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  • Our Practice
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otto-matic

confidence

in every smile

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Orthodontist smiling with a young teen with braces
Simple & affordable

It’s Easy To Get An

AWESOME SMILE!

Orthodontics is our passion and we’ve made the entire process, from your first consultation to your finished smile, as simple and fun as possible!
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our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

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Orthodontist and team with smiling kids by the candy wall

At Otto Orthodontics, we work hard to treat our patients the same way we would like to be treated: with respect, professionalism, and sensitivity.

All of our patients are unique individuals with specific needs and goals, and Dr. Otto and her extraordinary team treat each patient with personalized service.

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our doctors

Meet Your Amazing

ORTHODONTISTS

Portrait of Dr. Genevieve Otto smiling

Dr. Genevieve Otto

Orthodontics is a passion for me. I love that I can be a positive influence on many adolescents during a very influential time in their lives.
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Portrait of Dr. Kirsten Karkow smiling

Dr. Kirsten Karkow

Orthodontics is both a science and an art. I love working with patients of all ages to design and create their best smiles!
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Portrait of Dr. Andrew Larkin smiling

Dr. Andrew Larkin

I have always been very involved in the field of Orthodontics to protect the integrity of the profession and to ensure positive patient outcomes.
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Portrait of Dr. Katelyn Roland smiling

Dr. Katelyn Roland

My attention to detail and drive for perfection is instilled in my core and my passion is transforming both the smiles and lives of my patients.
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Dr. Sara Patterson smiling in a white coat

Dr. Sara Patterson

Orthodontics is my passion because it allows me to make a meaningful impact during a pivotal time in young people's lives—helping them grow in both confidence and self-esteem.
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who we help

Ortho Is For

EVERYONE!

Orthodontic treatment is an important time in your life. We strive to make it a positive, memorable experience no matter how old you are.
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Kids

The American Association of Orthodontists recommends visiting the orthodontist around age seven.

BRACES
INVISALIGN
Smiling teen with Invisalign clear aligners

Teens

While braces used to have a bad reputation, today’s braces make it easy to look good and feel good!

BRACES
INVISALIGN
Smiling adult with Invisalign clear aligners

adults

We recognize that adults have different needs, and require a different level of attention and care during treatment.

BRACES
INVISALIGN
Smiling older adults, candidates for braces or Invisalign

Senior Adults

This stage of life is an excellent time to focus on your oral health, including correcting and preventing issues.

BRACES
INVISALIGN
How We Help

Explore Our

TREATMENTS

Providing the best possible results for our patients is our main goal, so we invest in latest in technology and training.

Braces

Braces are designed to fit seamlessly with your lifestyle and to help, we offer a variety of advanced braces options to fit your needs and smile goals!

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Invisalign

As a Sapphire Invisalign provider, we treat patients of all ages with Invisalign to achieve stunning results while maintaining a natural-looking smile.

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Other Treatments

We take a comprehensive approach to all treatment plans to ensure your smile is completely cared for. We offer treatments to enhance both the function and aesthetics of your smile.

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We would love to connect with you! Check out our social media to stay up-to-date with what’s going on at our offices and to see all of the fun we’re having!

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Our Reviews

Experience Our

5-Star Care

Check out what patients have to say about their 5-star experience with our amazing team. We can’t wait to provide you and your family with the same quality of care!

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Shelby D.
Starting the orthodontic process with our son felt a little overwhelming and the team at Otto was patient, transparent, and informative as we navigated it. Our son was comfortable the whole time and had all of his questions answered too. I’m glad this is where we chose to go!
andrea M.
Dr Roland and staff are truly amazing! So nice and thorough, they take the time to explain what they are doing and why. I am in the dental field and this is where I recommend my patients to always!
Rachel
I'm an adult getting Invisalign at Otto, and what stood out to me right away is that the people who work there have beautiful teeth and are patients themselves. I really respect that. They know the process from the inside.
Ashley G.
Walked in for a consult and left with braces for my 16 year old an hour and forty five minutes later. The most pleasant staff! Couldn’t imagine going anywhere else!
Tammi B.
We’ve had a wonderful experience with Otto Orthodontics! The staff is friendly, welcoming, and professional, and they make every visit a great experience. They take the time to answer questions, explain the process, and make sure you feel comfortable throughout treatment. We are so happy with the care we’ve received and would highly recommend them to anyone looking for a great orthodontist!
Keka S.
My daughter just got her braces on today, and we had a wonderful experience! She usually gets very anxious during dental appointments, but the staff went above and beyond to make her feel at ease. They took their time answering all of our questions and explained every step of the process. Highly recommend!"
Darryl F.
I want to take a moment to give a special shoutout to Dr. Kirsten Karkow and the entire team at Otto Orthodontics! If your teeth aren’t completely straight and you’re considering an orthodontist, I highly recommend Dr. Karkow and her team. From the very beginning, the atmosphere has been fun, welcoming, and caring. Every visit, I felt genuinely appreciated and treated like royalty. Even after my braces were removed, Dr. Karkow took the extra time to make sure my teeth were filed evenly and that everything looked just right. That level of care and attention to detail truly meant a lot to me. I can honestly say I enjoyed wearing braces, which is something I never thought I would say! The hospitality, kindness, and professionalism shown at every visit made the entire experience so much better. I will truly miss you guys! ❤️ Thank you, Dr. Karkow and the entire Otto Orthodontics team, for taking such great care of me. Keep up the amazing work!
Tiffany K.
Everyone at Otto Orthodontics is incredibly friendly, welcoming, and professional. They took the time to explain everything thoroughly, making us feel comfortable and informed throughout the entire process. My kids actually look forward to going to their appointments, which says a lot! We highly recommend Otto Orthodontics to anyone looking for exceptional orthodontic care.
Diane B.
Friendly and knowledgeable doctors and techs! Always answer my questions and explain what’s going on with my treatment. A joy to walk in and be greeted warmly by the desk staff too!
Lauren J.
We had our first appointment with Otto yesterday and it was honestly the quickest, most efficient appointment ever. They were so friendly and gave us all the information we needed! Highly recommend!
Barry P.
Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.
Nevermore
Otto Orthodontics have made a long time dream come true. I can't thank them enough for all the hard work they out into making my smile the best it could possibly be. 3 years worth, my bite was terrible and I never smiled until now. To all the staff at the St. Peters location thank you for being kind, patient and just generally awesome.
Hannah T.
I will always recommend Dr. Otto’s office. I had a very challenging ortho case most orthodontists did not want to do and she took a chance on me and gave me my dream smile.
Camme S.
phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend
Lauren S.
Every visit is super quick and informative and they provide delicate hands and compassionate care.
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Our locations

We Can’t Wait ToSEE YOU SOON!

Wentzville
  • 1002 Schroeder Creek Blvd.
    Wentzville, MO 63385
St. Peters
  • 314 Mid Rivers Mall Dr.
    St. Peters, MO 63376
Fenton
  • 1560 Smizer Station Rd.
    Fenton, MO 63026
Des Peres
  • 12360 Manchester Rd. Ste. 204
    St. Louis, MO 63131
Creve Coeur
  • 11710 Old Ballas Road, Unit 210
    Creve Coeur, MO 63141
Saint Louis, MO
Fenton, MO
St. Peters, MO
Wentzville, MO
Creve Coeur, MO
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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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