Diagnostic

• Dental Examination
  Regular visits with your dentist for an exam and cleaning can help you maintain optimal oral health and prevent issues from becoming worse.

Preventive

• Teeth Cleaning
  Brushing twice daily, flossing once daily, and coming in for routine dental cleanings twice a year are all necessary for keeping your teeth, gums, and porcelain restorations healthy and looking their best.

Restorative

• Fillings
• Veneers
  Dr. David Casagrande can expertly place porcelain veneers in his Billings, MT, or Boise, ID, offices to give you a confident, radiant smile.
• Crowns
  Dr. David Casagrande is here to help. His offices provide the highest-quality dental crowns to restore and even replace natural teeth.
• Bridges
  Dr. Casagrande will take great care to inform you of all of your options when planning your dental bridge, including which materials may work best for you. Your options include...
• Restorative Dentistry
  Dr. David Casagrande chose to specialize in prosthodontics because he loved the challenge and complexity of restorative dentistry cases. By combining physics, medicine, and dentistry, he can restore a great smile that truly changes a patient's life. Dr. Casagrande and his team personalize every dentistry treatment to create unique, natural-looking results in a short amount of time. View transcript

Endodontics

• Root Canal Treatment
  Before we crown your tooth, we will first need to treat the underlying health problem. Often, that involves a root canal to eliminate infection in the soft inner tissue of the tooth. Once we remove the decayed portions and sterilize the inner chamber of the tooth, we will fill the tooth with an inert rubber-like substance and then seal the exterior.

Prosthodontics

• Dentures
  Custom-made dentures can replace your missing teeth so you can eat the foods you love, speak clearly, and smile confidently.
• Overdentures
  Dr. Casagrande: The next option in full arch restorations is what is called a hybrid bridge. Like the overdenture, this, again, has pink acrylic and plastic teeth. The difference is this appliance is fixed. It stays in the mouth. It does not come out. You do not snap it in and out. As you can see, if you were to pull down your lip, there's a little bit of room for cleaning. No one would ever see that space unless you pull down your lip. The four holes that you can see in this appliance are the access holes where this bridge is screwed on to the implants. Those holes are sealed, and you never see them or feel them from a patient's point of view, but it allows me, the dentist, access back into your bridge if ever needed to remove the bridge, to repair anything, or just even after years of use to replace the worn teeth. This is a step up from the overdenture, because it stays in the mouth, and its cost to the patient is only slightly more than the overdenture, but yet excellent long-term results. After 36 years in practice, I've only made a dozen overdentures to date, and I've made thousands of hybrids, because the difference in cost to the patient is very small and the benefits of a fixed appliance greatly outweigh an overdenture.

Implants

• Dental Implants
  An experienced dental implant dentist can restore full health and function to your smile while also giving you a healthy, charismatic new look. Dr. David Casagrande of River Valley Advanced Dental & Implant Center invites you to learn more about the qualities you should look for in an implant dentist. We have offices in Billings MT, and Boise, ID, to serve you.

Oral and Maxillofacial Surgery

• Oral Surgery
  Patients who require oral surgery as a part of their treatment plan often have to visit several different dentists over the course of several weeks. Our offices are adequately equipped with the latest technology, which allows Dr. Casagrande is able to perform comprehensive oral surgery procedures at each of our offices. We can even help you choose a form of sedation dentistry that helps you feel at ease about your treatment. At our office, you do not have to worry about scheduling different appointments and coordinating paperwork and payments with multiple doctors. We can provide the treatment you need at a high-quality level, and we look forward to building a lasting relationship with you and your family.
• Tooth Extractions
  In addition to having a dentist's office in downtown Boise, ID, Dr. Casagrande has an office in Billings, MT. 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.
• Bone Grafting
  Many traditional dental implant patients need sinus lifts or bone grafting to strengthen their jaw before implant placement. These procedures aren't necessary for most All-on-4 patients, meaning you can likely save a significant amount of time in your treatment journey and stay on the fast track to a brand-new smile.

Orthodontics

• Orthodontics
  Temporomandibular joint disorders (TMD) are conditions that affect the jaw joints and the surrounding muscles and ligaments. When these areas don't function properly, it can make it difficult to chew and speak and can even compromise your oral health. Dr. Casagrande can stabilize your jaw and protect your teeth with a custom oral appliance, the use of orthodontics, or by making occlusal adjustments.
• Braces
  TMJ Treatment: TMJ disorders are most often caused by clenching or grinding teeth, an inappropriate bite, injuries, arthritis, or braces. TMJ can have painful symptoms, including headaches, stiff muscles, difficulty opening or closing mouth, chewing, or ringing in the ears.

General

• Teeth Whitening
  With proper maintenance and oral hygiene, porcelain veneers can last for up to 10 years. The non-porous material makes the veneers stain-resistant and will keep your smile bright for years without the need for teeth whitening.
• Cosmetic Dentistry
  Cosmetic dentistry can improve the aesthetics of your teeth to give you a more complete smile that complements your features.