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Business Details
44 Years
experience
Your Trusted Prosthodontist in Billings, MT
River Valley Advanced Dental & Implant Center has been a trusted name in prosthodontic care since 1982, founded by Dr. David Casagrande, a master prosthodontist with over 40 years of experience. Our practice specializes in advanced dental implants, full mouth reconstructions, and cosmetic dentistry, combining cutting-edge technology with personalized treatment plans. We prioritize patient comfort and accessibility, offering flexible financing options and sedation dentistry to ensure stress-free care. Our commitment to using premium American-made materials guarantees durable, natural-looking results tailored to each patient's unique needs.

With a focus on education and transparency, we empower patients to make informed decisions about their oral health. Our team's dedication to excellence has earned us a 5-star reputation, attracting patients from across the nation seeking complex restorative solutions. We believe in building lasting relationships through compassionate care, ensuring every visit reflects our core values of integrity, expertise, and patient-first service.
Services
All-on-4 Implants Cosmetic Dentistry Dentures Full Mouth Reconstruction Dental Crowns TMJ Treatment Sedation Dentistry Porcelain Veneers Dental Bridges Implant-Supported Dentures
Details
  • Year established: 1982
Highlights and features
  • We offer over 40 years of specialized prosthodontic expertise.
  • Our practice uses Nobel Biocare implants and advanced technology for precision.
  • Personalized treatment plans prioritize your unique oral health needs.
  • Flexible financing options make premium care accessible to all budgets.
  • We provide sedation dentistry for anxiety-free, comfortable procedures.
What people say
Exceptional results Compassionate staff Life-changing expertise Personalized care Stress-free experience
Services
All-on-4 Dental Implants
All-on-4 implants replace an entire arch of missing teeth with just four strategically placed implants. This technique maximizes bone contact, often eliminating the need for bone grafting. Patients enjoy immediate temporary restorations and long-term stability, with reduced treatment time compared to traditional implants. Ideal for those with jawbone atrophy seeking a permanent, functional smile solution.
Full Mouth Reconstruction
Full mouth reconstruction addresses multiple oral health issues simultaneously, combining implants, crowns, bridges, and TMJ treatment. Tailored to patients with severe decay, missing teeth, or jaw disorders, this approach restores both function and aesthetics. Treatments are phased to ensure comfort, with timelines varying based on individual needs and healing periods.
Cosmetic Dentistry
Our cosmetic services, including veneers, crowns, and bridges, correct stains, chips, and misalignment. Prosthodontist-led treatments ensure natural-looking results that enhance facial harmony. We prioritize biocompatible materials for durability while addressing both aesthetic goals and oral health improvements like bite alignment.
Dentures
Custom dentures restore missing teeth with removable or implant-supported options. Full and partial dentures improve chewing and speech while preventing facial sagging. Implant-retained models offer superior stability, with overdentures providing bone-preserving benefits. Adjustments ensure comfort and a secure fit over time.
TMJ Disorder Treatment
We diagnose and treat TMJ disorders causing pain, clicking, or headaches. Non-invasive therapies include custom splints and bite adjustments. For severe cases, advanced interventions restore joint function. Treatment alleviates symptoms like ear pain and improves overall oral health by preventing further dental wear.
People
Dr. David Casagrande
Prosthodontist
Dr. Casagrande is a master prosthodontist with over 40 years of experience in dental implants and restorative dentistry. He earned his DDS and MS in prosthodontics from the University of Pacific and University of North Carolina. A pioneer in implantology, he has trained dentists nationwide and prioritizes personalized care using advanced technology.
Questions
Does insurance cover dental implants?
Basic insurance may cover preparatory procedures, but implants themselves are often out-of-pocket. We work with CareCredit and LendingClub for financing.
Are dental implants painful?
Procedures use local anesthesia or sedation. Post-op discomfort is managed with over-the-counter medication.
How long do implants last?
Implants can last 40+ years with proper care. Restorations like crowns last ~15 years and require replacement.
Is All-on-4 right for low jawbone density?
Yes, All-on-4 requires less bone density than traditional implants, avoiding the need for grafting in many cases.
Do you offer financing options?
Yes, we accept CareCredit and LendingClub to make treatment affordable through low-interest monthly payments.
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