Introduction: Fractures of the toothed portion of the mandible can lead to serious functional and aesthetic sequelae if they are poorly treated. The objective of this study was to evaluate the management of these fractures in the Department of Stomatology and Maxillofacial Surgery of the Sylvanus Olympio University Teaching Hospital in Lomé. Patients and Methods: This was a retrospective and descriptive study from medical records of patients hospitalized for a fracture involving the toothed portion of the mandible, from January 2015 to December 2022. Results: A total of 125 cases of fractures involving the toothed portion of the mandible were collected. The annual frequency was 15.63. The average age of the patients was 31.57 ± 11.60 years, with extremes of 2 years and 68 years. The sex ratio was 4.95. Patients from the informal sector (independent artisans, street vendors, small farmers) accounted for 36.80%. The main etiology was road traffic accidents (75.20%), and involved motorcyclists in 86.17%. The average time before consultation was 48 hours. The mandibular symphysis was involved in 76% of cases, followed by the corpus (20.80%). Fifty-seven point sixty percent of patients had a bifocal fracture. Surgery alone was performed in 66.40% of cases, and mixed orthopedic and surgical treatment was performed in 27.20% of patients (surgical treatment then concerned around 93.60%). The average duration before specific treatment was 12 days. The sequelae were found in 8.80% of patients. Conclusion: Fractures of the toothed portion are the prerogative of young adult males. Their management is surgical and must be early to avoid complications and sequelae. Their etiologies are dominated, in Africa, by road traffic accidents. Emphasis must be placed on prevention.
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