otto-matic

confidence

in every smile

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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We’re Not Your Typical ORTHODONTIC PRACTICE

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.

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.

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!

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.

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.

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.

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

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

Teens

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

adults

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

Senior Adults

This stage of life is an excellent time to focus on your oral health, including correcting and preventing issues.

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!

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.

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.

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!

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.

Nevermore

Otto Orthodontics have made a long time dream come true. I can't thank them enough for all the hard work they out into making my smile the best it could possibly be. 3 years worth, my bite was terrible and I never smiled until now. To all the staff at the St. Peters location thank you for being kind, patient and just generally awesome.

Antonia D.

Otto Orthodontics is fantastic! They’re efficient, appointments are easy to book, and I’ve never had to wait long to get in. I also really appreciate their use of modern technology and their up-to-date approach to orthodontic care. Highly recommend!

Baleigh W.

Awesome staff, very helpful and professional! Provided all the details we needed to get treatment set up. Continued care through entire treatment process and guided each step of the way.

Susan T.

We had great experiences with our kids at Otto Orthodontics. They have the best staff! The boys loved the reward system and actually looked forward to their appointments.

Jessica G.

Great experience! My daughter isn't quite ready for braces yet, and I really appreciated how honest and upfront they were about that. Everyone was so friendly, professional, and made us feel welcome. I highly recommend them!

Catherine S.

Great experience and I would highly recommend them to anyone considering Invisalign treatment.

Jen K.

I was treated in the Des Peres office for braces. Every part of the 24 month treatment plan has been smooth and efficient. Dr. Otto, Dr. Larkin and the entire staff are top notch and very caring. Everyone seems to enjoy their work life which leads to wonderful patient care. Also my teeth look great! 😁

Nicole S.

Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!

Brian M.

Great office & staff. Explained process patiently and will be a pleasure to work with.

Courtney C.

I’ve had a fabulous experience during my first few visits. The office atmosphere is so inviting, feels luxurious & the team is really friendly. My Invisalign consultation was extremely thorough — I felt well-educated about the entire process. I especially loved being able to see a before-and-after preview of my expected results. So excited for my new smile!

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.

Allison D.

Dr. Otto is an earth angel!!! I am grateful our paths crossed. We had an unfortunate experience where my 10 year old knocked out her front two teeth at a friend’s home. At this point, we were not a patient of hers and did not know her. She lived nearby, hopped in her car in her PJs (god love her), came over to reinsert the teeth. Dr Otto continued to check in while we were at Children’s hospital and days/weeks following. She researched and offered guidance on when to start braces. Today was an exciting day with brackets ❤️ Update 8/18/2026– She has had her braces on for 6 months and I am shocked with the progress!! Thankfully no ankylosis

Rachel

I'm an adult getting Invisalign at Otto, and what stood out to me right away is that the people who work there have beautiful teeth and are patients themselves. I really respect that. They know the process from the inside.

Kaitlin T.

such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷

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