Skip to content
  • Call / Text (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
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
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
    • Retainer Program
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
Complimentary Consult
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
    • 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 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
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.

Complimentary
Consult

Decorative divider line separating retainer program sections
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

Pink divider line separating retainer program sections
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.

Learn More
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 "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.
Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.
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.
Learn More
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!
Learn More
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.
Learn More
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.
Learn More
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.
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 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
Orthodontist showing a digital treatment plan to a smiling adult patient in a modern dental office, emphasizing personalized care for adult orthodontic needs.

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!

Learn More
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.

Learn More
Child pointing at digital orthodontic model on screen while smiling orthodontist explains treatment options in modern dental office.

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
Patient consultation in orthodontic office, woman examining smile in mirror with orthodontist guidance, showcasing personalized care and advanced treatment options.
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!

Orthodontic clinic interior with dental professionals assisting patients, featuring modern equipment and vibrant artwork.
Jenna P.
The ladies at Otto were all so nice, it felt like I was talking to old friends more than doctors! I felt so welcomed!
Response from the owner:Thank you for your wonderful feedback, Jenna! It’s fantastic to hear that our team made you feel so comfortable and welcomed. We look forward to seeing you again at Otto Orthodontics!
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. ❤️
Hope K.
The staff here is so incredibly patient and kind, I saw them interacting with nervous patients especially the kids that need more hand holding and they spent a lot of time making sure everyone felt comfortable and heard. They all have the best attitudes, are so positive and playful, and still incredibly professional. I have been recommending them to everyone, everywhere and will continue to do so!
Response from the owner:Hope, thank you for noticing that! Patience with nervous first timers is something our team takes real pride in, and it means a lot that it stood out to you.
Kaiya C.
Such amazing and sweet people. The environment is very inviting. 10/10 would recommend.
Response from the owner:Thank you for your wonderful feedback! We’re delighted to know that our team and inviting atmosphere made such a positive impression. Your recommendation means the world to us. We look forward to welcoming you back!
Justin Short S.
Dr. Otto and her team are the best. I’m a retired general dentist and had many options of where to take my child. I chose Otto for a reason. Besides clinical expertise they are very efficient and do not waste your time sitting around the office waiting.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional atmosphere for everyone. We are pleased to hear that our efforts are making a positive impact.
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!
Rae N.
5 months in and couldn’t be more impressed with my progress. Every visit is so quick and easy and everyone is always so nice.
Response from the owner:Thank you, Rae! We’re thrilled to hear you had such a positive experience with our team. Your comfort and understanding during the Invisalign process are our top priorities. Excited to support you on this journey!
Jasmine H.
So great to work with! Everyone was so nice and professional to work with during the first phase of our daughter's treatment!
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.
Lauren S.
Every visit is super quick and informative and they provide delicate hands and compassionate care.
Response from the owner:Thank you for your wonderful review, Lauren! We're thrilled to hear that you find our visits quick and informative, and we pride ourselves on providing compassionate care. Your kind words inspire us to keep improving our services!
Kasey F.
We love Otto! Nicole has been working with my son Leo and she has been exceptional. Dr. Larkin is amazing, as well. Nicole lets my daughter, Rowan, be her little assistant and now she wants to be an Orthodontist when she grows up because of her. My kids always have a good time 😊
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a supportive and professional environment, and it’s rewarding to know that our efforts resonate with the community.
Jessica J.
We visited Otto Orthodontics for a second opinion for my daughter’s need for braces. Not only were the staff warm and welcoming, they were able to significantly beat pricing from another office where our first consult was held. We look forward to working with them in the near future for our daughter’s orthodontic needs.
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 are recognized.
Evan G.
Amazing orthodontic place I always would recommend this orthodontic for anything Jana is the best person there she gives you all the information and is super helpful
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you find our practice amazing and that Jana provided you with exceptional service. We appreciate your recommendations and look forward to seeing you again!
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
Krisitna G.
I am 51 wanting Invisalign to correct a few of my teeth that have been bothering me and they were very sweet and professional. Everyone I met treated me with respect and kindness. I am excited to get my teeth/bite corrected.
Response from the owner:Thank you, Kristina. Respect and kindness for every person who walks in is what we stand for, and we are excited for you.
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 Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
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 | Notice of Privacy Practices | Accessibility & Statement

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

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!