18/08/2026
Mandible Fracture!
This young horse was admitted out of hours following a freak accident that caused a severe open fracture of the lower jaw (mandible). The fractured bone had become displaced and was protruding through the surrounding soft tissues, with damage also involving the lower canine and incisor teeth. Following an initial assessment, the horse was transferred to our Plum Park Hospital for intensive treatment and monitoring. Under standing sedation and local nerve blocks, the wound was thoroughly examined, cleaned and flushed. Radiographs were then taken to assess the extent of the fracture. The jaw was stabilised using wire placed around the teeth, holding the fractured bone in the correct position to allow healing.
The horse received intravenous antibiotics, pain relief and fluid therapy, alongside close monitoring from our team. Over the following days, the wound was flushed several times a day—a challenging task given its location. Damaged tissue was carefully debrided where necessary, the stabilising wires were regularly checked, and protective dental putty was applied around the wire to prevent rubbing against the delicate tissues inside the mouth.
Thankfully, the horse continued to eat well throughout treatment, as other teeth responsible for chewing were unaffected.
Swabs were submitted for culture and sensitivity testing, allowing us to tailor the antibiotic treatment to the bacteria identified and provide the most appropriate medication.
We also incorporated Class IV therapeutic laser into the treatment plan. This painless therapy uses specific wavelengths of light to support the body's natural healing processes, helping to reduce inflammation, improve circulation, relieve pain and encourage tissue repair. Day by day, the wound began to improve. Healthy granulation tissue developed, creating a strong foundation for healing, while the skin and gums gradually grew across the wound. Beneath them, the underlying bone began the remarkable process of repair. This was a challenging injury requiring intensive treatment, careful wound management & close monitoring but the horse is now back to full ridden work!