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  • Our Practice
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      • Types of Braces
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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
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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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Tom H.
They are the friendliest and great customer service. I really appreciate being able to communicate with them via text.
Sara S.
Otto Is just like family. Haven’t been there in a while and they could remember small details about both my kiddos. I highly recommend Otto for all your orthodontic needs! Love them 💖
Brian M.
Great office & staff. Explained process patiently and will be a pleasure to work with.
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
Tania P.
We had our 1st consultation, everyone was nice. We were able to get all the information (cost, timeframe, all the details and X-rays) we needed for my daughter to get braces. They were quick and very resourceful.
Lauren K.
Very thorough in the explanation of each step of the service. They really made my 8yr old feel comfortable!
Darryl F.
Charity and Dr. Karkow are amazing. I want to to personally thank them and the entire staff. They're very passionate about taking care of the patients and I'm thankful they were part of this journey. I would give 20 stars if I could. The entire staff is awesome ‼️‼️‼️❤️❤️❤️ I will miss you guys. ❤️
Meera R.
Holly and Dr. Otto were so kind and patient with my daughter and I! We are very thrilled!
Tori R.
I can't say enough good things about Otto! They are great at walking you through the whole process, making sure you understand and are comfortable. I recommend them to everyone I talk to that is looking for an orthodontist.
Lindsey
Hands down one of the most delightful doctor/dental/ortho experiences I have ever had!
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!
Jackie K.
Otto Orthodontics got us in quickly and efficiently created a treatment plan. Each appointment was under 40 minutes. A well oiled office!
Sara B.
The doctors and staff have all been wonderful here. My daughter has a complicated situation with missing teeth and the varied options were explained to us with thoughtfulness and care. Very pleased we and chose Dr. Otto as our orthodontist.
Christen Z.
My whole family has been treated by Otto and we’ve been super happy with them! The staff is very friendly and they make you feel comfortable during the whole process. We highly recommend them!
Chanda M.
We have had such a wonderful experience with Otto orthodontist office! My son only had his braces on for 13 months, and part of the reason we had to wait a little longer was simply because we were waiting for some of his teeth to come in. Throughout the entire process, the whole team has been amazing to work with. One thing that really stood out to us was how accommodating and flexible they were. Even when our regular office didn’t have an appointment available, they gave us options to visit one of their other locations. No matter which office we went to, we were always greeted by friendly, helpful, and professional staff who made us feel comfortable. Everyone has been so patient, kind, and knowledgeable throughout my son’s orthodontic journey. We truly appreciate the care they provided and how smoothly they made the entire process for both my son and our family. We are so happy with his results and would absolutely recommend this orthodontist to other families looking for great care and a team that genuinely cares about their patients!
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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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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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