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      • About Invisalign
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    • Other Treatments
      • Two-Phase Treatment
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otto-matic

confidence

in every smile

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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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our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

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Orthodontist and team with smiling kids by the candy wall

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

Portrait of Dr. Genevieve Otto smiling

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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Portrait of Dr. Kirsten Karkow smiling

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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Portrait of Dr. Andrew Larkin smiling

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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Portrait of Dr. Katelyn Roland smiling

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 smiling in a white coat

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.
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Kids

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

BRACES
INVISALIGN
Smiling teen with Invisalign clear aligners

Teens

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

BRACES
INVISALIGN
Smiling adult with Invisalign clear aligners

adults

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

BRACES
INVISALIGN
Smiling older adults, candidates for braces or Invisalign

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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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 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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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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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.
Lisa W.
The staff take their time with you and are so friendly. A very positive environment for an excellent service!
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!
Rebekah W.
Amazing & professional customer service! I felt so at ease with each person I spoke to. Thanks for being so helpful and explaining things in detail.
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!
Johanaliz R.
I had a great experience at Otto Orthodontics! Everyone was very professional, friendly, and made me feel comfortable throughout the entire process. Getting my braces was much easier and more comfortable than I expected. I’m very happy with the care I received and would definitely recommend them!
Anne P.
I truly cannot say enough wonderful things about Otto Orthodontics. From the moment I walked through the door, I have felt so welcomed, comfortable, and genuinely cared for. The entire team is incredibly kind, professional, and attentive, and the level of service has been exceptional. Dr. Otto has been absolutely amazing, especially during a really difficult and emotional time in my life. I have been dealing with a broken jaw that unfortunately cannot be fixed, and navigating that has been incredibly hard. Dr. Otto has been so compassionate, patient, and understanding throughout the process. She has taken the time to listen to my concerns, explain my options, and make me feel comfortable and supported when I really needed it. What I appreciate most about Dr. Otto is that she treats you like a person, not just a patient. Her genuine care and compassion have meant so much to me during a challenging time, and I am incredibly grateful to have her guiding me through my treatment. The entire team at Otto Orthodontics has gone above and beyond to make every appointment a positive experience. Everyone is welcoming, helpful, and truly cares about their patients. If you are considering Invisalign or orthodontic treatment, I cannot recommend Otto Orthodontics enough. I am so grateful I found Dr. Otto and her team. The quality of care, personal attention, and compassion I have experienced here have been truly exceptional.
Tiffany K.
Everyone at Otto Orthodontics is incredibly friendly, welcoming, and professional. They took the time to explain everything thoroughly, making us feel comfortable and informed throughout the entire process. My kids actually look forward to going to their appointments, which says a lot! We highly recommend Otto Orthodontics to anyone looking for exceptional orthodontic care.
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.
Kathryn F.
The assistant, Macy did a great job!!! She made me feel comfortable about the work that was doing and explained everything in great detail.
Justin W.
Staff and doctor were friendly and straightforward. They were upfront with the price and their recommendations. They got us in and out quickly but we did not feel rushed.
Pam M.
Yesterday I had my braces off to start my invisalign program as I will be away for 4-5 months. I only had my braces on for 4.5 months. My teeth are almost perfectly straight and the bite problem, which was the reason I got braces, is already much improved. I am very happy with the results. If you are a senior citizen considering braces, go for it with Otto Orthodontics. They treat us with respect and the results will improve your life. Thank you Otto Orthodontics
Betsy G.
Dr. Larkin is wonderful. He is great with the kids and the parents. And all of the staff is super friendly and make the process as easy as they can. It's a fun environment for something that is just naturally not fun at all.
Sarah A.
Wonderful team and doctor. Great experience. Staff is super friendly. Highly recommend. Wouldn’t go anywhere else!
Amber R.
Adilyn got her lower Braces today!!🤩😃 Just in time for school to start. Thank you Nichole for your super great work with Adilyn! 👏🏻 Ok, this is so old. I am just adding to this post as the newest update is Adilyn is doing great! Kylie is Amazing!! Smile is looking great! Thank you Kylie & Dr. Larkin!!! Thank you again!!! Amazing visit 🤩🤗 What’s up! I don’t know if this has actually posted in the past. But… Today 5/21/26 Adilyn is doing GREAT!! Thank you so much Kylie & Dr. Larkin!
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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
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  • Des Peres, MO
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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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