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  • Our Practice
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  • Orthodontics
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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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Jordan P.
We went to Otto ortho for a second opinion. My daughter(12yrs) was so impressed by the staff and I couldn’t be happier that they matched the other quote that we will be seeing them for the next 2+ years!
Amy V.
Dr Larkin was incredible in guiding my orthodontic care using Invisalign. I was hesitant to do it at 50yrs old, but now that I’m done I’m so happy I did.
Kelly S.
My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!
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!
Devin M.
I’ve had two kids with braces through OTTO and I couldn’t be more pleased with the service provided. Highly recommended.
Marci M.
I barely convinced my son to go to his consultation and he fought potentially getting braces. I figured it was worth a shot. The staff at Otto immediately made the experience fun and carefree. By the end of the appointment he was excited about getting braces.
Kirk B.
Our dentist referred us to Otto Orthodontics. Two of our kids were referred for different reasons. The staff is friendly, helpful, knowledgeable, and, professional. Dr. Roland was fantastic, Jana Beckmann Treatment Coordinator, and Ashley C were very helpful. Definitely recommend Otto Orthodontist for all you orthodontist needs!
Hannah B.
I appreciate Dr. Otto’s orthodontic expertise and customized plan to finalize my Invisalign treatment. She and her team are very friendly, time efficient, and take time to answer my questions. They work really well with my dental sensitivity and each visit I leave feeling well cared for and thankful for their excellent treatment. My kids also see Dr. Otto for their orthodontic treatment- We are all smiles about their care and cannot recommend them enough!
Justin Short S.
Dr. Otto and her team are the best. I’m a retired general dentist and had many options of where to take my child. I chose Otto for a reason. Besides clinical expertise they are very efficient and do not waste your time sitting around the office waiting.
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.
Darryl F.
I want to take a moment to give a special shoutout to Dr. Kirsten Karkow and the entire team at Otto Orthodontics! If your teeth aren’t completely straight and you’re considering an orthodontist, I highly recommend Dr. Karkow and her team. From the very beginning, the atmosphere has been fun, welcoming, and caring. Every visit, I felt genuinely appreciated and treated like royalty. Even after my braces were removed, Dr. Karkow took the extra time to make sure my teeth were filed evenly and that everything looked just right. That level of care and attention to detail truly meant a lot to me. I can honestly say I enjoyed wearing braces, which is something I never thought I would say! The hospitality, kindness, and professionalism shown at every visit made the entire experience so much better. I will truly miss you guys! ❤️ Thank you, Dr. Karkow and the entire Otto Orthodontics team, for taking such great care of me. Keep up the amazing work!
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.
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!
Rachel D.
They are very detailed with explaining and super easy to get ahold of between calling and texts!
Heather
Otto is amazing. The personal care I got today was incredible. I did not expect how above and beyond the staff would go to accommodate a wrong time that I wrote down. But they worked their magic to make it happen for me to be seen today. I did not feel like just another patient today. Oyyo really cares about the patient rather than what is convenient. Thank you so much OTTO.
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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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