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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
      • 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
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otto-matic

confidence

in every smile

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What sets us apart
New Patient Portal
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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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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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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.
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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
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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

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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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D D.
Beautiful office, friendly staff and doctors, most up- to- date technology. We are excited to start treatment in a few weeks!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you appreciate our office's environment and technology. We look forward to starting your treatment journey together soon at Otto Orthodontics!
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.
Dr. Latoya A.
My experience with Otto Ortho. has been incredibly positive. The staff is attentive and always ready to answer any questions. My daughter is still covered under her plan, and I can confidently say that she is very comfortable with the team and the entire process.
Response from the owner:Thank you for taking the time to share this! It's always rewarding to know that the care and attention our team puts into every visit is making a difference.
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!
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!
Response from the owner:Thank you, Mindy. Gentle hands and clear explanations along the way are what we want everyone to experience here.
Lisa W.
The staff take their time with you and are so friendly. A very positive environment for an excellent service!
Response from the owner:Thank you for the kind words about our staff and the environment here. We appreciate this review.
Sierra W.
Wonderful team and doctor. Great experience every time we come. Would highly recommend!
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.
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!
Response from the owner:Thank you for the kind words about our team. We are glad the experience has been a good one so far.
Tara
We had a great experience at Otto Orthodontics! Everyone was always so welcoming and friendly, and they did a great job explaining what was going on and what to expect throughout the process. My son always felt comfortable and well taken care of. We’re very happy with our experience and would definitely recommend them!
Response from the owner:Thank you for sharing that you had a great experience with us. We are glad everything was explained along the way.
Sara B.
The doctors and staff have all been wonderful here. My daughter has a complicated situation with missing teeth and the varied options were explained to us with thoughtfulness and care. Very pleased we and chose Dr. Otto as our orthodontist.
Response from the owner:Thank you for taking the time to share this. We are glad the options were explained clearly to you.
Arshley W.
First appointment went great!! I had a wonderful experience at this dental office. The staff was welcoming and supportive, making me feel comfortable throughout my first appointment.They took the time to guide me through the steps while answering all my questions and thoroughly explaining my dental issues. I truly appreciate their professionalism and kindness. Looking forward to my journey!!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first appointment was a positive experience. Our team looks forward to supporting you on your orthodontic journey. See you soon!
Maggie S.
Fantastic care from every member of the staff! Such a wonderful experience for me and my child.
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.
Hunter S.
Best place ever they have been so good with my braces best ever. The staff is awesome. I love Otto Orthodontics.The doctors and staff are so friendly and kind. We are I’m happy after every visit.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a professional and welcoming environment for everyone. It's wonderful to hear that this commitment shines through.
Amanda W.
Highly recommend! My main office was the St. Peter’s location but I’ve also been to the Wentzville location. Both locations are clean, spacious and convenient. The staff was always positive and so sweet. They’re more affordable than other places in the area. They have a texting line which is super convenient. They also offer a retainer for life program where you can get a replacement retainer at no extra cost. I took two of my kids somewhere else for their braces and that place was great too but it was pretty pricey. This rating comes from my ortho treatment that I just finished up. When it comes time for our youngest to start his braces treatment, he will be coming here as well.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's wonderful to know that this resonates with our community.
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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
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  • 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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