Dr. ILA YADAV

Directions Website Contact the practice

Dr. ILA YADAV M.D.S. Prosthodontist and implantologist

15/10/2026

Everything was perfect at the trial… so what went wrong at insertion?

This was a full-mouth rehab case. We planned upper and lower anterior FPDs from canine to canine, saving as many teeth as possible, and flexible RPDs for the missing posterior teeth.

The patient had a habit of biting on the front teeth, so we had to raise the bite and shift the occlusion posteriorly.

Denture trial? Perfect! Bisque trial of the crowns? Perfect!

But on the day of insertion, after cementing the crowns and inserting the acrylicized denture, guess what? The patient was STILL biting on the front teeth!Posterior open bite, random teeth touching…

And he was from Punjab and had to travel back home. Ab aise hi bhej dein patient ko? With a compromised bite?

Here’s a simple chairside trick that came to our rescue!

We re-established the anterior bite using a chairside jig and then raised the posterior bite using tooth moulding powder on the lower denture, with generous Vaseline on the opposing teeth.

Once the material set, we finished and contoured the added acrylic, establishing the desired occlusion without remaking the entire denture!

Comment “ACRYLIC” and I’ll send you the step-by-step procedure for this technique.

Follow for more Prostho Without Panic hacks to tackle real-life clinical challenges and make your everyday practice easier!

12/10/2026

“She came to me because she was conscious about the gap in her front teeth. But the real problem started when she was just 11 years old!”

CASE HISTORY

“She had a fall at 11, traumatising both her central and lateral incisors. The centrals underwent RCT, while the laterals were extracted.

Over the years, she developed recurrent pus formation and needed repeated debridement and re-RCT.

Now, at 19, she presents with a midline gap and spacing distal to the centrals. The X-ray reveals internal resorption in 11 and a periapical lesion in 21.

And that’s not all! Both lateral incisors are missing, the primary canine is still retained, and the permanent canine has erupted mesially, occupying the lateral incisor position.”

OPTION 1: THE BRIDGE APPROACH

“Option one? Extract 11, attempt re-RCT of 21, and perform intentional RCTs on 13, 23 and the retained primary canine.

Basically, one extraction, one re-RCT and three intentional RCTs to deliver a six-unit anterior bridge!”

OPTION 2: THE ORTHO-IMPLANT APPROACH

“Option two? Extract both compromised centrals and the retained primary canine.

Then start orthodontic treatment to distalise 13 into its correct canine position and create space for the four missing incisors.

Once orthodontics is complete, place two to three implants in the anterior region and rehabilitate the smile with a prosthesis.”

THE DILEMMA

“Now, both options come with their own challenges — cost, treatment duration, long-term prognosis and the involvement of multiple specialities.

So, which option would YOU choose for this 19-year-old patient?

Comment CASE 8, and I’ll share the treatment plan we finally agreed upon!

Follow for more real-life cases and clinical dilemmas.”



(Dental, dentist, dentistry, dental cases, case discussion, mds, bds, clinical practice, private practice, content, content creator, reels, viral reel)

10/10/2026

“Stop treating Teflon like you’re packing cement into that access hole! 😂🦷

Two things to remember when sealing your implant crown access hole:

One: Use Teflon in ONE single piece. Don’t put tiny bits and then add more. One piece is much easier to pull out later!

Two: Don’t compress it like crazy! If the screw loosens years later, you don’t want to spend half your appointment digging out rock-hard Teflon! 😂

Pack it nicely, not Hulk-style! 💪

Follow for more Prostho Without Panic tricks! 🦷✨



(Dental, dentist, dentistry, dental clinic, private practice, clinical dentistry, mds, bds, learn, education, educational, motivational, implant, crowns, viral, viral reels, content, content creation)

08/10/2026

This 36-year-old female came to us saying, “Doctor, my front bridge is loose.”

Now obviously, the bridge needed to be changed.

But before touching it, let’s count the problems.

The entire upper arch looked too low and too prominent — almost like the whole maxilla was falling down.

There was excessive gum display, the smile line was completely off, and the existing crowns had a lot of scope for improvement — shape, proportions, contour, colour… everything.

And when we removed the existing crowns, there were even more findings — a very small 11, a discoloured root stump, a history of trauma, and a whole lot of other compromises.

But here’s the interesting part:

The patient didn’t come asking for a smile makeover.

She just wanted a better-fitting bridge. She didn’t even realise how much we could potentially change her smile.

And that’s where the real dilemma starts.

If the patient is paying only for crowns, do you simply replace what is already there?

Or do you go above and beyond and address everything that you can realistically improve?

Because when I see an anterior case like this, I don’t want to think, “The bridge is old, let’s make a new one.”

I want to think, “If I’m getting one chance to start this case again, what all can I improve?”

And this is exactly why I feel every anterior case should be approached like smile designing.

Not necessarily smile-design software.
Not necessarily an expensive smile makeover.

I’m talking about the way we think about the case.

The patient may come asking for a bridge — but we, as dentists, should be able to see the possibilities beyond that bridge.

So what would you do in this case?

Just replace the old bridge?

Or go beyond what the patient is asking for and correct everything you can actually improve?

Comment “CASE 7” and I’ll send you the complete step-by-step treatment plan of how we approached this case.

And follow for more real-life prosthodontics and the dilemmas behind them.


(Dental, dentist, dentistry, dental clinic, private practice, mds, bds, viral reel, content, content creator, zirc

05/10/2026

“Still burning your fingers while doing border moulding? 😭🔥”

Stop doing this the messy way!

Take a 5 or 10 mL syringe, cut the tip, and fill it with green stick.

Dip it in very hot water for 2–4 minutes—and it becomes soft and flowable.

Put the plunger back, squeeze it directly onto your tray, and give it just one quick pass over the flame for better flow.

Then dip in lukewarm water and place in patient’s mouth and proceed with the border moulding!

No sticky mess. No burnt fingers. 😌

Comment “DM” if you want the video of this procedure
And
Follow for more clinical protho hacks that actually make your life easier!


(Dental, dentist, dentistry, dental clinic, practical dentistry, private practice, viral reel, content, content creator, mds, bds)

03/10/2026

One of my favourite prostho jugads is for those small, sharp bony spicules after recent extractions—especially when you’re planning a complete denture.

You run your finger over the ridge and find that one spot that’s going to become sore every time you insert, remove, or repeatedly try in your custom tray.

Now, do you wait for the ridge to settle?
Or open the gum and do a full alveoloplasty?

Neither.

For a minor bony spicule, I use a simple fulcrum technique.

Place two instruments perpendicular to each other, use one as the fulcrum, and apply pressure with a heavier instrument from the other end.

And… there you go.
That little bony prominence gets flattened—without opening the gingiva.

Quick, practical, and saves you a whole lot of unnecessary cutting.

Comment “jugad” if you want to get the video of this procedure!

Follow for more Prostho-without-Panic hacks!



(Dental, dentist, dentistry, dental clinic, practical dentistry, private practice, surgery, viral reel, content, content creator, mds, bds, dental hacks)

02/10/2026

The patient recently had the mobile anterior teeth 31, 32, 41 and 42 extracted and now needs an anterior bridge.

This case was shared with me on Instagram, and initially, it looks like a straightforward bridge case.

But once you start planning, four important questions come up.

One: The extraction sites haven’t healed completely, and the patient has to travel soon.
So temporary bridge or final bridge? How do we manage the changing ridge?

Two: Look at those supraerupted canines with significant recession and long clinical crowns.
How much do we actually prepare? And how do we decide the ideal abutment height?

Three: What about the pontic?
Would a hygiene pontic be feasible here to reduce the bulk?

Four: during preparation of the canines, where should we place the margins?

Four very practical questions

Want to know the treatment plan?

Comment “CASE 6” and I’ll send you the treatment plan we agreed upon.

Follow for more real-world prostho case discussions.



(Dental, dentist, dentistry, content, content creator, dental clinic, practical dentistry, private practice, reels, viral reels, crown, bridge, mds, bds, dental lab, case discussion, management, cde, continuing dental education)

29/09/2026

“When we started making flexible dentures for the patients, I was one of their biggest fans.

No clasp headache.
Better aesthetics.
Minimal trimming and adjustments.
And somehow… they would just fit! 😅

But then came the follow-up visits.
And that’s when things got interesting.

‘Doctor, the denture has become loose.’
‘Doctor, I can’t chew properly.’

Initially, the denture is often very tight.
And if you trim and adjust it to make it fit better… with time, it can become progressively loose.

And then comes the bigger problem — you can’t easily modify it.

Broken? Difficult to repair.
Tooth comes off? You may not be able to simply add it back.

And suddenly, the denture that seemed so convenient… comes with a whole new list of problems. 😅

Now, I’m not saying flexible dentures have no use.
They definitely do.

But case selection is everything.

So after years of clinical experience and patient complaints, I made my own checklist:

Where should you use a flexible denture?
Where should you avoid it?
And when is conventional acrylic actually the better choice?

Comment “FLEX” and I’ll send you my checklist!”

And if you’re a dentist, follow for more practical tips, tricks, and clinical hacks that can make your everyday practice a little easier.”

28/09/2026

“Over time, I’ve learned how to manage one of the trickiest situations in prostho—when the bite is completely collapsed, but the anterior teeth are still present.”

now you need to make crowns on the front teeth!

But the BIG question is…

How much do you prepare those teeth?

Because your posterior bite is already collapsed!

Ideally, you’d establish the posterior bite with the denture first, and then prepare and make your anterior crowns according to that established bite.

But there’s a problem.

If you make the final denture first, your lab may struggle to make the anterior crowns fit perfectly with those denture flanges.

So then…
Crowns first? Denture first? 🤯

I get so many queries about this exact dilemma.
how do I manage the sequence so that both the denture and crowns work seamlessly?

That’s the part I’ve learned and refined over time.

Comment “FIT” and I’ll send you my step-by-step clinical workflow for these cases!

And follow for more practical prostho tips from real-world clinical practice.

Address

SHAPE Dental Aesthetics Clinic
Delhi

Opening Hours

Monday 9am - 8pm
Tuesday 9am - 8pm
Wednesday 9am - 8pm
Thursday 9am - 8pm
Friday 9am - 8pm
Saturday 9am - 8pm
Sunday 9am - 8pm

Website

Alerts

Be the first to know and let us send you an email when Dr. ILA YADAV posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr. ILA YADAV:

Shortcuts

Share

Category