Prosthodontics in Billings, MT
A Specialist Handling the Most Complex Cases
- Board-Certified Prosthodontist With Decades of Experience
- On-Site Lab Craftsmanship for Precision and Longevity
- 99% of Implants Placed and Restored In-House
- IV Sedation and General Anesthesia Available
Eva Actual Patient
Eva Actual Patient
5-Star Results, 5-Star Reviews
Meet Dr. David Casagrande, DDS, MS
Dr. David Casagrande is a board-certified prosthodontist with decades of experience solving the cases other providers turn away. After earning both his DDS and a Master of Science in prosthodontics, he built his Billings practice around one principle: never rush the process.
That commitment shows in every appointment. Dr. Casagrande spends a full hour or more with each patient, walking through the diagnosis, reviewing treatment options, and answering every question before moving forward. He believes informed patients make better decisions, and better decisions lead to results that last.
His approach to materials reflects the same standard. The practice uses premium-grade components, including Nobel Biocare implants, because long-term durability and fit depend on what goes in, not just how it looks on day one. Combined with an on-site lab and guided surgical protocols, every restoration is planned, fabricated, and placed under one roof by the same specialist who designed it.
Why a Prosthodontist is the Superior Choice
A prosthodontist completes three additional years of specialized training beyond dental school, making them the premier expert in restorative and implant dentistry, full-mouth reconstruction, and smile aesthetics. While a general dentist provides broad, routine care, a prosthodontist is specifically trained to handle the most complex dental cases with a level of precision and expertise that simply cannot be matched by general practice. For anything beyond basic dental needs, a prosthodontist is the clear choice.
What Is Prosthodontics?
Prosthodontics is a recognized dental specialty focused on restoring and replacing damaged, worn, or missing teeth. While general dentistry covers routine care, your prosthodontist in Billings, MT, completes additional years of advanced residency training in the design, fabrication, and placement of complex restorations. Below are some of the treatments provided at River Valley Advanced Dental & Implant Center:
Frequently Asked Questions About Prosthodontics
Will I have teeth while my permanent restoration is being made?
Yes. Dr. Casagrande places aesthetic temporaries at every stage of treatment, so you leave each visit with a natural-looking, functional smile. These temporaries are designed to look and feel comfortable while your permanent prosthesis is being crafted, which means there is never a gap between where you are and where you are going.
What is the difference between a prosthodontist and a general dentist?
A general dentist provides routine care like cleanings, fillings, and single crowns. A prosthodontist completes an additional two to three years of residency training beyond dental school, specializing in the restoration and replacement of teeth. Dr. Casagrande is a prosthodontist who serves patients in Billings and across the region. His advanced training allows him to manage complex, multi-tooth cases that require precise planning, custom fabrication, and coordination across multiple treatment phases.
How long does prosthodontic treatment take?
Timelines depend on the complexity of the case. A single crown may require two visits, while a full mouth reconstruction can span several months. Dr. Casagrande outlines the full timeline during your initial consultation so you can plan accordingly, and his on-site lab helps reduce turnaround between appointments.
Does insurance cover prosthodontic treatment?
River Valley Advanced Dental & Implant Center operates outside of insurance networks, which allows Dr. Casagrande to recommend treatment based on what your case actually needs. If you have dental insurance, the practice can provide documentation allowing you to submit claims for potential reimbursement. CareCredit financing is also available to help make treatment more manageable.
Do I need a referral to see a prosthodontist?
No referral is needed. You can schedule a consultation directly with Dr. Casagrande. Many patients are referred by their general dentist for complex cases, but self-referrals are welcome and common, especially for patients traveling from out of town.
