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All-on-4 Dental Implants

Have you been told you aren't a candidate for dental implants because of low jawbone density? We offer an alternative solution.

For many patients, All-on-4® dental implants can support a full denture without the need for a preparatory bone graft or sinus lift.

River Valley Advanced Dental & Implant Center provides life-changing All-on-4 treatment from our Boise, ID, and Billings, MT, offices.

The Advantages of All-on-4 Dental Implants

Dental implants are considered the gold standard of restorative dentistry. Implant posts can be placed in the jaw after tooth loss to replace natural tooth roots, prevent bone atrophy, and support lifelike prosthetics. Although the goal of a restored smile is the same for each unique implant method, not all provide the same advantages. Compared to traditional techniques used to place implant-supported dentures, the All-on-4 method offers:

The Same Great Stability

It usually requires six to eight individual implant posts to accommodate a full implant-supported denture. All-on-4 uses just four posts to achieve the same degree of stability and long-term success as traditional implants. In fact, a study of All-on-4 patients showed an implant success rate of nearly 95% after 10 years of use.

Less Prep Work

Many traditional dental implant patients need sinus lifts or bone grafting to strengthen their jaw before implant placement. These procedures aren't necessary for most All-on-4 patients, meaning you can likely save a significant amount of time in your treatment journey and stay on the fast track to a brand-new smile.

Quicker Results

All-on-4 implant placement typically takes just a few hours to complete, and your dentist will likely be able to attach a temporary denture for you to wear during your recovery period. This means you'll never have to be without your smile during the process. Once you've healed, return to our Boise or Billings office so our dentist can secure your custom permanent denture to your implants, transforming your appearance and dental function for years to come.

See How All-on-4 Works

All-on-4 Dental implants
During the All-on-4 procedure, our dentist places four Nobel Biocare™implant posts that will support a full-arch denture. The two posterior implants are angled to maximize contact with the existing jaw tissue. This method provides excellent dental stability and can bypass the need for preliminary surgery to strengthen the jawbone.

When It Comes to Repairing Your Smile Trust a Prosthodontist Like Dr. Casagrande

Dr. Casagrande

If you're considering transforming the look and function of your smile with dental implants, you need a dentist with the experience and skill to give you the very best results. If you're in the Billings, MT, or Boise, ID, areas, look no further than our dentist, David Casagrande.

Dr. Casagrande is not just a dentist, but a prosthodontist. This means he has undergone specialized training in dental prosthetics, and with over 35 years of experience, he is equipped to treat even the most complex cases. That includes not only placing dental implants but restoring them, as well. He is considered an expert in implantology and even travels across the Northwest to educate other dentists on the theory and practice of implant dentistry.

Are you ready to find out what one of the top implant dentists in the region can do for your smile with All-on-4 dental implants? Contact us online or call us to get started.

(406) 656-2000

"I wouldn't trust anyone else with my dental health." A Testimonial From a Happy Patient

"I knew Dr. Casagrande was the perfect dentist for me after sitting down and speaking with him. He provides the utmost care and concern for each patient of his. I wouldn't trust anyone else with my dental health." K Bickford

The All-on-4 Timeline

We'll ensure your complete comfort with thorough local anesthesia or optional sedation before beginning your procedure.
We'll ensure your complete comfort with thorough local anesthesia or optional sedation before beginning your procedure.

Initial Consultation

Meet with Dr. Casagrande at our office in Billings, MT, or Boise, ID, to discuss your dental implant treatment goals. He will examine your dental health and jawbone density to ensure the bone is strong enough to support dental implants using the All-on-4 technique. He may schedule some preparatory dental care, like a routine cleaning for your existing natural teeth or gum disease treatment, to get you ready for dental implant surgery.

Administering Anesthetic

Before implant placement surgery begins, the treatment area will be thoroughly numbed with local anesthetic. If you have dental anxiety or sensitivity, you can receive oral conscious sedation, IV sedation, or general anesthesia to help you relax throughout the procedure. 

Placing the Dental Implants

Once you're comfortable, Dr. Casagrande will make small incisions along your gumline and anchor your dental implants into your jawbone at strategic angles. He may be able to place a provisional denture immediately after surgery, which will allow you to go home and enjoy a fully functional smile that very day.

Placing Your Permanent Denture

It typically takes two to three weeks to create a permanent denture. Once your denture is ready, return to Dr. Casagrande so he can remove your provisional denture and fit you with your new permanent smile. He will make any necessary adjustments to ensure your denture is comfortable, natural looking, and fully functional.

How Much Do All-on-4 Dental Implants Cost?

It typically costs $24,000 for All-on-4 implants and a full-arch denture at our practice in Boise, ID, and Billings, MT. You finals costs may vary depending on whether you receive sedation or require preparatory dentistry, such as tooth extraction. 

Your Insurance May Help

If you have dental insurance, it's likely that your provider will help cover the cost of your implant-supported restorations. However, the implants themselves will not likely be covered. We accept most insurance plans and will coordinate with your provider to maximize your coverage.

We Also Offer Flexible Financing

If you are uninsured or need help covering your out-of-pocket costs, we have options to keep your dental implant treatment affordable for your budget. You can secure a loan through CareCredit® or LendingClub®, companies that offer low interest rates and flexible monthly payments.

"There is no one better than Dr. Casagrande" Our Patients Leave 5-Star Reviews

"Him and his staff go above and beyond for their patients making sure they feel at ease. I have had nothing but excellent experiences with him as my dentist." Alton Dixon
Dr. David Casagrande

River Valley Advanced Dental & Implant Center

Dr. David Casagrande is a renowned prosthodontist who has been caring for the most complex cases for more than 40 years. He is a member of various professional organizations:

  • Montana Dental Association
  • American Dental Association
  • American College of Prosthodontists
  • The Academy of Osseointegration

To discuss your oral health concerns with our team, request a consultation online or call us at (406) 656-2000.

Message Our Staff

When you go to Dr. David Casagrande, you are treated with the utmost respect. They make sure everyone is comfortable and really accommodate the needs of their patients. I am so grateful I have such a wonderful Prosthodontist office so close by.

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Billings Office

2105 Central Ave
Ste 100
Billings, MT 59102

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Boise Office

403 S. 11th St.
Ste 200
Boise, ID 83702

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