woman holding her jaw in pain

Dental Crowns

Tooth pain, swollen gums, and dental sensitivity to hot and cold temperatures can be signs of a structurally compromised tooth.

Dr. David Casagrande is here to help. His offices provide the highest-quality dental crowns to restore and even replace natural teeth.

We invite you to explore the benefits of dental crowns provided by our Billings, MT, practice...

Treatment Cost

The cost of dental crowns can vary based on the materials used and other factors, but the typical cost is between $1,600  and $2,000. Of course, that figure doesn't necessarily reflect what you will be paying out of pocket. Our Boise and Billings offices accept most major dental insurances. We also offer flexible financing plans through CareCredit® and LendingClub®, which can break up your remaining out-of-pocket expenses into affordable monthly payments. 

"Hard to tell if it's a tooth or a crown." Dr. Casagrade Discusses Custom Crown Options

Our Billings and Boise offices offer dental crowns made entirely or porcelain, porcelain fused to metal, and gold. 
Our dentist's goal is to provide permanent crowns that are durable and provide many years of benefits. Our crowns can be crafted to look just like natural teeth.

5 Stars!

"A very professional doctor and staff. They have a deep concern and care for their patients. I would recommend to anyone." John

Don't Wait!  Get Started on Treatment Today

Dr. Casagrande has been helping patients maintain and improve their oral health since 1982. Dr. Casagrande specializes in the field of prosthodontics. This distinction required undergoing years of direct training in tooth rehabilitation and dental prosthetics. 

He uses this knowledge to provide patients with superior restorative dentistry and healthy, functional smiles. If you suspect you have tooth damage, do not wait for the problem to get worse. Get help from a trusted dental professional today. 

You can schedule an appointment at one of our two office locations in Billing, MT, or Boise, ID, today by calling:

(406) 656-2000

dr. casagrande
River Valley Advanced Dental & Implant Center serves patients in the greater Billings and Boise regions with state-of-the-art restorative dentistry.

Crowns Can Replace Missing Teeth? Yes! Thanks To Dental Implants

While traditional dental crowns are designed to preserve your natural teeth, modern implant-supported crowns can actually replace a single lost tooth from the roots to the chewing surface. Dental implants are small titanium devices that are surgically placed in the jaw to replace lost tooth roots. Just like real tooth roots, they provide stimulation that helps retain bone tissue in the jaw. Once the implant has completely integrated with the bone tissue, your dentist will attach a custom-made dental crown that looks and feels just like a natural tooth.

implant-supported tooth

What to Expect During Treatment 


During your initial consultation, your dentist will assess your oral health and diagnose your dental condition. If we cannot treat the problem with a more conservative method like a dental filling, we may recommend crown treatment. 

Tooth Prep

Before we crown your tooth, we will first need to treat the underlying health problem. Often, that involves a root canal to eliminate infection in the soft inner tissue of the tooth. Once we remove the decayed portions and sterilize the inner chamber of the tooth, we will fill the tooth with an inert rubber-like substance and then seal the exterior.

Temporary Crown

After your tooth is prepared, your dentist will take digital impressions of your smile. These 3D scans are used to design your custom crown. Before you leave the office, we will place a temporary crown over your tooth until the permanent crown is ready. The temporary crown will allow you to chew and enunciate while you wait for your permanent crown.


Your impressions are sent to our partner lab, which handles the production of custom prosthetics. There, specially trained lab technicians handcraft the crown from the materials of your choice. This process usually takes about two to three weeks. 

Permanent Crown 

When the permanent crown is ready, you will return to the office for the final steps of treatment. Your dentist removes the temporary crown and checks the look and fit of your custom restoration against your teeth. We can then make minor modifications to achieve the best possible fit. Finally, the crown is secured with a strong dental adhesive and polished to achieve a stunning finish.   


There is generally no downtime involved in receiving a dental crown. Most patients return to their normal schedule immediately after their appointment. If you have questions or concerns at any time, do not hesitate to contact our office, and we will be happy to assist. 

"I have lived in Boise for forty years and was never really satisfied with my dental choices. I have had to compromise for too many years. Then I met Dr. David Casagrande. He is an artist. I am so happy with the work he did, that I am proud to smile again." Dino M.

A Closer Look At Crown Placement

To ensure that your new crown complements the form and function of your smile, Dr. Casagrande will conservatively reshape your existing tooth structure before placing your permanent restoration. 

Does Treatment Hurt?

Contrary to common misconceptions, getting a crown is relatively pain-free. Your dentist will administer local anesthesia before starting the procedure to minimize any discomfort. However, we understand that some people experience higher levels of sensitivity and anxiety when it comes to dental work. To ensure that every patient feels comfortable, we offer several sedation options to help you achieve deep relaxation during your procedure. If you would like to learn more, please schedule a consultation at our Billings or Boise offices to speak to a dentist today. We want you to feel comfortable while we treat your teeth, and are willing to make the necessary accommodations.

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 dentist office so close by.

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

Boise Office

403 S. 11th St.
Suite 200
Boise, ID 83704

Closed Today

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

Billings Office

2105 Central Ave
Ste 100
Billings, MT 59102

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