Hsieh TY, et al. - Risk factors associated with treatment complications in patients with traumatic mandible fractures are investigated via retrospectively reviewing 137 patients presenting to a tertiary care, level 1 trauma center with mandible fractures between January 1, 2014, and January 1, 2017. Complications were noted to be associated with an increased time to treatment, tobacco use, dental extraction, and living farther from the treatment facility. These risk factors represent both patient-related and systems-level factors. On a systems level, the results emphasize expediting intervention for mandible fractures to improve outcomes.