Smiling Man

Dental Bridges

Missing teeth can make you feel like a bystander in life. If you want to grin, talk, and chew normally again, meet Dr. David Casagrande.

He combines his extensive prosthodontic experience with cutting-edge technology to design functional, natural-looking dental bridges.

You can explore your options—and start smiling again—at River Valley Advanced Dental & Implant Center in Billings, MT, and Boise, ID.

What Are Dental Bridges?

A bridge is a dental restoration that can replace several consecutive missing teeth. Traditional dental bridges consist of pontics (replacement teeth) and crowns, which cap the abutment teeth (teeth on either side of the gap) and hold the bridge in place. Your bridge will prevent your existing teeth from shifting, restore your smile, and help maintain your natural facial structure.

You can choose between a traditional bridge, which is held in place by abutment teeth, or an implant-supported bridge, which offers added stability and crucial jawbone support.

See How a Dental Bridge Works

A traditional bridge fills gaps left between tooth loss and is supported by crowns placed on natural teeth
A traditional bridge is anchored by crowns that fit over reshaped abutment teeth. The pontics fill the gaps in your smile and renew your ability to eat and speak comfortably.

For Cutting-Edge Dental Care Visit Prosthodontist David Casagrande

Many dentists have to refer out for various steps in the tooth replacement process, which can make it difficult to receive the care you need in a timely manner. Dr. Casagrande, however, is a prosthodontist. His special training in dental prosthetics allows him to handle every step of your treatment for missing teeth, from traditional bridges to implants. He also remains up-to-date with continuing education so that he can provide the most advanced care.

To find out why patients from all over the country travel to see Dr. Casagrande, contact one of our two offices in Billings and Boise, or call:

(406) 656-2000

For over 40 years, Boise and Billings patients have trusted Dr. Casagrande to provide the specialized care that many dentists cannot.

Dr. Casagrande

"Experts in their field." Why Billings and Boise Patients Trust Us

I have been a patient of Dr. Casagrande since 2003 and only have positive comments to share. The entire staff is friendly, professional, efficient, caring and experts in their field. Jeff Malcho - 5-Star Review

The Dental Bridge Timeline

From traditional bridges to implant-supported bridges, Dr. Casagrande combines cutting-edge dentistry with first-class care and respect for each of his patients.
From traditional bridges to implant-supported bridges, Dr. Casagrande combines cutting-edge dentistry with first-class care and respect for each of his patients.


During your initial consultation at our Billings, MT, or Boise, ID, offices, we'll evaluate your oral health and help you determine whether a dental bridge is the best option for you.

Our dentist can also explain which type of bridge will be best suited to your needs. He's happy to answer any and all questions, so feel free to ask away.

Reshaping the Teeth

In order to place a traditional bridge, our dentist will begin by conservatively reshaping your abutment teeth in order to accommodate the crowns that will hold your bridge in place.

The procedure involves minimal discomfort, and most patients are able to return to their normal activities immediately following treatment. However, if you have dental anxiety or sensitive teeth, sedation is available at both of our offices.

Temporary Bridge Placement

It usually takes a few weeks to create a custom dental bridge, but we won't leave you without a functional smile in the meantime. Dr. Casagrande will fit you with a natural-looking temporary bridge while your permanent bridge is being fabricated at an award-winning local dental lab

Permanent Bridge Placement

Once your permanent bridge is ready, return to our Billings or Boise office for a fitting. Our dentist will remove your temporary bridge and secure your permanent bridge to your abutment teeth, making any necessary adjustments to ensure it feels completely comfortable.

If you are receiving an implant-supported bridge, Dr. Casagrande will have to place your dental implants in an initial surgery. It will take about four to six months for your implants to fuse with your jaw tissue. At this point, you can return to one of our offices so Dr. Casagrande can place your abutments, which are the connector pieces that will secure your bridge to your implants. After a brief healing period of just a few weeks, Dr. Casagrande can place your permanent bridge during a third appointment. 

Need a More Comprehensive Smile Restoration? Try Full Arch Replacement With Promax Implant Bridges

The PROMAX® implant bridge is one of the most innovative implant dentistry options we offer. Typically secured by four to six dental implants, this incredibly lightweight bridge uses individual crowns rather than fused pontics to replace up to a full arch of teeth. This makes it much easier to repair your restoration if a single part becomes damaged. During your consultation, Dr. Casagrande can determine if the PROMAX bridge is the right solution for your smile.

"Everyone wants the ProMax if they can have it."

If you are missing a full arch of teeth, the Promax implant bridge is an incredibly natural-looking and functional way to restore your smile. Dr. Casagrande creates this bridge using individual dental crowns, which makes it simple to repair your smile in case of wear or damage. 

"Above and beyond." Another Great Review From a Happy Patient

Dr. Casagrande and his staff always go above and beyond to provide me with quality dental care. I have had a great overall experience with Dr. Casagrande as my dentist these past 5 years. Amberlee B - 5-Star Review

We Offer Financing To Keep Your New Smile Affordable

Depending on your dental insurance, at least part of the cost of your new dental bridge may be covered. However, if you are uninsured or have high out-of-pocket costs, the price of treatment may feel like a barrier between you and a healthy, beautiful smile.

A new dental bridge is more than just a way to replace missing teeth—it's an investment in your appearance, your confidence, your ability to eat without restrictions, and your overall quality of life. We want to make these benefits available to all our patients regardless of insurance or financial status, so we offer financing through CareCredit® and LendingClub®. They offer loans with little or no interest and flexible payment periods that can keep your costs manageable.

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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Google map image of our location in 2105 Central Ave Ste 100 Billings, MT

Billings Office

2105 Central Ave
Ste 100
Billings, MT 59102

Closed Today

Google map image of our location in 403 S. 11th St. Ste 200 Boise, ID

Boise Office

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

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