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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
      • 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
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
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otto-matic

confidence

in every smile

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What sets us apart
New Patient Portal
Make A Payment
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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.

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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.

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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

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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.
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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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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

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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!

4 exam rooms with patients being seen
Tim S.
Just committed to second round of teeth straightening for our daughter Sophia. Otto orthodontics was amazing start to finish with her first round. Looking forward to her completed process! Don’t look further for an amazing orthodontist experience for your kiddos!
Response from the owner:Thanks for leaving us a review Tim- your comment about our professionalism is much appreciated. We are so grateful for your business and kind words!
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.
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!
Barry P.
Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
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.
Jamie H.
My daughter got her braces put on today and she was very anxious and apprehensive! By the end she was smiling and happy.. everyone is very friendly and we felt very taken care of! Very happy with our choice with choosing Otto Orthodontics!
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.
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.
STLO
Great staff, always super friendly, my kids love the fun energetic atmosphere, and most important my child’s cross bite and crowding have been fixed! They’re flexible and have many options for appointment times that work well for everyone. Definitely will use in the future if any more of our kids require orthodontia.
Response from the owner:Thank you, Rich or Lauren, for your wonderful feedback! We're delighted that your kids enjoy the energetic atmosphere and appreciate our flexible appointment options. It's great to hear about the positive results, and we look forward to serving your family in the future!
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!
Nicole S.
Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.
Justin W.
Staff and doctor were friendly and straightforward. They were upfront with the price and their recommendations. They got us in and out quickly but we did not feel rushed.
Response from the owner:Thank you, Justin. Friendly, upfront and never rushed is exactly the balance we aim for.
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!
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!
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!
Donio P.
Our experience was great. Everyone was very friendly and it was easy to schedule appointments. We feel very comfortable with our treatment plan at Otto.
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 appreciated.
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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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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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Otto Orthodontics is one of St. Louis's Top Workplaces of 2026
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