populations for dental and oro-facial trauma. The aim of this study was to evaluate the incidence and etiology of oro-facial injuries among active duty paratroopers in the Israeli Defense Forces. Methods: Paratroopers from selected companies were interviewed using a structured questionnaire regarding oro-facial trauma during active service years. The study consisted of 311 male paratroopers, with a mean age of 21.1 years (± 1.7). Mean duration of military service until the study was conducted was 25.9 months (± 6.9). Results: Oro-facial injuries during military service was found in 87 (28.0%) of the participants, with an incidence rate of 129.6 cases per 1000-fighter-years. Extra-oral lacerations (lip, chin, cheek/facial muscles) were the most common injury. Tooth injuries were reported by 48 of the participants, of whom 44 (50.6%) suffered from dental fractures and four (4.6%) from subluxation/luxation. Most oro-facial injuries occurred in an isolated training or operational field. Thirty-seven participants (42.5%) reported postevent disturbance and 10 (11.5%) reported loss of operative activities because of the event (mean 8.6 ± 4.0 day loss). Conclusions: Military paratroopers are highly predisposed to oro-facial trauma. Besides the physical and mental associated damage, these injuries result in the interference of their continuous daily activity. Prevention, mouth-guard usage and treatment intervention are two important actions that should be adopted to reduce trauma and its interference.