Our Practice

otto-matic confidence in every smile

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.

Get to know us

We are fortunate to offer our patients an excellent team of dedicated professionals who truly care about what they do. They give 110% for our patients and our practice.

We’re proud to be recognized as one of St. Louis’s Top Workplaces of 2026 — a testament to our team and office culture.

Our technology

high-tech comfort & Care

We firmly believe that technology plays a crucial role in achieving optimal results for our patients, and it is one of the key factors that sets us apart from other orthodontic practices.

iTERO SCANNER

Thanks to the revolutionary iTero scanning technology, you no longer have to bite down on uncomfortable molds to get an impression of your teeth.

Digital X-Rays

These X-rays provide us with detailed images of a patient’s smile, allowing us to accurately diagnose issues and create a customized treatment plan.

Precision Bracket Placement

Precision Bracket Placement is a technique that leverages advanced computer software to plan the exact position of each bracket on a patient’s teeth.

In-House Lab & retainers

With our in-house lab, we can fabricate your retainers right here in our office, which allows for a better fit and faster fabrication of appliances.

We Love Serving Our Community

Our St. Louis communities are not just where we work. We also live, grow, and raise our families in these same areas.

At Otto Orthodontics, we are dedicated to showing our support and giving back to the communities we love so much.

CHECK OUT OUR LOCATIONS

Tour Our

OFFICES

Our offices are specially designed around your patient experience. Check out a tour of your location and see what all there is to be excited about!

Des Peres

Working as a team, we strive to provide an environment of comfort for our patients while they receive quality orthodontic treatment.

Fenton

Orthodontic treatment is an important time in your life. We strive to make it a positive, memorable experience, and offer all kinds of fun amenities for our patients.

St. Peters

Our modern facilities are simply second to none. We have the nicest, most comfortable, and technically advanced office spaces around.

Wentzville

Besides the fact that happy patients and parents are our best advertisement, our team is passionate about creating a warm and welcoming environment.

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!

Sue S.

Friendly, efficient, and thorough! I had my first appointment for Invisalign and it was a great experience.

Response from the owner:Thank you for sharing your positive experience, Sue! We're delighted to hear that your first appointment for Invisalign was friendly, efficient, and thorough. We look forward to continuing to support your journey!

Kristine E.

Easy to talk to and explained everything in detail. Very thorough on what was recommended and needed.

Response from the owner:Thank you for your kind words, Kristine! We're glad you found our explanations detailed and helpful. Providing thorough recommendations is essential to us, and we appreciate your feedback. Looking forward to seeing you again!

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!

Jessica M.

Every time we walk in we feel welcome! The girls and Dr. Larkin are great. Not only are they knowledgeable and do a great job, but they are fun and inviting. You can tell they enjoy their job!

Response from the owner:Thank you for your wonderful feedback! We're thrilled to know you feel welcomed and enjoy the atmosphere we create. Our team truly loves what they do and appreciates your recognition of their efforts!

Kayla M.

We love everything about Otto Orthodontics.We highly recommend.The staff,they are always upbeat and super friendly. They really know how to make you feel comfortable and confident.My daughter just got her braces off today.AND SHE LOVES HER BIG BEAUTIFUL SMILE.

Response from the owner:Thank you for your kind words! It’s wonderful to hear that your daughter is thrilled with her new smile. Our team loves creating a positive experience, and we appreciate your recommendation!

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.

Chasitie P.

Everyone is so helpful and answered every question we had in regards to my daughter’s treatment. They are very pleasant and make it fun and comfortable for the girls. We are happy we chose Otto Orthodontics for both of my daughters’ care.

Chris C.

Everyone is so kind and make me and my son feel right at home. We never wait long and are in and out without any issues. We are so lucky to have such a great place close to home that I can take my kids to for orthodontic appointments.

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.

Jona B.

Second child just started treatment this morning and we couldn’t be happier!! Highly recommend! Sanela was amazing as well :)

Response from the owner:Thank you for sharing your wonderful experience! We’re thrilled to hear that your second child’s treatment has started off so positively. Sanela is indeed a gem! Your recommendation means a lot to us.

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!

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!

Lily H.

I got my Invisalign off and my teeth look amazing!!!! They are so thorough and knowledgeable. I went to Fenton and Des Peres location and every staff member and doctor is amazing. So happy. <3

Response from the owner:Thank you for sharing your experience! We're thrilled to hear how happy you are with your smile and that our team at both locations made such a positive impression. Your satisfaction is our priority!

Camme S.

phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend

Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team made such a positive impact on your experience. Your recommendations mean a lot, and we look forward to continuing to provide exceptional care!

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!

Our Practice

otto-matic confidence in every smile

We’re Not Your Typical ORTHODONTIC PRACTICE

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

Dr. Kirsten Karkow

Dr. Andrew Larkin

Dr. Katelyn Roland

Dr. Sara Patterson

Get to know us

Our technology

high-tech comfort & Care

We Love Serving Our Community

CHECK OUT OUR LOCATIONS

Tour Our

OFFICES

Des Peres

Fenton

St. Peters

Wentzville

Wentzville

St. Peters

Fenton

Des Peres

Creve Coeur

Related Pages:

Meet Our Amazing Orthodontists

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