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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
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otto-matic

confidence

in every smile

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What sets us apart
Two girls with cotton candy
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.

Select Your Low
Monthly Payment

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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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Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
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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, 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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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
HD V.
We had a great experience at Otto Ortho in Fenton! Dr. Karkow and staff (Katelynn) worked with us and were patient and knowledgeable. Very personable staff, would highly recommend to anyone!!
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.
Chelsea F.
Our daughter got her braces on today, and we had a fantastic experience! The office personnel were professional and kind, and I love that I was able to sit alongside my daughter during this experience. Thank you, Otto Ortho!
Jewel W.
I chose Otto due to their consistent 5 star ratings, and am so thankful I did. All of the staff has been phenomenal. They were clear about the process, answered any questions I had, and Ashley checks on me to see how I am doing through treatment. Absolutely amazing service. I have already recommended them to co-workers, friends, and family.
Response from the owner:Thank you, Jewel! It’s wonderful to hear that our team provided exceptional support throughout your treatment. We appreciate your referrals and look forward to continuing to help you and your loved ones achieve beautiful smiles!
Evan G.
Amazing orthodontic place I always would recommend this orthodontic for anything Jana is the best person there she gives you all the information and is super helpful
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you find our practice amazing and that Jana provided you with exceptional service. We appreciate your recommendations and look forward to seeing you again!
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!
John K.
New to the area and our first visit and we were very impressed. Everyone was very nice, explained in detail the process and what to expect. Highly recommend them to anyone.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first visit was a positive experience. Our team is dedicated to providing clear guidance and support. We appreciate your recommendation!
D D.
Beautiful office, friendly staff and doctors, most up- to- date technology. We are excited to start treatment in a few weeks!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you appreciate our office's environment and technology. We look forward to starting your treatment journey together soon at Otto Orthodontics!
Janice M.
Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.
Response from the owner:Thank you for your wonderful feedback, Janice! We're delighted that you and your son experienced our attentive service throughout the consultation process. We look forward to seeing you again soon!
SALLY S.
Can’t say enough great things about Otto! Everything is done to the highest quality.
Response from the owner:Thank you, Sally! Your kind words about the quality of our work truly motivate our team. We're committed to providing excellent service, and we're thrilled to hear you had a great experience with us!
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.
Ursula E.
Fantastic office! Everyone was so friendly and made my daughter feel at complete ease. I can't wait to see her smile results!
Response from the owner:We're thrilled to hear this! Our goal is always to combine excellent care with a genuinely friendly atmosphere, and it's great to know that's the experience you had.
Erin
The young lady was very friendly and polite. She took time to explain things very well.
Response from the owner:Thank you for your kind words, Erin! We're thrilled to hear about your positive experience with our team. Our commitment to providing thorough explanations and friendly service is our priority. We appreciate your feedback!
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.
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!
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.
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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
  • St. Peters, MO
  • 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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  • (314) 900-6886

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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!