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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
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      • 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
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  • Patient Resources
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otto-matic

confidence

in every smile

Complimentary Consult
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.
Doctor and patient smiling together at Otto Orthodontics, showcasing personalized orthodontic care in a welcoming office environment.
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!
Complimentary Consult
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Complimentary
Consult

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Pink divider line separating retainer program sections
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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Decorative divider line separating retainer program sections
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

Girl in a white sweater using a candy dispenser at Otto Orthodontics, holding a blue cup with the logo, surrounded by colorful candy containers.
Group of four children and an orthodontist smiling together in Otto Orthodontics office, featuring the "OTTO Orthodontics" neon sign in the background, showcasing a welcoming atmosphere for pediatric orthodontic care.

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.

Learn More
American Association of Orthodontists logo and symbol for orthodontic professionals.
Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
Otto Orthodontics "Best of St. Charles County" award 2024 and 2025.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
Invisalign Sapphire clear aligner treatment for orthodontic smiles
Otto Orthodontics STL Magazine listing and recognition for orthodontic services in St. Louis.
Otto Orthodontics logo and branding for personalized orthodontic care.
Otto Orthodontics Platinum List highlighting low monthly payment options and a complimentary consultation.
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Otto Orthodontics Top Workplaces 2026 award and recognition.

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto smiling in orthodontic attire, representing personalized orthodontic care at Otto Orthodontics.

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.
Learn More
Dr. Kirsten Karkow smiling, showcasing her passion for orthodontics and personalized patient care at Otto Orthodontics.

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 smiling in orthodontic scrubs with "OTTO" logo, representing personalized orthodontic care at Otto Orthodontics.

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 smiling in orthodontic attire, representing personalized patient care at Otto Orthodontics.

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 engaged with orthodontist, exploring treatment options on a digital screen, showcasing excitement and curiosity in a modern orthodontic office.

Kids

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

BRACES
INVISALIGN
Dr. Sara Patterson with a young patient in the Otto Orthodontics office, showcasing personalized orthodontic care and a welcoming environment for teens.

Teens

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

BRACES
INVISALIGN
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adults

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

BRACES
INVISALIGN
Senior adult patient smiling with orthodontist in consultation, discussing treatment options on a computer screen in a modern orthodontic office.

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!

Learn More
Child with braces playing with colorful orthodontic tools in a dental office, smiling with a dental professional in the background.

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.

Learn More
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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.

Learn More
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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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Get Ready

to rock a

New smile

Complimentary Consult
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!

Orthodontic clinic interior with dental professionals assisting patients, featuring modern equipment and vibrant artwork.
Sara S.
We love Otto Ortho! Myself and two of my daughters have had braces through the practice, and everyone there has been wonderful to work with. We highly recommend the Wentzville location.
Response from the owner:Thank you, Sara! We're thrilled to hear that you and your daughters have had such a positive experience with us. Your recommendation means a lot, and we look forward to continuing to assist you all!
Summer F.
Everyone there was so friendly and never made me feel bad or uncomfortable about how bad my teeth are and went over lots of options for my treatment and were very understanding and accepting was just overall amazing definitely made me feel very comfortable
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.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first visit was a positive experience. Our team is dedicated to providing clear guidance and support. We appreciate your recommendation!
Lashae W.
Very Pleasant Place and Staff ! Clean and beautiful facility. In and out. My son and I was very welcome. My son was so comfortable and respected! Guided us through the whole process
Response from the owner:Thank you, Lashae! We're thrilled to hear you and your son felt welcomed and enjoyed our clean facility. Your kind words motivate us to continue providing excellent service. We look forward to seeing you again!
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!
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.
Response from the owner:Thank you for your wonderful feedback, Baleigh! We're thrilled to hear that our team was able to assist you and provide the information you needed. We look forward to seeing you again soon!
Donio P.
Our experience was great. Everyone was very friendly and it was easy to schedule appointments. We feel very comfortable with our treatment plan at Otto.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is appreciated.
Kyle S.
I’ve been trying to get Invisalign for a while. My regular dentist office has gave me the run around and the one ortho I met with prior gave lack luster service. Saw an Otto Orthodontics ad online and figured I’ll give it a shot. I was able to get scheduled within 3 days of inquiring and within my first hour long consult I knew they would take care great of me. Very easy process to begin and better payment options than the competitors. I look forward to beginning treatment in the next few weeks! Thanks!
Response from the owner:Hi Kyle! It was great seeing you today.. we are so excited to exceed your expectations! Congratulations again on your upcoming transformation - we are thrilled to be apart of it!
Tammy R.
I cannot recommend this practice enough! Every time I walk through the door, I am always welcomed with a smile from staff. Being an older patient, I always wished for a better smile. Without question, The Wentzville team made my Invisalign journey incredibly smooth. The team is professional, the office is efficient, and my teeth look absolutely perfect. Thank you! If you are thinking about getting orthodontic work, this is definitely the place to go!!
Brenda Z.
I was a little intimidated coming in for my first session with Invisalign. Alyssa’s calming and very attentive personality gave me much comfort. My daughter had completed Invisalign treatment and was very successful as her first 2 orthopedic agencies were not successful. I will recommend Otto Orthodontics to others for sure! I look forward to this journey with Otto!
Response from the owner:Thank you for sharing your experience! It's wonderful to hear how Alyssa's supportive nature helped ease your initial concerns. We're excited to be part of your Invisalign journey and appreciate your recommendations!
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.
Michael A.
We had an amazing experience at Otto Orthodontics- Wentzville. Their team was professional, knowledgeable and understood our concerns. They are very family friendly and made efforts to ensure my 9 y/o daughter was comfortable. The office was very clean and organized. Extra shoutout to Ashley our treatment coordinator who explained everything extremely well and answered all of our questions. We never felt rushed and we left the office feeling like we had an excellent plan in place. Thank you to the entire team at Otto Orthodontics.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you had such a positive experience at our office. It's great that Ashley made your daughter feel comfortable. We appreciate your trust in our team!
Lily H.
I got my Invisalign off and my teeth look amazing!!!! They are so thorough and knowledgeable. I went to Fenton and Des Peres location and every staff member and doctor is amazing. So happy. <3
Response from the owner:Thank you for sharing your experience! We're thrilled to hear how happy you are with your smile and that our team at both locations made such a positive impression. Your satisfaction is our priority!
Samantha C.
I had a wonderful experience at Otto Orthodontics. I did Invisalign because my teeth had shifted from failing to wear my retainers for a few years. Everything from the check in to check out was amazing. The Staff is so welcoming and got me back quickly at each visit. The offices are so beautiful. Dr. Otto & Dr. Larkin helped me through my Invisalign journey and I couldn’t be happier with my results. The orthodontic assistants I had each time were so thorough & walked me through every step. I am so happy with my smile now! My teeth are straight again and my bite is fixed. I will be and have been referring everyone that is in need of orthodontic care to Otto Orthodontics! Can’t thank everyone enough!
Response from the owner:Thank you for the kind words! We're committed to making every visit a positive one, and it's great to hear that reflected in your experience.
Michael L.
I was told that going with Invisalign would be a better option and more cost effective. Upon receipt of the estimate, it was the same as a more complicated case of braces for another family about 14 months prior. I feel that the information was misleading. My original post did not reflect the true comparison of the cost between the two treatment plans. After further review I realized now that the cost of Invisalign is a more cost-effective option. Thanks, Otto, for helping me to understand the treatment options, cost, and for our family's current treatment.
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.
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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
  • Fenton, 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!