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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

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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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Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.

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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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
Cathleen T.
We are so pleased to have our daughter with special needs treated by Dr. Karkow and the team at Otto Orthodontic in Fenton. They have been phenomenal with our kiddo.
Corey C.
Nikki was very kind, outgoing and helpful. I feel like she definitely is an asset to the team and very welcoming with every single experience that you have.
Response from the owner:Thank you for your kind words! We're thrilled to hear about your positive experiences with Nikki. Her welcoming and supportive nature truly makes a difference for everyone. We appreciate your feedback and support!
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!
Jessica J.
We visited Otto Orthodontics for a second opinion for my daughter’s need for braces. Not only were the staff warm and welcoming, they were able to significantly beat pricing from another office where our first consult was held. We look forward to working with them in the near future for our daughter’s orthodontic needs.
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 are recognized.
Alicia B.
Wait wasn’t super long. Everyone was super nice and easy to talk to. They all took the time to listen to all of my concerns. Ashley was very informational making sure I understood everything and that I was satisfied before I left. 10/10 would recommend and will be back!
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.
Tyler N.
Fast, friendly, cheerful, efficient. And they helped me find a solution I could afford.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a professional and welcoming environment, and it’s rewarding to know that this resonates with our community.
Samantha B.
Although we don't go here anymore (double insured we needed to find a place that took both our insurance's) we absolutely loved it when we did! This office is truly full of dedicated wonderful staff that go above and beyond to make what can be a scarey experience so calm and inviting! The environment they created is fun and vibrant while still having that comfy cozy feeling making it a more relaxing experience than you would think possible for an orthodontist office. My girlie's really enjoyed the artwork and neon pink signs but they really thought it was cool the staff had matching shoes!! The kiddos like to dress up the same so that was like coolest thing for them! The best thing overall though was the ease of communication between the staff, orthodontist, myself, and my daughter! They just really made an effort to make you feel heard when asking questions, answering questions, explaining, just all of it!!! 10/10 I wish every office I HAD to go to was this way, I'd never miss any appointments! 😆
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you and your daughters enjoyed the vibrant atmosphere and dedicated service at our office. We appreciate your kind words and wish you all the best!
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!
Tom
Dr. Otto is very attentive and professional, makes young patients feel at ease. Her staff is well-trained, friendly and the practice is very efficient at dealing with numerous patients. We have been very happy with Dr. Otto and recommend her to anyone seeking orthodontic treatment.
Sarah F.
Per the patient (9yr old) - “they were awesome! Very nice & very careful while putting on my braces”
Response from the owner:Thank you, Sarah! We're thrilled to hear your child had a positive experience with us. Our team strives to provide gentle and attentive care. We look forward to seeing you both again soon!
Briana T.
I go here for my braces I love this place, affordable, kind and quick! I highly recommend this place !!!
Response from the owner:We truly appreciate you leaving this review! Our team strives every day to make our office a place where patients feel welcomed and well taken care of.
Tyler S.
I’ve never been to an orthodontist before and my experience with Otto Orthodontics was amazing. They far exceeded my expectations. The staff is so friendly starting with the front desk. The place was so vibrant and fun. My consultation with Ashley went better than I would have imagined. She was the perfect mix of professionalism and personable. I felt really comfortable going over the plan and I felt like I could talk with her forever. Dr. Roland was so nice and made me feel really comfortable and optimistic about my future smile. She gave me options to weigh as well as informed me on what she thinks would be the best route. Getting mouth work done can be stressful but this place is amazing and I’m so glad I pulled the trigger to check them out and can’t wait for to have the smile that I’ve always dreamed of. Thank you Otto Orthodonics!
Response from the owner:Thank you for your wonderful review, Tyler! We're thrilled to hear that your experience exceeded expectations. Our team is dedicated to making every visit enjoyable and informative. We look forward to helping you achieve your dream smile!
TK B.
Prompt, easy, courteous, professional, informative, and this is just day 1. Stay tuned…
Response from the owner:Thank you for your kind feedback! We're thrilled to hear you found our service prompt and professional. We're excited to continue this journey with you—stay tuned for more great experiences ahead!
Sarah K.
Initial placement of both my daughter's upper braces went quick and uneventful this morning! My girls were at ease and the assistants explained everything as they went along. The orthodontist was very kind and personable to me and my daughter's. We were in and out within an hour for both!
Response from the owner:Thank you for sharing your experience! We’re delighted to hear that your daughters felt at ease during their appointment and that our team provided thorough explanations. We look forward to seeing you all again!
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.
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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!