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Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
  • Our Practice
    • Who We Are
    • What Sets Us Apart
    • Meet Our Doctors
    • Meet Our Team
    • Locations
    • Our Technology
    • Community Involvement
    • Office Tours
    • Patient Reviews
  • Orthodontics
    • Braces
      • Types of Braces
      • Braces For Kids
      • Braces For Teens
      • Braces For Adults
      • Braces for Senior Adults
      • Braces Care
      • Color My Braces
    • Invisalign
      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
      • Invisalign For Adults
      • Invisalign for Senior Adults
      • SmileView Simulator
      • Invisalign Care
    • Other Treatments
      • Two-Phase Treatment
      • Dentofacial Orthopedics
      • Injectable Lip Filler
      • Surgical Orthodontics
      • Teeth Whitening
      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
      • Orthodontic Retention
      • Cleft Care
      • Special Healthcare Needs
      • Airway Orthodontics
  • Patient Resources
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otto-matic

confidence

in every smile

Complimentary Consult
What sets us apart
Two smiling girls in pink Otto Orthodontics t-shirts holding cotton candy in front of an Otto Orthodontics logo, showcasing a fun and welcoming orthodontic environment.
Doctor and patient smiling together at Otto Orthodontics, showcasing personalized orthodontic care in a welcoming office environment.
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!
Complimentary Consult
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Complimentary
Consult

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Pink divider line separating retainer program sections
Large pink number "02" with a bold, stylized design, representing a step in the retainer program process at Otto Orthodontics, highlighting the importance of protecting your smile post-treatment.

Select Your Low
Monthly Payment

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Decorative divider line separating retainer program sections
Bold number "03" with a pink outline, representing the third step in the retainer program at Otto Orthodontics, emphasizing the importance of protecting your smile after treatment.

Sit Back, Relax
& Get Started

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

Girl in a white sweater using a candy dispenser at Otto Orthodontics, holding a blue cup with the logo, surrounded by colorful candy containers.
Group of four children and an orthodontist smiling together in Otto Orthodontics office, featuring the "OTTO Orthodontics" neon sign in the background, showcasing a welcoming atmosphere for pediatric orthodontic care.

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.

Learn More
American Association of Orthodontists logo and symbol for orthodontic professionals.
Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
Otto Orthodontics "Best of St. Charles County" award 2024 and 2025.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
Invisalign Sapphire clear aligner treatment for orthodontic smiles
Otto Orthodontics STL Magazine listing and recognition for orthodontic services in St. Louis.
Otto Orthodontics logo and branding for personalized orthodontic care.
Otto Orthodontics Platinum List highlighting low monthly payment options and a complimentary consultation.
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Otto Orthodontics Top Workplaces 2026 award and recognition.

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto smiling in orthodontic attire, representing personalized orthodontic care at Otto Orthodontics.

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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Dr. Kirsten Karkow smiling, showcasing her passion for orthodontics and personalized patient care at Otto Orthodontics.

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!
Learn More
Dr. Andrew Larkin smiling in orthodontic scrubs with "OTTO" logo, representing personalized orthodontic care at Otto Orthodontics.

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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Dr. Katelyn Roland smiling in orthodontic attire, representing personalized patient care at Otto Orthodontics.

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, orthodontist at Otto Orthodontics, smiling in a white coat, emphasizing her expertise in orthodontic care and personalized treatment.

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.
Kids engaged with orthodontist, exploring treatment options on a digital screen, showcasing excitement and curiosity in a modern orthodontic office.

Kids

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

BRACES
INVISALIGN
Dr. Sara Patterson with a young patient in the Otto Orthodontics office, showcasing personalized orthodontic care and a welcoming environment for teens.

Teens

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

BRACES
INVISALIGN
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adults

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

BRACES
INVISALIGN
Senior adult patient smiling with orthodontist in consultation, discussing treatment options on a computer screen in a modern orthodontic office.

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!

Learn More
Child with braces playing with colorful orthodontic tools in a dental office, smiling with a dental professional in the background.

Invisalign

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

Learn More
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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.

Learn More
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we’re social

Connect With Us

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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Get Ready

to rock a

New smile

Complimentary Consult
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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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!
Brooke T.
Nothing but amazing things, the staff is absolutely amazing! We love our visits in for my son. Highly recommend.
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Sophia A.
Amazing staff, they saved the day and helped me after I moved here and needed help completing treatment. Everyone is so friendly. Would highly recommend!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized.
Alana H.
We love this office! Everyone is kind and professional. My daughter absolutely (10)loves going into the office. During the consultation, they explained the whole process to her which put her mind at ease.
Response from the owner:Thank you, Alana! We're thrilled to hear that you and your daughter enjoy our office. Our team is dedicated to making every visit comfortable and informative. We look forward to seeing you both again soon!
Kevin D.
My daughter goes there and it’s always been friendly, a short wait, I like the little things about the office that makes it their own. Not just another boring medical office.
Response from the owner:Thank you for your wonderful feedback! We're delighted that your daughter enjoys her visits and appreciates the unique touches we offer. Creating a friendly environment is our priority. We look forward to welcoming you both again soon!
Eris P.
The staff is so nice, informative and attentive. You can feel the tremendous care the staff provides to each patient.
Response from the owner:Thank you for your feedback! Whether it's a first visit or a regular checkup, we always aim to make our patients feel comfortable, and we're glad that came through.
Annabelle R.
Thank you for providing the service of replacing retainers. My old retainers needed to be replaced and I'm glad your office provided this need. You all were friendly and helpful. Great service!
Response from the owner:We appreciate you sharing this review! Our team is passionate about creating a positive experience for every patient who walks through our doors.
Andrea S.
First appointment out of many for two of my kids today. I was super impressed by Nichole she was amazing with my 8 year old who was very nervous about getting his expander and does not do well with the unknown. Thank you Nichole!
Response from the owner:Thank you for your wonderful feedback, Andrea! We're thrilled to hear that Nichole made your child's first appointment a positive experience. We look forward to seeing you and your kids again soon!
Cathy H.
We had a wonderful experience for phase 1 & 2 of braces! Otto orthodontics is the best!!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to hear that this effort is recognized.
Kasey F.
We love Otto! Nicole has been working with my son Leo and she has been exceptional. Dr. Larkin is amazing, as well. Nicole lets my daughter, Rowan, be her little assistant and now she wants to be an Orthodontist when she grows up because of her. My kids always have a good time 😊
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a supportive and professional environment, and it’s rewarding to know that our efforts resonate with the community.
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.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
Elizabeth Gambaro P.
My 9 year old twins are in phase one orthodontic treatment with this office and we could not be happier. The staff is so kind and accommodating, and my kids’ teeth are already looking so much straighter. Dr. Otto is so compassionate and even met me after Hours to fix a bracket on my son’s tooth that was loose before we were going on vacation.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's rewarding to know that our efforts resonate with the community.
Scott R.
Dr. Roland and Ashley went above and beyond for my son! They have been so friendly and helpful throughout the whole “braces” process. I’ll definitely be back with my other kids when they’re ready!
Response from the owner:Thank you for your wonderful feedback, Scott! It's fantastic to hear that our team made the braces process a positive experience. We look forward to welcoming your other children when they're ready!
Nicole S.
Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.
Laura P.
Wow! Excellent experience for our first visit to get my daughter’s braces on! Already so appreciative of the highly professional and friendly staff!
Response from the owner:Thank you for sharing your positive experience, Laura! We’re thrilled that your daughter's first visit was so enjoyable. Our team is dedicated to providing exceptional care and a welcoming environment. We look forward to seeing you both again!
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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
Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
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  • Des Peres, MO
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Contact Hours
Monday 8:30am – 5:00pm
Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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Personalized Treatment Plans

At Otto Orthodontics, we believe in providing personalized treatment plans for each of our patients. We understand that every individual has unique needs and goals when it comes to orthodontic care, which is why we take the time to listen and create a plan that is tailored specifically to you. Whether you are a teen looking for traditional braces or an adult interested in Invisalign, our expert team will work with you to achieve the smile of your dreams.

Our personalized approach to orthodontic treatment sets us apart from other practices. We prioritize your comfort, convenience, and overall satisfaction throughout the entire process. From your initial consultation to the day your braces are removed, we are dedicated to providing you with the highest quality care and support. Come experience the difference of a truly customized orthodontic treatment at Otto Orthodontics!