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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
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otto-matic

confidence

in every smile

Complimentary Consult
What sets us apart
Two girls with cotton candy
Dr. Otto and teen patient
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

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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

Child getting candy from candy dispenser
group photo

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 "Best of St. Charles County" award 2024 and 2025.
AAFE logo
Invisalign Sapphire clear aligner treatment for orthodontic smiles
Otto Orthodontics STL Magazine listing and recognition for orthodontic services in St. Louis.
Otto Orthodontics logo and branding for personalized orthodontic care.
Otto Orthodontics Platinum List highlighting low monthly payment options and a complimentary consultation.
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Otto Orthodontics Top Workplaces 2026 award and recognition.

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

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

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

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

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 with doctor

Kids

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

BRACES
INVISALIGN
teenager with invisalign

Teens

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

BRACES
INVISALIGN
Adult with Invisalign

adults

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

BRACES
INVISALIGN
Braces and Invisalign for Seniors

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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Dr. Otto talking to little girl with braces

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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Invisalign

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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Dr. Otto with female patient
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!

4 exam rooms with patients being seen
Abbie M.
My smile is even more beautiful now after getting braces at Otto Orthodontics! Dr. Otto and Dr. Larkin are the best! All the workers are so kind! Thank you so much Otto Orthodontist!
Response from the owner:We appreciate your wonderful review! Creating a warm, welcoming space for patients of all ages is something our whole team takes pride in.
Halle J.
I just got my Invisalign off today and this whole process with Otto has been so incredibly painless and absolutely wonderful! Every Dr and assistant I had could not have been nicer and really made me feel welcomed and heard. I would Reccomend Otto time and time again! 🩷
Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that your Invisalign experience with Otto was smooth and enjoyable. Our team is dedicated to making every visit welcoming and supportive. We appreciate your recommendation!
Nicole H.
Literally the best! They know what they’re doing here, and when I say so nice omg it’s like visiting family. Everyone in the office always has a smile on their faces. The office is always bright and clean. It’s so calm and peaceful at Otto orthodontics. I love it there!
Eris P.
The staff is so nice, informative and attentive. You can feel the tremendous care the staff provides to each patient.
Response from the owner:Thank you for your feedback! Whether it's a first visit or a regular checkup, we always aim to make our patients feel comfortable, and we're glad that came through.
Corey C.
Nikki was very kind, outgoing and helpful. I feel like she definitely is an asset to the team and very welcoming with every single experience that you have.
Response from the owner:Thank you for your kind words! We're thrilled to hear about your positive experiences with Nikki. Her welcoming and supportive nature truly makes a difference for everyone. We appreciate your feedback and support!
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.
Brittany S.
Otto Orthodontics has been so welcoming and great with my son. Looking forward to the results.
Britney F.
Three of my children have gotten braces with Otto, and I highly recommend them. Scheduling appointments has always been flexible, and the staff is amazing, friendly, and helpful. We've had a wonderful experience and are very happy with the care our family has received.
Michael L.
I was told that going with Invisalign would be a better option and more cost effective. Upon receipt of the estimate, it was the same as a more complicated case of braces for another family about 14 months prior. I feel that the information was misleading. My original post did not reflect the true comparison of the cost between the two treatment plans. After further review I realized now that the cost of Invisalign is a more cost-effective option. Thanks, Otto, for helping me to understand the treatment options, cost, and for our family's current treatment.
Response from the owner:We truly appreciate you leaving this review! Our team strives every day to make our office a place where patients feel welcomed and well taken care of.
Andrea S.
First appointment out of many for two of my kids today. I was super impressed by Nichole she was amazing with my 8 year old who was very nervous about getting his expander and does not do well with the unknown. Thank you Nichole!
Response from the owner:Thank you for your wonderful feedback, Andrea! We're thrilled to hear that Nichole made your child's first appointment a positive experience. We look forward to seeing you and your kids again soon!
Katy G.
They are very willing, understanding and helpful to all needs. I have great experiences so far before my treatment and since my treatment for braces started in November. The orthodontist assts and Dr. Rowland are understanding and helpful, I have sensory issues with my mouth and teeth and they are always understanding and gives breaks too :) Always good experience!
Jodi B.
The staff is very friendly and has been incredibly helpful assisting us in resolving an ongoing insurance issue. Their pricing and recommendation was the best among the 3 consultations we had with 3 different ortho providers.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming atmosphere, and it's rewarding to know that our efforts resonate with the community. Your support is greatly appreciated!
Katie W.
Great experience!! The Mid Rivers location was always ready for us with little to no wait time. They were gentle with my child with braces and it was a smooth, quick, and efficient process at every visit.
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.
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.
Katie W.
Going back to Otto for my second daughters ortho needs! Otto is the best and I highly recommend them!
Response from the owner:Thank you for your fantastic review, Katie! We're thrilled to hear that you had such a positive experience with our team. Your recommendation means a lot to us, and we look forward to continuing to meet your orthodontic needs!
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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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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!