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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
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  • Patient Resources
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otto-matic

confidence

in every smile

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What sets us apart
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!
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Image of the number "01" in bold and vibrant pink, representing the first step in the retainer program at Otto Orthodontics, emphasizing the importance of protecting your smile post-treatment.

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Consult

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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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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

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.

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Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
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Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.

our doctors

Meet Your Amazing

ORTHODONTISTS

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

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

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

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 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!

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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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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.

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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

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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!

4 exam rooms with patients being seen
Kimber E.
Took me a long time to pick a place for my daughter's orthodontist work. And Im so glad I picked this place. They are so nice and so easy to deal with making appts and changing appts. And they are efficient and I love that the appts dont take forever.
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you found our team friendly and accommodating. Efficiency is important to us, and we're glad your experience reflected that. We appreciate your trust!
Nicole H.
Literally the best! They know what they’re doing here, and when I say so nice omg it’s like visiting family. Everyone in the office always has a smile on their faces. The office is always bright and clean. It’s so calm and peaceful at Otto orthodontics. I love it there!
juliuna G.
Otto is the Best orthodontist in Missouri. My teeth look so good one might mistake me for a Hollywood movie star. Great Work!
Response from the owner:We really appreciate you taking the time to leave this review! Making every visit comfortable and stress-free is always our goal, so it means a lot to hear that came through.
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.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
Natalie J.
Otto Orthodontics has been wonderful. The staff are wonderful and great with my 7 year old!
Brian Dawson R.
The staff is amazing and welcoming! Our daughter has had a great experience on braces with Otto.
Response from the owner:Thank you for your wonderful review, Brian! We're thrilled to hear that your daughter had a great experience with our team. We look forward to continuing to provide excellent care!
Page B.
My son is a new patient at Otto. Their staff is always super friendly, clean office, and smooth visits.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your son's visits have been positive and that our team has made a great impression. We look forward to continuing to provide excellent care!
Shelly S.
Great experience at Otto Orthodontics!! Dr Otto is so friendly, efficient, and great with kids. The staff was super helpful and personable…they make you feel so comfortable! High recommend Otto Orthodontics!!
Response from the owner:Thank you, Shelly! We appreciate your kind words about Dr. Otto and our team's dedication to providing a welcoming environment. Your recommendation means so much to us. Looking forward to seeing you again soon!
D. D.
Today I went in to start my aligner treatment and the entire staff was great. Starting with the receptionist, to the dental assistant, and Dr. Otto. Everyone was super nice and had great energy! I feel like I made the right decision choosing them for my orthodontic treatment. I’m looking forward to see my results!
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.
Kayla M.
We love everything about Otto Orthodontics.We highly recommend.The staff,they are always upbeat and super friendly. They really know how to make you feel comfortable and confident.My daughter just got her braces off today.AND SHE LOVES HER BIG BEAUTIFUL SMILE.
Response from the owner:Thank you for your kind words! It’s wonderful to hear that your daughter is thrilled with her new smile. Our team loves creating a positive experience, and we appreciate your recommendation!
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!
Heather E.
Excellent consultation experience. Loved all the information, explanation of Treatment plan and transparent estimate. Super friendly staff and awesome atmosphere of office.
Response from the owner:Thank you, Heather! We're thrilled to hear you had an excellent consultation experience. Our team is dedicated to providing clear information and a welcoming atmosphere. We look forward to seeing you again!
Denise G.
This office is the best. They are very professional the staff is very helpful and friendly. Nikki at the front desk is amazing. She is so helpful and friendly. I would highly recommend this office.
Response from the owner:Thank you for your kind words, Denise. We're thrilled to hear you had a positive experience with our team, especially Nikki. Your recommendation means a lot to us, and we look forward to serving you again!
Zaneta S.
Hello my experience with otto orthodontics was a 10 out of 10 Everyone was very nice they made sure that i understood how the process will go and what was best for me to do and also was very welcoming and they were the third consultation that i had done and they made my decision to come back to get my work done with them.
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.
Katie
Amazing staff! Professional and kind. Above and beyond for my daughter. Can’t wait to get started on this journey with Dr. Karkow
Response from the owner:Thank you for your wonderful feedback, Katie! We're thrilled to hear about your positive experience with our team. We look forward to supporting you and your daughter on this exciting journey with Dr. Karkow!
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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
  • 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
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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!