03/08/2026
🦷 Case Spotlight: Rostral Mandibular Fracture 🐴
This photo series shows the management of a rostral mandibular fracture involving the 802 and 803 incisors (Triadan system). Following careful assessment, it was evident that both teeth were too severely damaged to be preserved. They were therefore completely extracted, and the gingiva was meticulously sutured to create a healthy, tension-free closure.
The primary goals in managing rostral mandibular fractures are to:
🦷 Restore comfort and function
🦷 Preserve as much healthy tissue as possible
🦷 Minimise the risk of infection and delayed healing
Fortunately, horses generally cope remarkably well with the loss of one or more incisors, particularly when the remaining dentition is healthy. In this horse the fracture also only involved deciduous teeth and the underlying permanent teeth (402 and 403) were unaffected and should errupt normally. 402 in the next 4-6months and 403 about a year later.
Most horses return to eating normally once soft tissue healing is complete.
Cases like this highlight that successful fracture management is not always about preserving every tooth—it is about choosing the treatment that offers the best long-term outcome for the patient.
💬 Did you know? Horses have 12 incisors in total. Can you name the six maxillary or mandibular incisor Triadan numbers without looking them up? 👇
For the vet students: knowing when which incisors erupt played key role in decision-making in this case. Can you name the ages at which the various incisors erupt?