Proudly serving Sioux Falls & surrounding areas

Straighten Your Smile!

  • Fewer appointments & faster treatments

  • Personalized treatments in office

  • Clear aligners are a discrete alternative to metal braces

  • Removable and comfortable

Complimentary Consultation,

3D Scans + In-House Financing!

Get No-Interest Financing

We accept most PPO insurances. For patients without insurance and those who have out of pocket expenses, we offer payment plans to fit your needs.

See Your Results Before We Start

At Designer Dentistry & Smiles, we use the latest technology like iTero Digital Scanner that creates a 3D image of your teeth in just minutes. You can visualize your new smile before starting your treatment.

What Is Invisalign®?

Invisalign is a series of clear aligners that actively move the teeth to more ideal positions over time. Patients love this treatment because they can re-align their teeth without having to wear traditional metal braces. The average treatment time is less than 1 year.

Invisalign® Will Fix

BITE ALIGNMENT

TWISTED TEETH

CROOKED TEETH

GAP BETWEEN TEETH

Invisalign®

Perks During

The Treatment

  • Affordable and barely noticeable
  • Completely removable
  • Eat and drink your favorite foods
  • Maintain proper oral hygiene easier

Invisalign®

Perks After

The Treatment

  • Straight teeth
  • Healthier teeth
  • More even chewing
  • Easier to clean and floss effectively

What The Treatment Includes

A complimentary consultation followed by an examination and X-Rays.

A virtual preview of what your smile will look like after the treatment

Several sets of custom Invisalign® aligners.

Follow-ups every six weeks to monitor your progress.

What is HealthyStart?

The HealthyStart Program is revolutionizing how we approach early orthodontics, offering a proactive solution for children’s dental needs. Early orthodontic intervention can significantly impact a child’s oral health and well-being. Early orthodontics is not just about straightening teeth. It plays a pivotal role in preventing more severe dental issues. 

How HealthyStart® Can Improve Your Child’s Health

Better Sleep

The HealthyStart appliances open the airway and allow for maximum airflow, allowing children to sleep deeper and more relaxed (without all the snoring, nightmares and bedwetting).

Improve Grades

Better sleep plays a fundamental role in a child’s health. By opening the airway and allowing for the most restful sleep possible, children have the ability to be their most successful selves.

Increase Focus

Quality sleep improves memory, executive function and problem-solving during childhood. A person who is sleep-deprived cannot focus properly, and continuous improper sleep has long-term effects on a child’s health and focus.

Improve Behavior

HealthyStart improves the behavior of children by allowing for maximum airflow and non-interrupted sleep. Quality sleep improves behavior during childhood and allows them to be the healthiest and happiest versions of themselves possible.

Straighten Teeth

The HealthyStart System promotes the natural growth of teeth into their correct alignments. Unlike many clear aligners, HealthyStart appliances are completely non-invasive and work with the natural eruption of teeth.

Develop Jaw

Our appliances aid in opening the airway and shifting the jaw forward, all while straightening teeth and guiding them into their correct alignments. Regular clear aligners do not address the underdeveloped jaw and force teeth into alignment.

Meet Our Doctors

Meet Our Doctor

Meet Dr. Nichole Cauwels, DDS

I was born right here in Sioux Falls. I was lucky enough to have attended Washington High School downtown for 2 years prior to moving to the new building on the east side. I was among the first class of students to graduate from the "new" high school. After graduation, I went to UNL in Nebraska for college. I graduated with honors from UNMC College of Dentistry in 2000. I decided to further my education by completing a residency at Meriter Hospital in Madison, WI. There I gained a tremendous amount of knowledge and experience in all aspects of general and specialty dentistry. I was asked to stay on to help teach at the program, while starting my career in cosmetics and private dentistry.


I have 4 children. I am blessed to have both 2 daughters and 2 sons. We enjoy spending time on the farm. We have a menagerie of chickens, pigs, dogs, cats, miniature cattle and even a tortoise. I love photography and have plenty of great subjects between the wildlife, kids and the farm critters.

Dr. Kendra Zuercher, DDS

I was born and raised in Pierre, SD where I attended Riggs High School. I spent my spare time swimming as a member of the Pierre swim team, playing the trombone in the school band, singing in the chorus and acting in school plays. After high school, I studied Biology at the University of Nebraska Lincoln and was a member of the Synchronized Swimming Team. I applied to dental school and was accepted and able to attend at the end of my junior year of college. I attended the University of Iowa College of Dentistry in Iowa City, IA where I graduated in June of 2008.

I had several interesting dental conditions as a child including impacted teeth, congenitally missing teeth and the need for orthodontics. I was always curious as to what was happening on the other side of the chair during my treatment and that led to my decision to become a dentist while I was still in high school. I have been interested and passionate about dentistry ever since.I am a member of the South Dakota Dental Association and the American Dental Association and enjoy furthering my dental knowledge through various continuing education opportunities and collaborating with fellow dentists.

Why choose us?

  • FIXED PRICING
  • KID-FRIENDLY
  • 5 STAR GOOGLE REVIEWS
  • EASY SCHEDULING

  • Compassionate TEAM

  • LATEST ADVANCED TECHNOLOGY

  • FREE Consultation

  • Invisalign Provider

  • Convenient Location

Better Smile, Better Lives

Doctors and their staffs are WONDERFUL!

Very happy with my new bridge and going to look forward to getting my bottom teeth straightened with Invisalign.* edited 16 weeks later...My bottom teeth are straight and bonded 3 teeth to match up and they look so great and very happy with it all. Thanks Dr Nicole! Very satisfied!!!

Linda W

I Would Highly Recommend Dr. Nichole Cauwels,

Designer Dentistry & Smiles!

This place is so great! They truly care about patients and our comfortability. All the latest technology and no intrusive tools. It's pain free, and customer service friendly! Both of which are hard to come by these days, but not at Designer Dentistry. I'm actually excited for my future appointments, no need to dread them anymore! Thank you Designer Dentistry

Evan H

Your Confident Smile Starts Here...