Retention and instability problems are the main complaints of mandibular total dentures, depending on the clinical situation; several therapeutic proposals can be considered to improve them. This article discusses and presents, through clinical cases, three therapeutic approaches to provide more stable and retentive dentures. The first approach is the piezographic technique, an excellent tool for patients with high muscle tone. The second approach is the overdenture, a solution to be used whenever possible to improve chewing efficiency. Finally, an implant-supported prosthesis is a reliable alternative that leads to better prosthetic integration by increasing retention. This in turn improves the edentulous patient’s quality of life.
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