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Dental Implants

Missing teeth can damage your appearance and your oral health.

River Valley Advanced Dental & Implant Center can replace missing teeth with dental implants to restore your smile and preserve bone tissue.

Prosthodontist David Casagrande can renew your smile with implants at our offices in Billings, MT, and Boise, ID. 

Don't Wait and Risk Your Oral Health Call our Billings or Boise dental office today!

Even a single missing tooth can cause your jawbone to begin to deteriorate, leading to sunken facial tissues as well as other oral health concerns. If you have remaining natural teeth, you could be at risk of further tooth loss.

Don't wait and put yourself at risk for further dental health problems. At River Valley Advanced Dental & Implant Center, our entire team is here to help you. Dr. David Casagrande has been in practice since 1982, and stays on top of his education so that his patients can receive the best care possible. Guided by state-of-the-art technology, he precisely places each implant for optimal results. You can rest assured that you will receive high-quality care when you chose our dental practice for your implant and restoration needs. 

Call us today or request an initial consultation at our offices in Billings, MT, or Boise, ID

Dr. Casagrande
"On October 21, 2105, I had my new set of (implants) on the tops and the bottoms. I haven't stopped smiling since. The other day we ran into another setback (leave it to me to be the first), and as always Dr. Dave and the staff was behind me 100% to make it right. I've never once looked back. Thank you for everything" Charlotte G.

​What Are Dental Implants?

Dental implant
Dental implants are titanium posts that are surgically inserted directly into your jaw. These posts then fuse to the jawbone in a process called osseointegration. The posts act like prosthodontic tooth roots, providing much-needed stimulation to the jawbone. Dental implants are then paired with restorations such as dentures, crowns, and dental bridges to restore oral function and allow you to eat and speak properly. These restorations are secured to the implant via an abutment, providing maximum stability. 

Why Choose Dental Implants Over Traditional Prosthetics?

A Lifelong Investment

With the proper dental care, implants can last 40 years or longer. Your restoration may need to be replaced occasionally, but the titanium implant themselves can provide a lifetime of benefits.

Retain Your Jawbone

Losing teeth causes the jawbone to atrophy, giving your face a sunken appearance. Implants prevent jawbone atrophy by stimulating bone growth in the jaw. 

Better Function

Traditional prosthetics like dentures can slip out of place when you speak or eat. Prosthetics anchored by implants do not slip out of place. Patients can eat a wide variety of food without worrying about slippage.

The Advantages of Having a Prosthodontist

While general dentists are good at replacing a missing tooth, they may not have a wide range of restorative treatments. A prosthodontist is a dentist who specializes in prostheses and working with missing teeth. 

As a prosthodontist, Dr. Casagrande has significant experience fitting crowns, bridges, dentures, implants, and other restorative solutions. Using high-quality materials and the latest technology, Dr. Casagrande can deliver a prosthetic that will blend in with your natural teeth and enhance your smile. 

Contact Our Dental Practice Today To Restore Your Smile 

A missing tooth can cause embarrassment, as well as difficulty chewing and speaking. While traditional prosthetics will fill in the gaps in your teeth, they lack the strong functionality that comes with dental implants. 

As a specialist in prosthodontics, Dr. Casagrande will create a comfortable implant-supported restoration that is secure and matches your natural tooth. The titanium posts provide a lifetime of benefits, eliminating the need for bone grafts and other dentistry treatments. 

Contact our Billings, MT, or Boise, ID, dental office today through our website or call:

Dentist chair

5-Star Rated Prosthodontist In Billings and Boise


Amberlee B.

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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.

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Jeff M.

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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.

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Bone-Saving Benefits of Dental Implants

Dental implants are the only restorative dentistry procedure that can stop and prevent jawbone atrophy.

Though stability of your restoration is important, the bone-saving benefits of dental implants are quite possibly one of the most important advantages. When your jawbone loses the stimulation your tooth root once provided, it begins to deteriorate. If left untreated, you could require bone grafting later. 

For those who already suffer from bone loss, bone grafting may be required before you can proceed with traditional dental implants. However, some patients may benefit from All-on-4® dental implants, which use four implants placed at strategic angles to maximize the remaining bone structure and stop further atrophy. 

Do You Have Significant Tooth Loss? Consider All-On-4® Dental Implants

All-on-4 Dental Implants

Why Patients Prefer All-on-4 

Faster Treatment

Placing an implant requires separate surgeries to place the titanium implant and the abutment. Each phase requires its own healing period. All-on-4 dentures are secured by four titanium implants, negating the need for multiple healing periods. After surgery at our Billings, MT, or Boise, ID, dentistry office, patients leave with a full arch of functional teeth. 

Better Stability 

All-on-4 holds your denture in place, giving you better stability when eating and speaking. While traditional dentures can be slippery and reposition unexpectedly, All-on-4 functions similarly to your natural teeth. 

No Need for Preparation

Placing titanium posts requires patients have a specific minimum of tissue in their jawbone. With All-on-4 dentures, patients with low jawbone density can get a new set of teeth without having to undergo a bone grafting procedure. 

How Do Dental Implants Work?

Dental implants have life-changing results, improving your ability to eat and speak. Dr. Casagrande combines his cosmetic dentistry knowledge with his restorative dentistry experience, giving patients natural-looking replacements. 

The Dental Implant Procedure  What to Expect at Our Billings, MT, Dental Office

"River Vally Advanced Dental & Implant Center also has a location in Boise, ID"
"River Vally Advanced Dental & Implant Center also has a location in Boise, ID"


Your teeth and health history will be reviewed by Dr. Casagrande. If you meet the criteria and they align with your goals, your dental implant surgery will be scheduled for the near future.

Implant Surgery

We offer our patients sedation options to help ensure their comfort during surgery. Local anesthesia is applied to the treatment site before small incisions are made into the gums. The titanium post is placed into the gums and sutured shut. 

Healing Period

During the first healing period, the titanium post begins to fuse with your jawbone. This recovery period can last four to six months. 

Abutment Placement

During your second surgery, an abutment is connected to the implant. The abutment is used to connect your replacement tooth to the implant. 

Additional Healing Period 

After the abutment is attached to the dental implant, a second healing period is necessary. 

Attaching the Restoration

Once the gum tissue around the abutment heals, Dr. Casagrande will attach a denture, crown, or bridge. The prosthetic will match the color and shape of your natural tooth.  

The process of placing implants and attaching prosthetics takes several months. Before the final crown, bridge or denture is applied, patients typically receive a temporary restoration. While this treatment takes longer to complete than traditional options, implant-supported prosthetics are the closest alternative to natural teeth. 

Visit One of Our Two Locations 

In addition to having a dentist's office in Billings, MT, Dr. Casagrande has an office in downtown Boise, ID. Patients who have missing teeth or are in need of a tooth extraction are encouraged to contact either location to learn what Dr. Casagrande can do for their smile. 

Both our Boise and Billings dentist's offices are open 8 a.m. to 4:30 p.m Monday through Thursday. You can request a consultation directly on our website or call: 

(406) 656-2000

Billings office check in

More Top Reviews From Our Patients in Billings and Boise


Bradley H.

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My experiences with Dr. Casagrande have been wonderful. Him and his staff run a very organized and professional practice. They do a great job keeping the patients comfortable and happy. I am very satisfied with my dental services.

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Olivia L.

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It is nice having a dental office that explains everything to you. Whether it be regarding billing and insurance, or the actual procedures, I am always informed. You know what you are paying for and why with Dr. Casagrande.

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Is Dental Implant Surgery Painful?

All surgeries come with some level of discomfort and a healing period. Pain during dental implant surgery can be greatly minimized with general anesthesia and IV sedation. 

If the thought of oral surgery causes dental anxiety, sedation can keep you unconscious while Dr. Casagrande places your implants. The risks involving anesthesia are very small and our team is specially trained to address any complications that may arise.

Hear From Our Patient

Darrin Johnson came to River Valley Advanced Dental & Implant Center to seek treatment for several oral health issues. Because of bone deterioration, he had limited treatment options. Using a zygomatic implants and a Promax implant bridge, Dr. Casagrande gave Darrin a beautifully restored smile that functions just like natural teeth.

We Thank Our Patients For Their Kind Words


Brandon Riley


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Dr. Casagrande is excellent at what he does. The dental service is outstanding.

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Erin Pawper


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Dr. Casagrande does very good work. I have been a loyal patient for 15 years now.

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​Affordable Financing Available

Dental implants are an investment, and we understand that costs can make treatment seem daunting. We do not want financial barriers to prevent patients from receiving this beneficial treatment. Our Billings and Boise dental practices accept CareCredit® and Lending Club®, which allow patients to finance their treatment, breaking it up into more affordable payments. 

I Am Missing Most or All of My Teeth Aren't Traditional Dentures Cheaper?

Initially, yes. However, over time, your jawbone will begin to lose density, giving your face a sunken look. This may also mean you require bone grafting later. While dental implants are a big initial investment, your implants will provide a lifetime of oral health benefits and strong support for your smile. 

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 2105 Central Ave Ste 100 Billings, MT

Billings Office

2105 Central Ave
Ste 100
Billings, MT 59102

Open Today 8:00am - 4:30pm

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

Open Today 8:00am - 4:30pm

(406) 656-2000 Send a message