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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 smiling girls in pink Otto Orthodontics t-shirts holding cotton candy in front of an Otto Orthodontics logo, showcasing a fun and welcoming orthodontic environment.
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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Select Your Low
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Sit Back, Relax
& Get Started

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

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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

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

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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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!

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Marissa P.
After the first consultation my daughter loved the staff and very comfortable with the place! This is what made us go with Otto orthodontics! Ever since they have been very communicative and friendly! Love the point system they offer as well. Highly recommend them.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
Brie K.
They did such a great job fixing my teeth. They were always so friendly and made the whole process so easy. I would 100% recommend them for braces!
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.
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.
Ashley T.
My daughter has had exceptional care at Otto! We love all the people that work there. Everyone is friendly and explains everything well. Very pleased with our experience so far!
Response from the owner:Thank you, Ashley, for your kind words! It's wonderful to hear that your daughter is receiving such exceptional care. We appreciate your recognition of our friendly team and clear communication. Your satisfaction means a lot to us!
Abbie M.
My smile is even more beautiful now after getting braces at Otto Orthodontics! Dr. Otto and Dr. Larkin are the best! All the workers are so kind! Thank you so much Otto Orthodontist!
Response from the owner:We appreciate your wonderful review! Creating a warm, welcoming space for patients of all ages is something our whole team takes pride in.
Susan C.
What a great Orthodontic office. Everyone was professional and easy going. The group took care of my old retainer and put a new one in. I will be going back and highly recommend Otto Orthodontics to anyone looking for care.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled you had a positive experience with our team. Your recommendation means a lot to us. We look forward to seeing you again at Otto Orthodontics!
Kristine E.
Easy to talk to and explained everything in detail. Very thorough on what was recommended and needed.
Response from the owner:Thank you for your kind words, Kristine! We're glad you found our explanations detailed and helpful. Providing thorough recommendations is essential to us, and we appreciate your feedback. Looking forward to seeing you again!
D. D.
Today I went in to start my aligner treatment and the entire staff was great. Starting with the receptionist, to the dental assistant, and Dr. Otto. Everyone was super nice and had great energy! I feel like I made the right decision choosing them for my orthodontic treatment. I’m looking forward to see my results!
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
Kimberly P.
We have had great experiences with Otto so far.. My son just got his braces today and the entire office was friendly and helpful.
Response from the owner:Thank you for taking the time to share this! It's always rewarding to know that the care and attention our team puts into every visit is making a difference.
Barry P.
Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
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!
Tara M.
My daughter Abbie is a patient of Otto Orthodontics. They did a phenomenal job with her braces and she looks even more beautiful without them. Dr. Otto and Dr. Larkin were great with her as well. Thank you Otto Orthodontics! 😊
Response from the owner:We really appreciate you taking the time to leave this review! Making every visit comfortable and stress-free is always our goal, so it means a lot to hear that came through.
Sabrina T.
I was recommended this location by my dentist and this has to be one of the best recs I’ve ever received. The staff are incredibly friendly and helpful, and Dr. Otto is adorable and equally as friendly. She’s knowledgable in her role and I’ve never questioned anything she’s done. I recommend her offices to anyone I can.
Kelly H.
Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.
Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!
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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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  • Wentzville, 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!