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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
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  • Contact Us
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    • Des Peres
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    • Creve Coeur
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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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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
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!

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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.

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
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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

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.
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.
Response from the owner:Thank you for doing your homework and for choosing us. This kind of review means a great deal to our team.
Casey B.
Absolutely love this place, They make it feel like you’re hanging out with friends. Would recommend them to anyone
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our atmosphere feels like home and that you felt welcomed. Your recommendation means so much to us. We look forward to seeing you again!
Jen N.
The office of Otto Orthodontics is great. My daughter has been going to their Fenton office for the last 2 years for treatment. Today she completed her braces regimen and we are so very happy with the results. The staff and doctors are friendly, knowledgeable, patient, and professional. I would definitely recommend their services.
Response from the owner:Thanks so much for the review Jen! It was so great meeting you and your daughter yesterday! Looking forward to seeing you guys again- thank you! :)
Ellen M.
Dr.Patterson and her team of assistants are delightfully professional, friendly, and proficient at their “jobs”. It’s a happy place to come!
Response from the owner:Ellen, thank you! Dr. Patterson and our assisting team will be so glad to hear this, and we love that it feels like a happy place to visit.
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.
Donielle W.
I had my top braces put on today and had a great experience from start to finish. My appointment was right on time, which I really appreciated. The team explained everything clearly and made sure I understood what to expect during and after the process. They also gave great advice on how to properly care for my braces moving forward. Overall, very professional, efficient, and informative—highly recommend!
Response from the owner:Thank you, Donielle! We’re thrilled to hear about your positive experience with our team during your appointment. Your satisfaction is our priority, and we appreciate your recommendation. Welcome to your orthodontic journey!
Maggie S.
Fantastic care from every member of the staff! Such a wonderful experience for me and my child.
Janice M.
Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.
Response from the owner:Thank you for your wonderful feedback, Janice! We're delighted that you and your son experienced our attentive service throughout the consultation process. We look forward to seeing you again soon!
Antonia D.
Otto Orthodontics is fantastic! They’re efficient, appointments are easy to book, and I’ve never had to wait long to get in. I also really appreciate their use of modern technology and their up-to-date approach to orthodontic care. Highly recommend!
Response from the owner:Thank you, Antonia. We are glad appointments are easy to book and the wait times are short. We appreciate you sharing this.
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!
Response from the owner:Thank you, Jessica. Honest and upfront is how we want every conversation to go, and we appreciate the recommendation.
TK B.
Prompt, easy, courteous, professional, informative, and this is just day 1. Stay tuned…
Response from the owner:Thank you for your kind feedback! We're thrilled to hear you found our service prompt and professional. We're excited to continue this journey with you—stay tuned for more great experiences ahead!
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!
Alicia J.
Dr Roland and all of the girls were so sweet, personable, professional, knowledgeable, and experienced! I will definitely be back for all of my ortho needs.
Response from the owner:Alicia, thank you for your wonderful feedback! We're thrilled to hear that you felt welcomed and cared for by our team. We look forward to assisting you with your orthodontic needs in the future!
Jordan P.
We went to Otto ortho for a second opinion. My daughter(12yrs) was so impressed by the staff and I couldn’t be happier that they matched the other quote that we will be seeing them for the next 2+ years!
Response from the owner:Thank you for your wonderful feedback, Jordan! We're thrilled to hear that your daughter felt comfortable with our team and that we could provide a competitive quote. We look forward to supporting her smile journey!
Becky D.
I took my daughter to 2 other orthodontists before choosing Otto. Very happy with our choice!
Response from the owner:Thank you, Becky. We are honored you chose us and glad you are happy with that choice.
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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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  • (314) 900-6886

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Top Workplaces St. Louis 2026 award badge - Otto Orthodontics
Otto Orthodontics is one of St. Louis's Top Workplaces of 2026
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