
Straighter teeth, without brackets and wires taking over your face for two years. Clear aligners are thin, custom-made trays you wear over your teeth, and they nudge everything into place a little at a time. They come out when you eat, they're close to invisible in photos, and most cases finish somewhere between six and eighteen months.
Dr. Ryan Koenig, DMD, known to just about everyone here as Dr. K, is a high-volume clear aligner provider, and the team at Table Mesa Dental has walked a lot of Boulder County adults and teens through this exact decision. We offer multiple clear aligner systems and print trays right here in our south Boulder office when that's the faster route for your case. Wondering whether your teeth are a good fit? Give us a call at (303) 590-3992 and we'll take a look.

We look at your teeth, gums, and bite, then ask what you want changed. Some people point at one crowded front tooth. Others want the whole arch evened out. Both are fine answers, and they lead to very different plans. This is also where we sort out whether aligners are the right tool for the job, or whether another cosmetic dentistry option would serve you better.
We capture your teeth with an intraoral scanner, a small wand that takes thousands of images and stitches them into a precise 3D model of your mouth. No impression putty, no gagging, no sitting still while material sets.
From that model, Dr. K designs the sequence of movements: which teeth move, in what order, and how far. You see the projected result on screen before a single aligner exists. If the simulation doesn't match what you had in mind, we change the plan then, instead of halfway through.
Each tray is worn for about one to two weeks, then you swap to the next one in the series. The shift from tray to tray is deliberately small. That keeps the pressure gentle and the movement predictable — and it's how clear aligner systems are designed to work.
When you're through the series, we evaluate where everything landed. Sometimes a short set of refinement trays polishes the last few details. Then you move into retainers, which hold your teeth in their new positions so the result you just spent months earning stays put.
Aligners handle a wide range of cases: crowding, spacing, mild to moderate crossbite, relapse after childhood braces, and the front-tooth rotation that shows up in every single photo. Adults make up a big share of the cases we treat, and our teen aligner program covers older kids.
Where aligners are a harder sell: significant bite discrepancies and teeth that need large vertical movement sometimes respond better to fixed braces, and severe skeletal issues can call for a surgical conversation. Untreated cavities or gum disease come first, because moving teeth through an unhealthy mouth makes the problem worse. Braces also carry one built-in difference: they work whether you're thinking about them or not, while aligners only work while they're in. Dr. K will tell you at the consultation if aligners can't deliver what you want, rather than selling you a plan that falls short.
If your goal is purely cosmetic and limited to a couple of front teeth, veneers are occasionally a faster route. We're happy to lay both options side by side for your situation.

One appointment. We examine your teeth, take the digital scan, and talk through your goals, your timeline, and what it costs. You can book that first visit here.
You come back to pick them up. We'll show you how to seat and remove them, then send you home with a small kit and care instructions.
Expect mild pressure and some awareness of the trays, strongest in the first day or two of each new set. Speech can feel a little different at first, and that normalizes quickly.
Short visits. We confirm your teeth are tracking with the plan and hand off the next batch of trays. These are also a good time to stay current on cleanings and routine care.
Simple crowding can finish in six to nine months. Cases that need more movement, or movement in more than one direction, run toward the longer end. We map out each stage of your plan at the consultation so you know what to expect before treatment begins.
Full-time wear at first, then nights indefinitely.
Before you start, we make sure your mouth is healthy: cleaning done, cavities filled, gums in good shape. Aligners are molded to your actual teeth, so any dental work that changes a tooth's shape is better finished first.
Once you're wearing them, a handful of habits keep things on track:
Afterward, keep coming in for regular cleanings and checkups so we can keep an eye on how everything is holding. If you're still weighing whether clear aligners fit your life, our clear aligners page walks through how treatment works, and you can reach out to our Boulder team to set up a consultation.
Aligner cost comes down to how much movement your case needs, how long treatment runs, and how many trays that takes. Nudging a couple of front teeth is a different investment than correcting a full arch, so we won't quote a number before we've actually looked in your mouth. Which system we recommend matters too, since different aligner systems are priced differently and suit different cases.
You'll get the full figure at your consultation, in writing, before you commit to anything. Many dental plans include some orthodontic coverage, and we'll help you find out what yours does. We accept many insurance plans and offer an in-house membership plan, and we're glad to talk through payment arrangements so treatment fits your actual budget. Reach out to our Boulder team whenever you're ready to get the conversation started.

Dr. K has planned and finished a high volume of clear aligner cases, and that experience shows up in the judgment calls: knowing which case will track beautifully and which one needs a different approach entirely. Over twenty years of practice and more than 1,000 hours of continuing education sit behind that.
When a plan calls for a closer look at roots and bone, cone beam imaging shows us in three dimensions whether a tooth can safely make the move we're asking of it. And because we print trays and retainers in-house, a cracked or lost aligner usually doesn't mean weeks of waiting on an outside lab.
The culture here is the part patients tend to mention first. We lead with empathy, we explain things in plain language, and nobody gets rushed. Because general, cosmetic, and restorative dentistry all happen under one roof on South Broadway, your aligner treatment doesn't sit in a silo. If a tooth needs a crown, a gum concern needs attention, or you want whitening once everything is straight, it's the same team and the same chart. That's true for families we see from all over Boulder County, not just the South Broadway neighborhood.
Most cases run six to eighteen months, depending on how far your teeth need to travel and how faithfully you wear the trays. Many people notice visible change within the first several weeks. See our clear aligners page for more on how treatment is planned.
Most patients describe mild pressure rather than pain, strongest in the first day or two after switching to a new tray. That's the feeling of the tray doing its job, and it fades as the teeth settle.
Rarely, unless they're looking closely. The trays are clear and thin, which is exactly why so many adults who skipped braces as teenagers are willing to do this now.
Yes, and it's one of the most common reasons adults come in. Teeth shift over decades, especially the lower front ones, and these relapse cases often need less movement than the original treatment did.
An occasional short stretch is recoverable. A pattern of leaving them out stalls progress and can put your teeth out of sync with the trays, which means backing up a set or ordering new ones. Tell us straight at your check-in and we'll adjust the plan rather than push forward on one that no longer fits. You can always reach our Boulder team between visits if something feels off.
Often, yes. Teen clear aligner treatment is designed for kids whose adult teeth have come in, and it follows the same rhythm of scans, trays, and check-ins. The honest variable is wear time, and that's worth discussing openly as a family before starting.
A consultation doesn't commit you to anything. Come in, let us scan your teeth, and see what your aligner plan would look like on screen. Then take the details home and sit with them.
If straightening your teeth has been sitting quietly on your list for a while, we'd love to talk it through. Call (303) 590-3992, and welcome to Table Mesa Dental.
