Patient Forms:

If you would like to make your first appointment as smooth as possible, you can fill out your forms before you come in! Just download and print the forms below and fill them out before your appointment.

Feel free to contact our office at (417) 512-5073 with any questions or to schedule your appointment.

Thank you for choosing Bolivar Smiles Dentistry!

Treatment Financing:

Companies like CareCredit allows patients to break up the cost of their dental care into manageable monthly payments. Patients can choose to utilize 6,12, 18, or 24-month payment plans that do not accrue interest when paid on time or longer plans that accrue a small amount of interest. CareCredit plans can be used to cover any dental services, including cosmetic treatments, so patients can use CareCredit to finance services like Invisalign® and teeth whitening. Credit decisions are typically made within minutes, so apply today!


No two smiles are quite alike. We recognize each patient has unique orthodontic needs and it’s our mission to provide you with the personalized treatment and care you deserve.

Orthodontics primarily deals with the diagnosis, prevention, and correction of erroneously positioned teeth and/or jaws. Many of orthodontic treatments can be delivered in the form of fixed or functional appliances such as braces, bands, and archwires.

Orthodontic appliances help in the movement of teeth. They are also used when a 3-D movement of the tooth is required in the mouth and multiple tooth movement is necessary. Ceramic fixed appliances can be used which more closely resemble the natural tooth color than the metal brackets.


With the help of continuing advances in dental technology, Invisalign / SureSmile orthodontic treatments now allow you to straighten your teeth while also maintaining a natural appearance during treatment. Unlike traditional braces, clear aligners do not include the use of any metal brackets or wires. Instead, your Invisalign / SureSmile aligners are made from smooth, clear plastic using specialized computer technology to provide you with a treatment that is discreet, comfortable and effective. These incremental transparent aligners work to adjust the position of your teeth until they are in their ideal positions. Because the Invisalign / SureSmile aligners are nearly invisible, no one can see how they are helping correct slight misalignments to leave you with a beautiful and healthy-looking smile.

Invisalign / SureSmile orthodontics is surprisingly affordable, with results often appearing in less time than traditional braces, all without the less-than-attractive metal brackets. The typical timeframe of Invisalign / SureSmile orthodontics can be as little as 6 months, depending on your situation. The cost is also reduced, due to the material used.

Properly aligned teeth are not just for appearance. They are important to the health of your gums, as well as to help prevent more serious health problems from surfacing. Misaligned teeth can lead to jaw stress and unnecessary wear of the enamel, which can affect the health of your teeth and the supporting bone.

Questions Patients May Ask About Invisalign / SureSmile:

How clear are the aligners?

How long do I have to wear the aligners daily?

Are the aligners comfortable?

Will I need to wear a retainer after treatment?

For these answers and more, schedule a consultation today and we will make recommendations based on your dental health.


Tooth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.

Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.

Tooth whitening is not permanent. A touch-up maybe needed every several years, and more often if you smoke, drink coffee, tea, or wine.

Reasons For Tooth Whitening:

Fluorosis (excessive fluoridation during tooth development)

Normal wear of outer tooth layer

Stained teeth due to medications (tetracycline, etc.)

Yellow, brown stained teeth

This type of tooth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays.

At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.


In the past decade there has been a dramatic interest in cosmetic dentistry. We all realize that having a healthy, bright, and beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we are able to improve our teeth and smiles with quick, painless, and surprisingly affordable treatments.

Cosmetic Dental Treatments Can:

Change the size, shape, and alignment of certain teeth

Fill in unattractive spaces between teeth

Improve or correct bites

Lighten or brighten the color of teeth

Repair decayed, broken, cracked, or chipped teeth

Replace old, unattractive dental treatments

Replace missing teeth


Veneers are thin, custom made pieces of durable, tooth shaped porcelain that are bonded onto the front of teeth to create a beautiful and attractive smile. Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.

Porcelain veneers can correct many cosmetic problems. They can improve size, shape, and color of teeth. They can also close spaces between teeth, as well as lengthen or shorten teeth. They are very durable and will last many years, giving you a beautiful long lasting smile.

Reasons For Porcelain Veneers:

Crooked & misshapen teeth

Unwanted or uneven spaces

Cosmetically, to create a uniform, white, beautiful smile

Severely discolored or stained teeth.

Worn or chipped teeth

Teeth that are too small or large

Getting veneers usually requires no more than two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and your dentist.

You will receive care instructions for veneers. Brushing, flossing, and regular dental visits will aid in the life of your new veneers. With the proper treatment, your porcelain veneers can last 20 years or more.


Modern office amenities and advanced dental services are to be expected, but we also know what matters to our patients. Time and money are valuable, and we’ve designed our practice to help you make the most of them.

Sometimes you can’t wait days or weeks to see a dentist. In these instances, we are happy to accommodate our patients with same-day emergency appointments. A visit to our office will have you smiling again in no time.

We may reserve openings in our daily schedule to accommodate dental emergencies, because we know that waiting even a day for an appointment can feel like forever when you’re in pain. If you’re experiencing an emergency like a chipped tooth or a broken filling, call our office right away so we can help!

What is a Dental Emergency?

Any dental problem causing severe pain, bleeding, or discomfort from trauma or infection is considered a dental emergency. Without prompt treatment for these dental issues, the functionality of your mouth can decline, and the spreading of infection can take place, impacting your oral health and general health.

Dental emergencies include:

Severe or consistent toothache

Broken or chipped teeth

Bleeding or swelling of the gums

Tooth or gum abscess

Lost tooth due to trauma or infection

What Should I Do During A Dental Emergency?

During a dental emergency, it can be easy to become overwhelmed by pain and stress. However, getting in touch with an emergency dentist should be your top priority after identifying the situation as a true emergency. Instead of waiting or trying to handle the situation yourself, seeing a professional can provide you with the best odds of restoring your smile quickly and effectively. Don’t hesitate to contact our office if you need a Bolivar emergency dentist.

What Are Treatment Options For Dental Emergencies?

Depending on the severity and type of dental emergency occurring and how quickly you respond, you may be left with a variety of options or only one to choose from. For example, for patients who experience a severe toothache or broken tooth, dental crowns are a quick and effective option for treatment. At Bolivar Smiles, we offer CEREC crowns, also known as same-day crowns, to restore your smile in one visit. CEREC crowns are durable, natural-looking, and long-lasting! If you believe you need a same-day crown, give our office a call.


Ideally, most general dentistry is preventative. Visiting your dentist regularly – at least once every six months – ensures proper oral hygiene and functionality. Regular checkups prevent the development of serious dental problems that may require costly treatment. Frequent visits to your dentist will allow for exceptional dental health.

We will work with you to develop a customized dental hygiene plan that includes a dental examination, tooth cleaning, X-ray and use of other diagnostic equipment to prevent, discover or treat problems as early as possible.

We may incorporate a variety of restorative procedures in the development of your treatment plan that will help prevent decay or disease of your teeth, mouth, gums and tongue. We also use restorative dentistry procedures to repair the effects of tooth decay, trauma, or disease in these areas of the mouth.


Root canal treatment — also called endodontics – is a set of specialized procedures designed to treat problems of the soft nerve tissue inside the tooth. While it’s often stereotyped as an unusually painful treatment, in most cases the procedure is no more uncomfortable than getting a filling. It’s actually one of the most effective ways of soothing tooth pain.

A root canal procedure becomes necessary when infection or inflammation develops in the pulp tissue of the tooth. Pulp tissue consists of blood vessels, connective tissue and nerve cells — which explains why intense pain can always be a risk during a procedure. In time, the pain may go away… at least temporarily. Without any treatment, however, the infection will not disappear. It can lead to a dental abscess, and may even contribute to systemic problems in other parts of the body.

How do you know when you need a root canal? Sometimes, the pain you feel makes it an obvious need. If you feel constant and severe pain and pressure in your mouth, or noticeable swelling and extreme sensitivity in your gums, then it’s clear you need an evaluation and treatment as soon as possible. Another symptom of pulp tissue damage is sharp pain when you bite down on food. Lingering pain after eating foods that are really hot or really cold is also an indication of potential trouble. If any of these symptoms arise, you need to have an examination as soon as possible.


A simple tooth extraction is an in-office procedure that can be completed by your regular doctor, involving specialized tools to lift or pull the tooth from its socket. Teeth can be removed much easier than you might think. Teeth are held inside its bony socket by a set of elastic fibers, and your dentist will use a set of specialized tools to gently manipulate the tooth, causing the fibers to loosen and ultimately disconnect. After the tooth is removed, the extraction site may be filled with bone grafting material to minimize shrinkage in the surrounding bone tissue. Teeth that haven’t yet erupted are removed surgically, often with the patient under IV anesthesia to prevent discomfort and trauma. If necessary, the extracted tooth can later be replaced by a dental implant or bridge.

Dental extractions are usually performed when teeth are too badly damaged to be saved, or when leaving a tooth in the mouth will cause more harm than good.

There are four primary reasons why you might need to have a tooth extracted:

Tooth Decay

Dental Abscess

Tooth Damage

Misalignment or Crowding


Our team always strives to provide the most efficient and effective dental services while still taking the time to ensure that every patient is well-informed when it comes to their oral health and treatment.


1300 N. Oakland Ave, Ste. B. Bolivar, MO 65613

(417) 512-5073


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