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  • Our Practice
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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 Sapphire 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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Mindy F.
I had a complicated case, Otto orthodontics took fantastic care of me and every single assistant was gentle each time. They addressed all of my concerns and explained what they were doing as they were doing it. I never felt like I was in the dark on what was going on. I often saw Christina during my appointments and she was so kind and took great care of me. I would 10/10 recommend going to Otto for adult orthodontics!
Ashley W.
As an adult it is intimidating to get your teeth fixed. They have made me feel so comfortable and are always so kind to my kids when I have to bring them to appointments with me. ❤️ They are the best!
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.
Tyson Q.
Simply the best! Great staff, very kid friendly I can’t say enough good things about the whole experience. Get off social media and call her right now! You will not regret it. Because...................... It’s like winning the lotto when you get to see Dr. Otto!
Mindy S.
They explained everything in detail so my child knew exactly what to expect. Very patient with us. Gentle with her and after a long time coming…her teeth look great!
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!
David F.
Everyone is so nice and they are very efficient. Love Dr. Otto, she's terrific. I am so pleased with the progress they are making with the corrections to my teeth.
Brendan K.
Otto provides amazing services for my two kids, I decided to go for teeth Whitening. I was so totally surprised how comfortable everything was, it was a much quicker and easier process than I anticipated. Really I had to leave a review for the results! I thought my teeth might be too far yellow with daily coffee and abuse, but I’m incredibly happy with the results.
Mary P.
We have had an excellent experience with this orthodontic office. Two of my sons have received treatment here - one with Invisalign and the other with a more complex, multi-step treatment plan. We have been extremely pleased with both experiences. The doctors and staff are knowledgeable, patient, friendly, and wonderful about explaining each step of the process. We have always felt confident that our boys were receiving skilled and individualized care. I would highly recommend this office to any family looking for an orthodontic team.
Jessica G.
Great experience! My daughter isn't quite ready for braces yet, and I really appreciated how honest and upfront they were about that. Everyone was so friendly, professional, and made us feel welcome. I highly recommend them!
Sarah H.
Otto goes above and beyond for their patients. From the initial consult to each visit- the staff is welcoming and information is readily available. They’re never too busy to take the time to answer questions. Appointment times are valued and you’re in and out quickly. Love the ability to text or talk on the phone with the staff. Thank you, Otto.
Anne P.
I truly cannot say enough wonderful things about Otto Orthodontics. From the moment I walked through the door, I have felt so welcomed, comfortable, and genuinely cared for. The entire team is incredibly kind, professional, and attentive, and the level of service has been exceptional. Dr. Otto has been absolutely amazing, especially during a really difficult and emotional time in my life. I have been dealing with a broken jaw that unfortunately cannot be fixed, and navigating that has been incredibly hard. Dr. Otto has been so compassionate, patient, and understanding throughout the process. She has taken the time to listen to my concerns, explain my options, and make me feel comfortable and supported when I really needed it. What I appreciate most about Dr. Otto is that she treats you like a person, not just a patient. Her genuine care and compassion have meant so much to me during a challenging time, and I am incredibly grateful to have her guiding me through my treatment. The entire team at Otto Orthodontics has gone above and beyond to make every appointment a positive experience. Everyone is welcoming, helpful, and truly cares about their patients. If you are considering Invisalign or orthodontic treatment, I cannot recommend Otto Orthodontics enough. I am so grateful I found Dr. Otto and her team. The quality of care, personal attention, and compassion I have experienced here have been truly exceptional.
Jesse
Great experience all around. I visited many orthodontists and compared everything before making my decision, and Otto was easily the best choice: Great price for my treatment, best staff, best service. Can't say enough about 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!
Luwanika M.
Very comfortable environment with super friendly staff. Clear explanation of procedures and what to expect. Highly recommend!
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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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