Skip to content
  • Call / Text (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
Otto Ortho
  • 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
          • Surgical Orthodontics
          • Teeth Whitening
          • TMJ/TMD Treatment
          • Common Appliances
          • Botox
          • Orthodontic Retention
          • Cleft Care
          • Special Healthcare Needs
          • Airway Orthodontics
  • Patient Resources
    • Your First Visit
    • Virtual Consult
    • Patient Forms
    • New Patient Portal
    • Make A Payment
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
    • Retainer Program
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
Complimentary Consult
Otto Ortho
  • 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
      • Surgical Orthodontics
      • Teeth Whitening
      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
      • Orthodontic Retention
      • Cleft Care
      • Special Healthcare Needs
      • Airway Orthodontics
  • Patient Resources
    • Your First Visit
    • Virtual Consult
    • Patient Forms
    • New Patient Portal
    • Make A Payment
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
  • (314) 900-6886
  • (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
  • Facebook
  • Instagram
  • YouTube
  • List Item
  • Top Office
  • REQUEST CONSULT
  • TEXT NOW

otto-matic

confidence

in every smile

Complimentary Consult
What sets us apart
New Patient Portal
Make A Payment
Two girls with cotton candy
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!
Complimentary Consult
01 logo

Complimentary
Consult

Divider
Divider tab
02 logo

Select Your Low
Monthly Payment

Divider tab
Divider
03 logo

Sit Back, Relax
& Get Started

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

Child getting candy from candy dispenser
group photo

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
AAO logo
Top Doctors St. Louis Magazine logo
AAFE logo
Invisalign Sapphire Provider 2026 badge
St. Louis Magazine A-List winner 2022-2026
St. Louis Post-Dispatch STL Headliner 2023-2025
Ladue News Platinum List Readers' Choice winner 2024-2026
Juell 3D-3 logo
Top Workplaces 2026 award

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

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

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!
Learn More
Dr. Andrew Larkin

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.
Learn More
Dr. Katelyn Roland

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.
Learn More
Otto Orthodontics orthodontist headshot

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.
Learn More
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!

Learn More
Dr. Otto talking to little girl with braces

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
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.

Learn More
Dr. Otto with female patient
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!

Follow Us:

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!

4 exam rooms with patients being seen
Alexa S.
Otto Orthodontics- Wentzville is great! From scheduling, checking in, x-rays and pictures, down to the consultation! Everyone in the office is so friendly! Courtney and Ashley were great with my daughter and she is super excited to get her braces now!
Response from the owner:Thank you for your wonderful feedback, Alexa! We’re thrilled to hear about your positive experience with our team. Looking forward to seeing your daughter’s new smile soon!
STLO
Great staff, always super friendly, my kids love the fun energetic atmosphere, and most important my child’s cross bite and crowding have been fixed! They’re flexible and have many options for appointment times that work well for everyone. Definitely will use in the future if any more of our kids require orthodontia.
Response from the owner:Thank you, Rich or Lauren, for your wonderful feedback! We're delighted that your kids enjoy the energetic atmosphere and appreciate our flexible appointment options. It's great to hear about the positive results, and we look forward to serving your family in the future!
Marion H.
I highly recommend Otto Orthodontics because of their professional and friendly staff, convenient scheduling to fit my needs, quality of care and the beautiful smile they gave me. Thank you to the entire Saint Peter’s Otto Orthodontics staff, you guys are truly amazing.
Response from the owner:Thank you for the recommendation and for the kind words about our staff, scheduling and care.
Terri G.
The staff is pleasant, understanding and thoughtful going out of their way to find a solution to meet my needs. I would definitely recommend this practice.
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!
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!
Response from the owner:Thank you for taking the time to write this. We are glad the experience with our office has been a wonderful one.
Alicia B.
Wait wasn’t super long. Everyone was super nice and easy to talk to. They all took the time to listen to all of my concerns. Ashley was very informational making sure I understood everything and that I was satisfied before I left. 10/10 would recommend and will be back!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate with the community.
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!
Sarah T.
Absolutely amazing team! Everyone is welcoming, professional, and supportive throughout the process. They made my son feel comfortable right away & I cannot say enough about how great our experience has been!! 10/10 would recommend.
Response from the owner:Sarah, thank you! A welcoming, supportive team that helps everyone feel comfortable right away is exactly what we aim for. We appreciate you sharing this.
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. ❤️
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.
Response from the owner:Thank you, Susan! We're thrilled to hear that your boys enjoyed their visits and the reward system. Our team is dedicated to making every appointment a positive experience. We look forward to seeing you all again!
Tiffany K.
Everyone at Otto Orthodontics is incredibly friendly, welcoming, and professional. They took the time to explain everything thoroughly, making us feel comfortable and informed throughout the entire process. My kids actually look forward to going to their appointments, which says a lot! We highly recommend Otto Orthodontics to anyone looking for exceptional orthodontic care.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a positive and professional atmosphere for everyone. We are glad to hear that effort is noticed.
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! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
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.
Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized.
Rachel D.
They are very detailed with explaining and super easy to get ahold of between calling and texts!
Response from the owner:Thank you, Rachel. Clear explanations and being easy to reach are things we work at, so this is great to hear.
Read More

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 Ortho
Complimentary Consult
Quick Links
  • Our Practice
  • Orthodontics
  • Patient Resources
  • Contact Us
  • Our Practice
  • Orthodontics
  • Patient Resources
  • Contact Us
Contact Us
  • Des Peres, MO
  • Fenton, MO
  • St. Peters, MO
  • Wentzville, MO
  • Creve Coeur, MO
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
Follow Us
Call / Text
  • (314) 900-6886
  • (314) 900-6886

© Copyright 2026 Otto Orthodontics | Sitemap | Privacy Policy | Terms of service | Notice of Privacy Practices | Accessibility & Statement

Orthodontic Marketing & Web Design by HIP
Top Workplaces 2026 award
Otto Orthodontics is one of St. Louis's Top Workplaces of 2026
Read the full reason