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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

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What sets us apart
New Patient Portal
Make A Payment
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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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Image of the number "01" in bold and vibrant pink, representing the first step in the retainer program at Otto Orthodontics, emphasizing the importance of protecting your smile post-treatment.

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Consult

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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.

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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

Child getting candy from candy dispenser
group photo

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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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.
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Otto Orthodontics Top Workplaces 2026 award and recognition.

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

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

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

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

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 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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Get Ready

to rock a

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!

4 exam rooms with patients being seen
Kelly L.
We’ve had such a great experience with Otto Orthodontics for my 14-year-old daughter. She’s been a patient since July for phase two of her braces, and the care has been consistently excellent. The entire team is friendly, patient, and makes her feel comfortable at every visit—which is huge for a teenager. They always take the time to explain what they’re doing and what to expect next, so we both feel informed and confident in her treatment plan. Appointments run on time, the office is clean and welcoming, and the results we’re seeing already are amazing. It’s clear they truly care about their patients and the quality of their work. Highly recommend Otto Orthodontics to any family looking for a great orthodontist!
Response from the owner:Thank you, Kelly, for your wonderful feedback! It's fantastic to hear that your daughter feels comfortable and well-informed during her visits. We appreciate your recommendation and look forward to continuing her orthodontic journey with us!
Arshley W.
First appointment went great!! I had a wonderful experience at this dental office. The staff was welcoming and supportive, making me feel comfortable throughout my first appointment.They took the time to guide me through the steps while answering all my questions and thoroughly explaining my dental issues. I truly appreciate their professionalism and kindness. Looking forward to my journey!!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first appointment was a positive experience. Our team looks forward to supporting you on your orthodontic journey. See you soon!
Alicia J.
Dr Roland and all of the girls were so sweet, personable, professional, knowledgeable, and experienced! I will definitely be back for all of my ortho needs.
Response from the owner:Alicia, thank you for your wonderful feedback! We're thrilled to hear that you felt welcomed and cared for by our team. We look forward to assisting you with your orthodontic needs in the future!
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!
Justin F.
Dr. Otto and her team was amazing. Special shout out to Jeanna for getting me in there!
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.
Darryl F.
Charity and Dr. Karkow are amazing. I want to to personally thank them and the entire staff. They're very passionate about taking care of the patients and I'm thankful they were part of this journey. I would give 20 stars if I could. The entire staff is awesome ‼️‼️‼️❤️❤️❤️ I will miss you guys. ❤️
Judy N.
Fabulous Orthodonics, especially for a seven-year-old getting braces for the first time. Alivia was outstanding, kind, calm, gentle and talked to my granddaughter the entire time, telling her what was being done. I can't thank her enough for how she treated my Granddaugher! Awesome! Highly reccommend for all ages.
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. Your support is greatly valued!
Zaneta S.
Hello my experience with otto orthodontics was a 10 out of 10 Everyone was very nice they made sure that i understood how the process will go and what was best for me to do and also was very welcoming and they were the third consultation that i had done and they made my decision to come back to get my work done with them.
Response from the owner:Thank you for sharing your thoughts! Comments like this remind us why we love what we do — helping patients feel comfortable and confident throughout their journey with us.
BL B.
Otto Orthodontics has been great since day one. The staff is courteous and professional. Dr. Roland has watched my daughter's permanent teeth come in and recommended treatments that have helped her teeth come in straighter. They never pushed for braces, taking a wait and see what happens as the teeth came in. Now that she has started braces, they are taking their time, letting her get used to them. It is very different than when I had braces in the 80s. I highly recommend Otto to anyone who needs orthodontics.
Response from the owner:Thank you so much for taking the time to share your five-star experience with us. We truly appreciate your kind words and support. Providing a welcoming and positive environment is always our highest priority.
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!
Jennifer W.
Otto Orthodontists is great. They took the time to answer all my questions and explain the Invisalign process in detail. They were all very nice and eased my daughter nerves.
Response from the owner:Thank you, Jennifer. Taking the time to answer every question and settle nerves is a big part of what we do.
Lauren L.
Staff is so friendly and helpful. Happy to answer any and all questions. Great experience all the way around and my daughters teeth look amazing!
Response from the owner:Thank you for your wonderful feedback, Lauren! We're thrilled to hear that our team's friendliness made your experience enjoyable. It's fantastic to know your daughter's smile is looking amazing. We appreciate your kind words!
Chris C.
Everyone is so kind and make me and my son feel right at home. We never wait long and are in and out without any issues. We are so lucky to have such a great place close to home that I can take my kids to for orthodontic appointments.
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
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team made such a positive impact on your experience. Your recommendations mean a lot, and we look forward to continuing to provide exceptional care!
Kelly S.
My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!
Response from the owner:Thank you for the kind feedback! We love being able to make orthodontic visits a little easier and more pleasant for our patients and their families.
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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
  • Fenton, MO
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  • Wentzville, MO
  • Creve Coeur, MO
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!