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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
      • 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
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otto-matic

confidence

in every smile

Complimentary Consult
What sets us apart
New Patient Portal
Make A Payment
Two smiling girls in pink Otto Orthodontics t-shirts holding cotton candy in front of an Otto Orthodontics logo, showcasing a fun and welcoming orthodontic environment.
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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Pink divider line separating retainer program sections
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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Decorative divider line separating retainer program sections
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

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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American Association of Orthodontists logo and symbol for orthodontic professionals.
Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
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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.
Kids engaged with orthodontist, exploring treatment options on a digital screen, showcasing excitement and curiosity in a modern orthodontic office.

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
Senior adult patient smiling with orthodontist in consultation, discussing treatment options on a computer screen in a modern orthodontic office.

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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Child with braces playing with colorful orthodontic tools in a dental office, smiling with a dental professional in the background.

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’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

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!

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Holly P.
The staff and doctors are very friendly. They have made the process of getting braces very easy. We look forward to working with them for the next few years on our child's new smile!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
andrea M.
Dr Roland and staff are truly amazing! So nice and thorough, they take the time to explain what they are doing and why. I am in the dental field and this is where I recommend my patients to always!
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!
Tim S.
Just committed to second round of teeth straightening for our daughter Sophia. Otto orthodontics was amazing start to finish with her first round. Looking forward to her completed process! Don’t look further for an amazing orthodontist experience for your kiddos!
Response from the owner:Thanks for leaving us a review Tim- your comment about our professionalism is much appreciated. We are so grateful for your business and kind words!
Judy N.
Fabulous Orthodonics, especially for a seven-year-old getting braces for the first time. Alivia was outstanding, kind, calm, gentle and talked to my granddaughter the entire time, telling her what was being done. I can't thank her enough for how she treated my Granddaugher! Awesome! Highly reccommend for all ages.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized. Your support is greatly valued!
Cathy H.
We had a wonderful experience for phase 1 & 2 of braces! Otto orthodontics is the best!!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to hear that this effort is recognized.
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!
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.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate positively.
Allison D.
Dr. Otto is an earth angel!!! I am grateful our paths crossed. We had an unfortunate experience where my 10 year old knocked out her front two teeth at a friend’s home. At this point, we were not a patient of hers and did not know her. She lived nearby, hopped in her car in her PJs (god love her), came over to reinsert the teeth. Dr Otto continued to check in while we were at Children’s hospital and days/weeks following. She researched and offered guidance on when to start braces. Today was an exciting day with brackets ❤️ Update 8/18/2026– She has had her braces on for 6 months and I am shocked with the progress!! Thankfully no ankylosis
Response from the owner:Thank you for your kind words, Allison! It's heartwarming to hear how we could help during such a challenging moment. We're thrilled to be part of your daughter's journey toward a beautiful smile.
Amanda C.
We went yesterday for our initial exam. They were unbelievably friendly. The kindness that every technician offered was a blessing. They explained everything and worked with us to walk through the whole process for braces and all the options. Even my son stated how kind and friendly everyone was. He was hesitant to get braces but now he's not. We will be continuing our journey with them and my son couldn't be happier.
Response from the owner:Amanda, what a kind thing to say, thank you! Friendliness and clear explanations from every member of our team are what we hope everyone feels, and we are glad that came through.
Kristen V.
We love Otto Orthodontics! The staff is so friendly and welcoming and we appreciate the incentives for the kiddos.
Response from the owner:Thank you for your wonderful review, Kristen! We're thrilled to hear you love our vibrant atmosphere and friendly staff. Your support means a lot to us, and we look forward to seeing you again!
Stephanie K.
What a great experience! From the initial visit and them explaining the plan and then to my placement was amazing! Nichole was awesome she explained step by step what the process was and I was in and out within an hour on my lunch break!! Looking forward to the end results!!
Response from the owner:Thank you, Stephanie! We're thrilled to hear about your positive experience with Nichole and the efficient process. Your excitement for the results motivates us, and we look forward to seeing your smile soon!
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.
Michelle
I had a good experience, the staff was very friendly and the consult was pretty informative. The place was clean and inviting.
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!
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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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