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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
    • Your First Visit
    • Virtual Consult
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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.
Dr. Otto and teen patient
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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Select Your Low
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Sit Back, Relax
& Get Started

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

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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

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

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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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

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

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 with doctor

Kids

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

BRACES
INVISALIGN
teenager with invisalign

Teens

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

BRACES
INVISALIGN
Adult with Invisalign

adults

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

BRACES
INVISALIGN
Braces and Invisalign for Seniors

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

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Invisalign

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’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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New smile

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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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Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
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.
Marci M.
I barely convinced my son to go to his consultation and he fought potentially getting braces. I figured it was worth a shot. The staff at Otto immediately made the experience fun and carefree. By the end of the appointment he was excited about getting braces.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate positively.
Jessica M.
Every time we walk in we feel welcome! The girls and Dr. Larkin are great. Not only are they knowledgeable and do a great job, but they are fun and inviting. You can tell they enjoy their job!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to know you feel welcomed and enjoy the atmosphere we create. Our team truly loves what they do and appreciates your recognition of their efforts!
Nicole H.
Literally the best! They know what they’re doing here, and when I say so nice omg it’s like visiting family. Everyone in the office always has a smile on their faces. The office is always bright and clean. It’s so calm and peaceful at Otto orthodontics. I love it there!
Katy G.
They are very willing, understanding and helpful to all needs. I have great experiences so far before my treatment and since my treatment for braces started in November. The orthodontist assts and Dr. Rowland are understanding and helpful, I have sensory issues with my mouth and teeth and they are always understanding and gives breaks too :) Always good experience!
Donielle W.
I had my top braces put on today and had a great experience from start to finish. My appointment was right on time, which I really appreciated. The team explained everything clearly and made sure I understood what to expect during and after the process. They also gave great advice on how to properly care for my braces moving forward. Overall, very professional, efficient, and informative—highly recommend!
Response from the owner:Thank you, Donielle! We’re thrilled to hear about your positive experience with our team during your appointment. Your satisfaction is our priority, and we appreciate your recommendation. Welcome to your orthodontic journey!
Casey B.
Absolutely love this place, They make it feel like you’re hanging out with friends. Would recommend them to anyone
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our atmosphere feels like home and that you felt welcomed. Your recommendation means so much to us. We look forward to seeing you again!
Brittany S.
Great experience here! I feel so much better after my Invisalign treatment—it’s great to have my smile back. The team is so knowledgeable, kind, and attentive. Highly recommend!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a respectful and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.
D. D.
Today I went in to start my aligner treatment and the entire staff was great. Starting with the receptionist, to the dental assistant, and Dr. Otto. Everyone was super nice and had great energy! I feel like I made the right decision choosing them for my orthodontic treatment. I’m looking forward to see my results!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's rewarding to know that our efforts resonate with the community.
Kelly H.
Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.
Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!
Kimberly P.
We have had great experiences with Otto so far.. My son just got his braces today and the entire office was friendly and helpful.
Response from the owner:Thank you for taking the time to share this! It's always rewarding to know that the care and attention our team puts into every visit is making a difference.
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!
Amanda W.
Highly recommend! My main office was the St. Peter’s location but I’ve also been to the Wentzville location. Both locations are clean, spacious and convenient. The staff was always positive and so sweet. They’re more affordable than other places in the area. They have a texting line which is super convenient. They also offer a retainer for life program where you can get a replacement retainer at no extra cost. I took two of my kids somewhere else for their braces and that place was great too but it was pretty pricey. This rating comes from my ortho treatment that I just finished up. When it comes time for our youngest to start his braces treatment, he will be coming here as well.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's wonderful to know that this resonates with our community.
Mandy D.
The staff was super friendly and personable. They took time to explain everything to myself and my son. Upfront pricing with no hidden costs, love it!
Response from the owner:Thank you for your wonderful review, Amanda! We're thrilled to hear that you and your son had a positive experience with our team. Our goal is to provide clear communication and friendly service. We appreciate your support and hope to see 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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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!