Skip to content
  • Call / Text (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
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
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
    • Retainer Program
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
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
      • 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
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
  • (314) 900-6886
  • (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
  • Facebook
  • Instagram
  • YouTube
  • List Item
  • Top Office
  • REQUEST CONSULT
  • TEXT NOW

Our Practice

otto-matic confidence in every smile

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

Braces Off Bar featuring colorful candy dispensers and neon sign, creating a fun and inviting atmosphere for patients at Otto Orthodontics.
Doctor interacting with three young girls in an orthodontic office, showcasing personalized care and engagement in a friendly environment.

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.

Learn More
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 award badge for 'Best of St. Charles County 2024', featuring circular design and black background.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
Logo of Otto Orthodontics featuring a stylized tooth design, representing personalized orthodontic care and commitment to patient smiles.
St. Louis Magazine A-List award recognition for Otto Orthodontics, highlighting excellence in orthodontic care.
Orthodontic logo featuring a stylized tooth design, symbolizing personalized dental care at Otto Orthodontics.
Otto Orthodontics logo, representing personalized orthodontic care and commitment to patient satisfaction.
Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.
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.
Learn More
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!
Learn More
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.
Learn More
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.
Learn More
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.
Learn More
Our Team

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.

Learn More
Team of orthodontic professionals at Otto Orthodontics, showcasing dedication and care in a welcoming environment, dressed in black and white attire.

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 displaying digital impressions for orthodontic treatment, highlighting advanced technology in patient care at Otto Orthodontics.
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-ray machine used for detailed imaging in orthodontics, highlighting advanced technology for accurate diagnosis and personalized treatment plans.
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 orthodontic tool for bracket placement, featuring measurements of 3.5, 4.0, 4.5, and 5.0, used in advanced techniques for personalized patient care at Otto Orthodontics.
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.

Clear orthodontic retainer showcasing a precise fit, highlighting in-house fabrication at Otto Orthodontics for personalized patient care.
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.

Learn More
community involvement

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.

  • Sponsorships & Donations
  • Supporting Local Schools
  • Sponsoring Local Teams
Learn More
Group of children and staff at Otto Orthodontics office, smiling and posing with a green stuffed toy, showcasing community involvement and a welcoming environment for patients.

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. 

Tour the Office
Otto Orthodontics sign displayed on a brick building exterior, emphasizing community-focused orthodontic care in St. Louis.

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.

Tour the Office
OTTO Orthodontics logo displayed prominently in a modern orthodontic office, reflecting a commitment to quality patient care and comfort.

St. Peters

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

Tour the Office
Otto Orthodontics office exterior showcasing modern design, large windows, and welcoming atmosphere, emphasizing patient comfort and advanced orthodontic care.

Wentzville

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

Tour the Office
Orthodontist in a white coat providing treatment to a young patient in a modern office setting, emphasizing comfort and personalized care at Otto Orthodontics.

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.
Megan B.
The staff at Otto is amazing! They took great care of my kiddo and he loves chatting with everyone.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s wonderful to know that this resonates with our community.
Catherine S.
Great experience and I would highly recommend them to anyone considering Invisalign treatment.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional atmosphere for everyone. We are glad to hear our efforts make a positive difference.
Maggie S.
Fantastic care from every member of the staff! Such a wonderful experience for me and my child.
Jen K.
I was treated in the Des Peres office for braces. Every part of the 24 month treatment plan has been smooth and efficient. Dr. Otto, Dr. Larkin and the entire staff are top notch and very caring. Everyone seems to enjoy their work life which leads to wonderful patient care. Also my teeth look great! 😁
Response from the owner:Jen, thank you for such a thoughtful review! Smooth, efficient visits from start to finish are exactly what we aim for, and Dr. Otto, Dr. Larkin, and the whole team will appreciate hearing this.
Eli P.
Holly and Kloey were so good and made the process really smooth and they were so kind and nice
Response from the owner:Thank you for your kind words, Eli! We're thrilled to hear that Holly and Kloey provided a smooth experience. Your satisfaction is our priority, and we look forward to serving you again!
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!
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.
Brie K.
They did such a great job fixing my teeth. They were always so friendly and made the whole process so easy. I would 100% recommend them for braces!
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.
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!
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!
Christen Z.
My whole family has been treated by Otto and we’ve been super happy with them! The staff is very friendly and they make you feel comfortable during the whole process. We highly recommend them!
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.
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.
Susan C.
What a great Orthodontic office. Everyone was professional and easy going. The group took care of my old retainer and put a new one in. I will be going back and highly recommend Otto Orthodontics to anyone looking for care.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled you had a positive experience with our team. Your recommendation means a lot to us. We look forward to seeing you again at Otto Orthodontics!
Hope K.
The staff here is so incredibly patient and kind, I saw them interacting with nervous patients especially the kids that need more hand holding and they spent a lot of time making sure everyone felt comfortable and heard. They all have the best attitudes, are so positive and playful, and still incredibly professional. I have been recommending them to everyone, everywhere and will continue to do so!
Response from the owner:Hope, thank you for noticing that! Patience with nervous first timers is something our team takes real pride in, and it means a lot that it stood out to you.
Marci M.
I barely convinced my son to go to his consultation and he fought potentially getting braces. I figured it was worth a shot. The staff at Otto immediately made the experience fun and carefree. By the end of the appointment he was excited about getting braces.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate positively.
Read More

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.
Complimentary Consult
Quick Links
  • Our Practice
  • Orthodontics
  • Patient Resources
  • Contact Us
  • Our Practice
  • Orthodontics
  • Patient Resources
  • Contact Us
Contact Us
  • 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
Follow Us
Call / Text
  • (314) 900-6886
  • (314) 900-6886

© Copyright 2026 Otto Orthodontics | Sitemap | Privacy Policy | Notice of Privacy Practices | Accessibility & Statement

Orthodontic Marketing & Web Design by HIP
Related Pages:
  • Meet Our Orthodontic Team
  • Explore Our Modern Offices
  • Meet Our Orthodontic Team
  • Schedule Your Complimentary Consultation
  • Meet Dr. A.J. Otto

Meet Our Amazing Orthodontists

Our team of orthodontists at Otto Orthodontics are dedicated to providing top-notch care and creating beautiful smiles for our patients. Each of our doctors brings a unique set of skills and expertise to the practice, ensuring that every patient receives personalized treatment tailored to their individual needs. From traditional braces to Invisalign and other orthodontic treatments, our orthodontists are committed to helping you achieve the smile of your dreams.

Dr. Genevieve Otto, Dr. Kirsten Karkow, Dr. Andrew Larkin, Dr. Katelyn Roland, and Dr. Andrew Frost are passionate about orthodontics and are constantly staying up-to-date on the latest advancements in the field. With years of experience and a dedication to excellence, our orthodontists strive to make every patient's orthodontic journey a positive and rewarding experience. Whether you're a child, teen, adult, or senior adult, you can trust our team to help you achieve a beautiful, healthy smile.