Restorative Dentistry in Billings, MT
Rebuilding Smiles With Expertise and Compassion
- Board-Certified Prosthodontist With 40+ Years of Experience
- Affordable Care With Flexible Payment Options
- Meticulous Smile Designs for Natural Results
Real Patient


Meet Your Restorative Dentistry Expert Montana Native, Nationally Recognized Prosthodontist
- Born and raised in Butte, Montana — proud to serve his home state.
- Master’s degree in prosthodontics — advanced training beyond general dentistry.
- 40+ years of restorative dentistry experience — trusted by patients nationwide.
- Expertise in complex cases — accepting referrals from general dentists.
- Dedicated to personalized care — every treatment plan is uniquely crafted.
- 5-star rating from patients across the U.S. — known for exceptional results and compassionate care.
Dr. Casagrande Master Prosthodontist

Ready to Restore Your Smile?
No matter the extent of your dental concerns, expert restorative dentistry can transform your smile and your confidence. At River Valley Advanced Dental & Implant Center, we combine advanced techniques, premium materials, and a patient-first approach to deliver results that look beautiful.
Take the first step toward a stronger, healthier smile. Schedule your personalized consultation today.
"You have to look at every patient differently — and that’s the challenge I love.” — Dr. Casagrande
Making Restorative Dentistry
Affordable and Accessible
Specialized Care for Every Budget
Dr. Casagrande believes everyone deserves a strong, confident smile, and cost should never stand in the way. As a board-certified prosthodontist, he provides advanced restorative care at rates that are often significantly lower than other specialists. Whether you need a single crown, dental implants, or a full mouth reconstruction, our team will work with you to design a treatment plan that respects both your dental health and your budget.
Flexible Financing to Fit Your Needs
While we are not in network with insurance providers, we proudly assist patients by filing claims and helping maximize available benefits. We also accept financing through trusted partners like CareCredit® and LendingClub®, allowing you to split the cost of your care into manageable monthly payments. High-quality restorative dentistry is closer (and more affordable) than you might think.


Helping Our Patients Smile Again
In her 30s, Stacy chose Dr. Casagrande for more than a new smile — she wanted lasting confidence. Through personalized restorative care, she regained her oral health and a beautiful smile she’s proud to show the world. “Because of them, I have the best smile I have ever had,” says Stacy. “I know that it’s going to last me a lifetime.”
Advanced Dental Technology for Better Care
We use advanced technology at every stage of restorative care, ensuring precise results and a more comfortable patient experience. Our on-site facilities and trusted local lab partners help deliver efficient, premium restorations.
State-of-the-Art Imaging
Our office features 3D imaging for highly accurate assessments, helping plan treatments like implant placement with greater precision and long-term success.
Trusted Local Lab Partners
We collaborate with top local labs that use advanced CAD/CAM technology to craft durable, natural-looking restorations efficiently and cost-effectively.
Frequently Asked Questions About Restorative Dentistry in Billings, MT

How do I know if I need restorative dentistry?
If you have missing, damaged, or worn teeth that affect your smile’s function or appearance, you may benefit from restorative dentistry. A consultation can help determine the best solution for your needs.

How long do restorations like crowns or bridges last?
With proper care, dental crowns and bridges can last 10–15 years or longer. We have had multiple patients whose full mouth restorations have lasted for longer than 35 years. We use high-quality materials and trusted lab partners to ensure lasting strength, comfort, and a natural look.

What should I look for in a restorative dentist?
Look for a board-certified prosthodontist with advanced training, experience, and a commitment to using high-quality materials. Dr. Casagrande exclusively uses Nobel Biocare implants and advanced digital planning technology for precise, long-lasting results.




What Patients Are Saying
“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.”
—Hope J., 5-Star Review

