Objective To observe the treatment effect of using screwed miniplates through an intraoral and transoral approach for patients with angle and ramus fractures. Methods 21 cases of mandibular angle and ramus fractures were treated by screwed miniplates placed through an intraoral incision with transbuccal mini-incision. Results The use of intraoral and transoral approach reduced the rate of facial paralysis and scar in the internal fixation operation. No postoperative infection occurred in all the cases. Conclusion The use of rigid internal fixation through an intraoral and transoral approach can be applied in the patients with angle and ramus fractures.