otto-matic

confidence

in every smile

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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We’re Not Your Typical ORTHODONTIC PRACTICE

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.

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.

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!

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.

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.

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.

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

The American Association of Orthodontists recommends visiting the orthodontist around age seven.

Teens

While braces used to have a bad reputation, today’s braces make it easy to look good and feel good!

adults

We recognize that adults have different needs, and require a different level of attention and care during treatment.

Senior Adults

This stage of life is an excellent time to focus on your oral health, including correcting and preventing issues.

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!

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.

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.

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!

Tonia W.

The staff and doctors at Otto Orthodontics really care about their patients. They are compassionate and knowledgeable. With so many orthodontists to choose from, I’m really happy with the choice we made to go with Otto for my kids.

Response from the owner:Thank you for your wonderful feedback! It's great to hear that our team's compassion and expertise made such a positive impact. We look forward to continuing to provide exceptional care for your kids!

Lashae W.

Very Pleasant Place and Staff ! Clean and beautiful facility. In and out. My son and I was very welcome. My son was so comfortable and respected! Guided us through the whole process

Response from the owner:Thank you, Lashae! We're thrilled to hear you and your son felt welcomed and enjoyed our clean facility. Your kind words motivate us to continue providing excellent service. We look forward to seeing you again!

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.

Nicole S.

Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!

Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.

HD V.

We had a great experience at Otto Ortho in Fenton! Dr. Karkow and staff (Katelynn) worked with us and were patient and knowledgeable. Very personable staff, would highly recommend to anyone!!

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.

Tammy R.

I cannot recommend this practice enough! Every time I walk through the door, I am always welcomed with a smile from staff. Being an older patient, I always wished for a better smile. Without question, The Wentzville team made my Invisalign journey incredibly smooth. The team is professional, the office is efficient, and my teeth look absolutely perfect. Thank you! If you are thinking about getting orthodontic work, this is definitely the place to go!!

Amber R.

Adilyn got her lower Braces today!!🤩😃 Just in time for school to start. Thank you Nichole for your super great work with Adilyn! 👏🏻 Ok, this is so old. I am just adding to this post as the newest update is Adilyn is doing great! Kylie is Amazing!! Smile is looking great! Thank you Kylie & Dr. Larkin!!! Thank you again!!! Amazing visit 🤩🤗 What’s up! I don’t know if this has actually posted in the past. But… Today 5/21/26 Adilyn is doing GREAT!! Thank you so much Kylie & Dr. Larkin!

Response from the owner:Thanks Amber!

Baleigh W.

Awesome staff, very helpful and professional! Provided all the details we needed to get treatment set up. Continued care through entire treatment process and guided each step of the way.

Response from the owner:Thank you for your wonderful feedback, Baleigh! We're thrilled to hear that our team was able to assist you and provide the information you needed. We look forward to seeing you again soon!

Kelly S.

My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!

Response from the owner:Thank you for the kind feedback! We love being able to make orthodontic visits a little easier and more pleasant for our patients and their families.

Jamie H.

My daughter got her braces put on today and she was very anxious and apprehensive! By the end she was smiling and happy.. everyone is very friendly and we felt very taken care of! Very happy with our choice with choosing Otto Orthodontics!

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.

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.

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.

Ornir B.

For years I was struggling with my teeth endless dr appointments with so many different issues and finally I got to the point where I can move on to the cosmetic part to bring back a great smile i always wanted to have! From the moment I walked inside otto orthodontist I felt the care the sensitivity the warm welcome and the top technology that made feels that this is dr i wanted to treat me! Otto orthodontist team thank you very much!

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.

Sophia A.

Amazing staff, they saved the day and helped me after I moved here and needed help completing treatment. Everyone is so friendly. Would highly recommend!

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.

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. ❤️

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