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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
New Patient Portal
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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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Select Your Low
Monthly Payment

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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.

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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 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.
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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.
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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
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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.

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.

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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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to rock a

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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Brennan L.
Otto Orthodontics has been nothing but amazing! They have such a warm and welcoming atmosphere. We recommend them to anyone!
Response from the owner:Thank you for such kind words and for the recommendations. A warm and welcoming atmosphere is exactly what we aim for.
Missy A.
I had my initial consult with them on Tuesday. Everyone was knowledgeable, kind, and efficient. I will be starting Invisalign with them and I’m so excited!
Response from the owner:Thank you for sharing this. Kind, knowledgeable and efficient is exactly what we aim for, and we are excited to get started.
Camme S.
phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team made such a positive impact on your experience. Your recommendations mean a lot, and we look forward to continuing to provide exceptional care!
Jenn N.
We switched to Otto a year ago and are so happy we did. They had a great plan for son's orthodontic care. The staff and doctors are very kind, friendly, and professional.
Response from the owner:Thank you for your positive feedback! We are delighted to hear about your experience and appreciate your support. Our team is dedicated to providing exceptional care, and we look forward to serving you again.
Lindsay T.
Jeanna was the best, she explained everything so well, Dr. Otto is the goat & I am so excited to get started with my Invisalign!
Response from the owner:Thank you for sharing your feedback! The team is dedicated to providing a respectful and professional environment, and it's rewarding to know that this resonates with our community.
Ashley G.
Walked in for a consult and left with braces for my 16 year old an hour and forty five minutes later. The most pleasant staff! Couldn’t imagine going anywhere else!
Response from the owner:Thank you for sharing your experience, Ashley! We're delighted to hear about your smooth consult and the positive atmosphere with our team. Your satisfaction means everything to us! Looking forward to seeing you again.
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!
Response from the owner:Thank you for your wonderful feedback, Jordan! We're thrilled to hear that your daughter felt comfortable with our team and that we could provide a competitive quote. We look forward to supporting her smile journey!
Lisa H.
I am currently undergoing invisalign treatment with Otto orthodontics. I had a question/concern recently, they got me in and addressed it promptly. All was good! They put my mind at ease.
Response from the owner:Thank you for your wonderful review, Lisa! We're glad to hear that your concerns were addressed promptly and that you're feeling at ease during your Invisalign treatment. We appreciate your trust in us!
Amy F.
Absolutely a wonderful experience! I wish I could have done it years before but since I could not, I’m thrilled to have do it at at 55!
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.
Kelly L.
We’ve had such a great experience with Otto Orthodontics for my 14-year-old daughter. She’s been a patient since July for phase two of her braces, and the care has been consistently excellent. The entire team is friendly, patient, and makes her feel comfortable at every visit—which is huge for a teenager. They always take the time to explain what they’re doing and what to expect next, so we both feel informed and confident in her treatment plan. Appointments run on time, the office is clean and welcoming, and the results we’re seeing already are amazing. It’s clear they truly care about their patients and the quality of their work. Highly recommend Otto Orthodontics to any family looking for a great orthodontist!
Response from the owner:Thank you, Kelly, for your wonderful feedback! It's fantastic to hear that your daughter feels comfortable and well-informed during her visits. We appreciate your recommendation and look forward to continuing her orthodontic journey with us!
Jackie K.
Otto Orthodontics got us in quickly and efficiently created a treatment plan. Each appointment was under 40 minutes. A well oiled office!
Response from the owner:Thank you, Jackie. Respecting your time while still doing things right is a big priority for us.
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.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a positive and professional environment for everyone. We are glad to hear our efforts make a difference.
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.
Katie W.
Going back to Otto for my second daughters ortho needs! Otto is the best and I highly recommend them!
Response from the owner:Thank you for your fantastic review, Katie! We're thrilled to hear that you had such a positive experience with our team. Your recommendation means a lot to us, and we look forward to continuing to meet your orthodontic needs!
Pam M.
I am a senior (not in school LOL!) and first time braces wearer. To say I was apprehensive is a down play. But Jana answered ALL of my questions and explained everything step by step. Then Dr Otto came in and answered even more of my questions. I was also able to set up an interest free payment plan which was perfect. When I returned to get my braces, everything went well. Such a good experience and no one made an issue of my age or my very crooked teeth. I look forward to a great smile in 1.5 years. Thank you Otto Orthodontics
Response from the owner:Thank you for your wonderful feedback, Pam. We're thrilled to hear that Jana and Dr. Otto made your experience comfortable and informative. Your journey towards a beautiful smile is truly inspiring!
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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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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!