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Orthodontics

otto-matic confidence in every smile

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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Little girl with braces smiling as Dr. Otto looks on in the office

Invisalign

As a Sapphire Invisalign provider, we can treat patients of all ages with Invisalign to achieve stunning results while maintaining a natural-looking smile.

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Child pointing at a digital orthodontic model on screen with a smiling orthodontist

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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Young woman checking her smile in a mirror during a consultation with Dr. Otto

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!

Orthodontic office interior with multiple treatment stations and staff attending to visitors
Maggie B.
Dr Karkow and team were excellent during my Invisalign journey!! They really made sure I was happy with my results and were all very friendly. Would highly recommend.
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
Sue S.
Everyone at Otto Ortho Fenton was very helpful, attentive and supportive. Each step was thoroughly explained, questions answered and concerns addressed. I highly recommend them.
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!!
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.
Olivia R.
Otto Orthodontics has been a great experience. The entire staff was very welcoming, knowledgeable and efficient. This office made getting my son braces seem like a breeze.
Linda C.
My son had his first consultation for braces and everyone who assisted in the appointment was great! Everything was clearly explained and we can’t wait to start our braces journey soon!
Sara S.
Otto Is just like family. Haven’t been there in a while and they could remember small details about both my kiddos. I highly recommend Otto for all your orthodontic needs! Love them 💖
Kathleen
As an adult going through orthodontia, I was a bit concerned about the process. Everyone has been wonderful! Appointments always have gone smoothly and any questions I have had are always responded to with clarity. Professional, friendly, and courteous across the board.
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.
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!
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!
Heather
Otto is amazing. The personal care I got today was incredible. I did not expect how above and beyond the staff would go to accommodate a wrong time that I wrote down. But they worked their magic to make it happen for me to be seen today. I did not feel like just another patient today. Oyyo really cares about the patient rather than what is convenient. Thank you so much OTTO.
Susan T.
We had great experiences with our kids at Otto Orthodontics. They have the best staff! The boys loved the reward system and actually looked forward to their appointments.
Pam M.
Yesterday I had my braces off to start my invisalign program as I will be away for 4-5 months. I only had my braces on for 4.5 months. My teeth are almost perfectly straight and the bite problem, which was the reason I got braces, is already much improved. I am very happy with the results. If you are a senior citizen considering braces, go for it with Otto Orthodontics. They treat us with respect and the results will improve your life. Thank you Otto Orthodontics
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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
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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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