Objectives <p>To analyse epidemiology, fracture patterns, injury mechanisms, and management of mandibular fractures over 5&#xa0;years at a single department.</p> Materials and Methods <p>Medical records of patients treated for mandibular fractures at a single tertiary department (Jan 2020–Aug 2025) were retrospectively reviewed. Age, sex, cause of injury, fracture site, multiplicity, seasonal distribution, and treatment modality were recorded. Statistical analysis included Chi-square, Z-test, Mann-Whitney U and Kruskal-Wallis test. P-value of &lt; 0.05 was considered statistically significant.</p> Results <p>Among 660 patients (478 males, 182 females), 970 fracture lines were identified; 50% had multiple fractures. Condylar fractures were most common (<i>n</i> = 334), followed by angle (<i>n</i> = 207), body (<i>n</i> = 206), and symphysis (<i>n</i> = 158). Interpersonal violence predominated in men, falls were more frequent in women (<i>p</i> &lt; 0.0001). Surgical treatment was performed in 456 patients (69%), 204 (31%) received conservative management, mainly those over 60 years (<i>p</i> &lt; 0.0001) and isolated condylar fractures. Significant summer peak was observed compared to winter (<i>p</i> &lt; 0.0001).</p> Conclusions <p>Mandibular fractures show sex-specific injury patterns, with interpersonal violence in men and falls in women. Treatment decisions are guided by fracture complexity and patient age, and incidence is higher during summer months.</p>