
Missing teeth change more than your smile. They change what you order at dinner, how you talk in a meeting, whether you step into the photo or hang back behind it. Dr. Koenig and the team at Table Mesa Dental make custom dentures that hand those things back: comfortable chewing, clear speech, and a smile that still looks like yours. Whether you're replacing a full arch or filling in around teeth you still have, we'll lay out your options. Traditional dentures, implant-supported dentures, or dental implants , and help you find the fit for your mouth and your budget.
Patients come to us from South Boulder and across Boulder County, plenty of them years into putting this off. If nerves are part of what's kept you away, sedation is available here, at whatever level you need. Reach us at (303) 590-3992.
Nothing about this is rushed or mysterious. Here's the sequence most cases follow.
We look at your gums, any remaining teeth, and your bone structure, using 3D cone beam imaging when it helps us see what's underneath. Then we take digital scans and photos to begin designing. No trays full of goop. This visit is also where we sort out whether a traditional denture or an implant-supported one suits you better, plan any extractions, and talk through sedation.
Next we record how your upper and lower jaws come together. This appointment decides whether your dentures feel natural when you chew or fight you all day. We take our time with it.
You try on a wax version and tell us what you think. Too long? Too white? Not quite the shape you had in mind? This is where we change it, while changing it is easy.
Your finished dentures go in, and we adjust the fit right there in the chair. You leave wearing them, with clear cleaning instructions and a straight description of what the first couple of weeks will feel like.
We'll see you again shortly after delivery to check the fit and smooth out any sore spots. Catching something early beats toughing it out at home for a month. If you'd rather start with a conversation, get in touch with our Boulder team.
Dentures make sense if you're missing all the teeth in an arch, missing several in a row, or facing the removal of teeth too damaged to save. They're also a good fit if replacing every tooth individually is more than you want to take on, surgically or financially.
Sometimes something else needs to come first, or instead.
We treat the gum disease first. A denture rests directly on that tissue, and unhealthy tissue means a fit that never quite settles.
A traditional denture may never feel secure on a thin ridge. Bone grafting, or an implant-supported design, usually serves you better. The 3D scan shows us how much bone you have first.
A single dental implant or a bridge is often steadier than a small removable partial, and we'll tell you if that's the better route.
Usually 2 to 8 weeks from first scan to final delivery, across roughly four visits. Where you land in that range depends on how many fittings your case needs, and whether extractions and healing have to come first.
Plan on 4 to 6 months. The implants have to fuse with your jawbone before they can carry anything, and that biology sets the pace. We'll talk through what you wear in the meantime, so you're never without teeth.
Expect a learning curve. Speaking takes practice, and food should start soft and cut small. Extra saliva and a bulky feeling both fade within days.
Sore spots are common early on, and nearly all need a small adjustment rather than a remake. Call us as soon as one shows up.
There isn't much homework before we start. Bring a list of your medications and any health conditions we should know about, since both can affect healing if extractions are part of your plan. If the appointment makes you uneasy, ask about sedation options when you schedule. After that, it's just the daily routine:
Both replace a full arch of teeth. The difference is what holds them up.
A traditional denture rests on your gums and stays put through suction and the shape of your ridge. It costs less, involves no surgery, and can be ready in weeks. The tradeoff is hold: some foods stay off the menu, and the fit shifts as your ridge changes.
An implant-supported denture snaps onto implants set in your jaw, so it doesn't move when you bite down and you can chew with real force. It costs more, takes months, and requires enough healthy bone. We'll look at your bone on the 3D scan and lay both choices out side by side, including what each one will run you.
What dentures cost depends on real variables: full versus partial, the materials used, whether implants are part of the design, and whether extractions or grafting have to happen first. A partial and a full arch sit in different ballparks, and an implant-supported set sits well above both. Extractions, grafting, or sedation are quoted as their own line items, so you can see what's driving the number instead of one lump sum. Insurance coverage also swings quite a bit from plan to plan.
We go over your actual numbers at the consultation, in plain language, before you commit to anything. Including what your plan is likely to pay toward a denture and where the leftover lands.
Dr. Ryan Koenig, DMD, has practiced for more than two decades, with advanced training in IV sedation, implants, oral surgery, and full-mouth reconstruction. He earned his Doctorate of Dental Medicine from Nova Southeastern University College of Dental Medicine and has logged over 1,000 hours of continuing education since.
For a denture patient, that depth matters. The person planning your case can also perform the extractions and place the implants, so you aren't handed off mid-treatment. The office runs on cone beam imaging, digital scanning, CEREC, and 3D printing, with sedation available in-house for the surgical steps.
The other half of it is the culture, which is probably why nobody around here calls him anything but Dr. K. Modern, unhurried care that's honest about the tradeoffs. That's the practice we run at 603 South Broadway.
Generally 5 to 10 years, depending on wear, care, and how your mouth changes underneath them. Checkups and periodic relines keep the fit comfortable and stretch their useful life.
Well-designed dentures are hard to spot. We choose shade, shape, and tooth proportion to suit your face and your age, and you see all of it at the wax try-in before anything is finalized. Overly perfect, overly white teeth are what give a denture away, and that's a choice, not a requirement.
The appointments themselves are comfortable. Scans, fittings, and try-ins are easy visits. If extractions are needed first, we have nitrous oxide, oral conscious sedation, and IV sedation available here. Mild sore spots in the first couple of weeks are normal and quickly adjusted.
Some people use a little, some never need it. A well-fitted denture relies mostly on suction and the shape of your ridge. If you're depending on adhesive to get through the day, bring it in as a fit problem, or a sign implants would give you the hold you want.
Yes. We do denture repairs, relines, and adjustments. Bring them in and we'll figure out whether an adjustment solves it or whether a new set is the better use of your money.
Usually an immediate denture, placed the same day your teeth come out, or a temporary set you wear through healing. These need adjustments and often a reline as your gums settle, so expect a few short visits. If you already have an older denture that still seats reasonably well, we can sometimes modify it to carry you through instead. Patients weighing a more secure option often ask about implant-supported dentures at this stage.
If you've been ordering the soup because chewing is a gamble, or covering your mouth when you laugh, that's fixable. Tell us what's been bothering you, and we'll show you what's realistic, whether that's dental implants, dentures, or a same-day crown. If the appointment itself is the hard part, say so when you call and we'll plan around it, sedation included.
Call Table Mesa Dental at (303) 590-3992. We're at 603 South Broadway in Boulder, open Monday through Thursday 8 to 4 and Friday 8 to 2.
