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Dental Implants Billings MT

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 office in Billings, Montana

Don't Wait and Risk Your Oral Health Call our Billings 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 choose our practice for your implant and restoration needs. 

Call us today or request an initial consultation at our dental office in Billings, Montana. You can also receive implants at our Boise office.

Dr. Casagrande
"Dr. Dave has given me much more than a
beautiful smile. I urge anyone that is considering
cosmetic/corrective dentistry, implants, and/or
dentures to make an appointment. He will always
be the prosthodontist for my family and me."
Brenda H.

​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 implants 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 dentures can easily slip out of place when you speak or eat. Dentures anchored by implants won't move, whether you're biting into a crisp apple or chewing steak. Patients can eat a wide variety of foods 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, Montana dental office today through our website or call:

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5-Star Rated Prosthodontist In Billings


Merrill M

Billings, MT


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Hands down Dr. Casagrande is the finest prosthodontist I have ever encountered! I've had full implants since the early 2000s. I experienced multiple broken screws, cracked bridges and failed implants. Until I started working with Dr. Casagrande I realized I'd never had a partner relationship with other providers. Dr. Casagrande (and his team) are very caring and supportive people. I now have teeth that look very natural, my lips are fuller, and my husband told me he loves my new smile!

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Chris Ross

Billings, MT


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I was in need of dental implants and my dentist referred me to Dr. David Casagrande. I am grateful to have found such a knowledgeable and experienced periodontist. He did a great job on the procedure.

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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 a traditional implant requires separate surgeries to place the titanium implant and the abutment. Each phase requires its own healing period. All-on-4 dentures negate the need for multiple healing periods. After surgery at our Billings, MT dental 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, Montana, Dental Office

"River Vally Advanced Dental & Implant Center has a state-of-the-art office in Billings MT."
"River Vally Advanced Dental & Implant Center has a state-of-the-art office in Billings MT."


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 using precise surgical guides, and then 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 

Please visit our dentist's office in Billings, Montana location page for more information. Patients who have missing teeth or are in need of a tooth extraction are encouraged to learn what Dr. Casagrande can do for their smile. 

Our Billings dental office is open 8 a.m. to 4:30 p.m Monday through Thursday. You can request a consultation directly on our website or call: 

Billings office check in

More Top Reviews From Our Patients in Billings, MT


Melissa Hanson

Billings, MT


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Best dental service in town! Dr. Dave and his wife Yvonne go above and beyond for all of their patients. Putting your needs and comfort at the top of the list! Also, the office dog Thor is great at greeting you and putting a smile on your face the moment you walk in the door!

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Jen S

Billings, MT


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Dr. Casagrande and his staff are true dental professionals. They are very personable and friendly which keeps me feeling relaxed during my appointments. I recommend his practice to anyone looking quality care.

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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 a 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.

"The best periodontist in the Billings area."


Hope Jordan

Billings, MT


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Dr. Casagrande is the best periodontist in the Billings area. I have been a patient for over fifteen years and him and his staff have never let me down. They do a great job making me feel relaxed during my appointments. I enjoy visiting their office because of the great service.

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Kasey Alvarez

Billings, MT


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I have always received nothing but the best from Dr. Casagrande and his staff. They are very professional and friendly during my appointments. Customer service is definitely a priority in this dental office.

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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 practice accepts 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. 

Talk With a World-Class Prosthodontist During a Private Consultation

Dental implants aren't the lowest-priced or simplest way to replace teeth. However, when you choose the right provider, they are certainly the best. 

But who should you choose to provide this treatment? How many implants do you need, how much will they cost, and how are you going to budget for them? You can get the answers to each of these questions and many more by requesting your private consultation with Dr. Casagrande.

Dr. Casagrande leads a practice that values patient education, and will take the time to help you make an informed decision about this life-changing solution to tooth loss. You can expect to leave your consultation with a far better idea of whether implants are right for you, and why so many patients throughout Greater Billings choose Dr. Casagrande.

To request your consultation, write to us or give us a call: 

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We Thank Our Patients For Their Kind Words


Jessica Hiller

Billings, MT


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I have had my dental implants and veneers done by Dr. Casagrande. I highly recommend him and his team. They did an excellent job and I couldn't be more satisfied.

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Lou Tyler

Billings, MT


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Dr. Casagrande and his staff are professional and truly concerned about their patients. They are easy to talk to and take the time to listen to your concerns.

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If you would like to find out for yourself why so many of your neighbors choose Dr. Grande, get in touch with us today to request a consultation.

Answers to Frequently Asked Questions About Dental Implants

We look forward to answering all of your questions in person, but until the time of your appointment, we have provided answers to some of the most common questions about dental implants:

Does insurance cover dental implants?

Basic insurance plans contribute to the cost of crowns, bridges, and dentures, as well as any preparatory procedures you need, such as gum disease treatment or tooth extraction. But when it comes to the implants and abutments, basic dental insurance rarely applies. Our Billings team will work directly with your provider to maximize your coverage. We also work with CareCredit® and LendingClub®, two medical lenders who can allow you to pay for your treatment in affordable, low-interest installments.

Do brushing and flossing become less important if I receive full implant-supported dentures on both arches?

Not at all. Sure, your natural teeth have now been completely replaced by titanium and porcelain, but the foundation of your smile—your gums and jawbone—remain as vulnerable as ever to buildup. Since your implants rely on these tissues for support, it remains crucial to brush twice and floss at least once daily. You will also need to visit us for checkups every six months.

How long can I expect my implants and restorations to last?

By taking great care of your smile through daily hygiene and regular dental visits, the implants themselves could last 40 years or longer. However, restorations (crowns, bridges, and dentures) have a shorter lifespan, usually about 15 years. During your regular visits to our office, we will monitor the condition of your implants and restorations to make sure they are in excellent condition. If they are showing signs of wear, our Billings practice can determine when and how they should be replaced.
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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