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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
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Virtual Consult

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It’s Virtually Possible to Get Started

We know that life is busy! That’s why we’re excited to offer virtual consultations that can be completed from the convenience of your own home.

Locations

Creve Coeur

  • 11710 Old Ballas Road, Unit 210
    Creve Coeur, MO 63141

Des Peres

  • 12360 Manchester Rd. Ste. 204
    St. Louis, MO 63131

Fenton

  • 1560 Smizer Station Rd.
    Fenton, MO 63026

St. Peters

  • 314 Mid Rivers Mall Dr.
    St. Peters, MO 63376

Wentzville

  • 1002 Schroeder Creek Blvd.
    Wentzville, MO 63385

Call / Text

  • (314) 900-6886
  • (314) 900-6886

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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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, dental staff attending to patients, modern decor, and vibrant artwork, emphasizing patient-centered care at Otto Orthodontics.
Tricia W.
We have had a great experience at Otto, from the friendly and helpful front staff to the back staff and doctors everyone has always been the best. We love the Fenton location!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that our team at the Fenton location made your experience enjoyable. Your kind words motivate us to keep providing excellent service. We appreciate your support!
Marissa P.
After the first consultation my daughter loved the staff and very comfortable with the place! This is what made us go with Otto orthodontics! Ever since they have been very communicative and friendly! Love the point system they offer as well. Highly recommend them.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
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.
Response from the owner:Thank you, Susan! We're thrilled to hear that your boys enjoyed their visits and the reward system. Our team is dedicated to making every appointment a positive experience. We look forward to seeing you all again!
Trista K.
Huge Shout out to our FABULOUS Dental Technician, Nichole!! She has this gentle, warm presence that is so friendly and comforting but she is also very knowledgeable!! We are proud clients of OTTO Orthodontics and have been absolutely amazed with the consistency throughout the entire experience. The front desk staff are always very warm and welcoming, and our wonderful dental technician Nichole is absolutely stellar! I am confident that OTTO Orthodontics is well aware how much of a huge asset Nichole is to their team! We have seen her a few times and every time she picks up right where we left off! She makes my 12-year-old daughter feel more than comfortable, and is professional, and also extremely thorough, explaining all steps and any important information that my daughter should know in effort to reach the best possible outcome - she is patient and also is FANTASTIC in providing wonderful suggestions based on my daughters likes! (Huge bonus that she also is actually “in the know” with what is trendy for her age group! 😜😬😍) She is personable and professional, but above all she is absolutely amazing at what she does! Everyone in this office has been WONDERFUL, but we are always hopeful that it is Nichole that we get to visit with again! Love everything about this place; the cleanliness, efficiency, professionalism not to mention the wonderful results we have seen in such a short amount of time! Dr. Larkin really took time to understand what we are trying to achieve and even though we were told that we weren’t ready to begin for a long period of time other places, Dr. Larkin listened, and understood… He did some digging to see how he could help us and came back with a master plan! A master plan that is absolutely proving itself to be effective which speaks to his high level of expertise and also ability to think outside the box. We are SO grateful that we found Otto Orthodontics- and will never go anywhere else! We highly recommend anyone with children especially to check them out because I guarantee you will see the same value, expertise and professionalism! Thank you Nichole, Dr Larkin and all the other amazing staff! 😬
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Kaitlin T.
such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
Autumn H.
We love Otto Orthodontics!! The doctors and staff are so friendly and welcoming. We are always satisfied after every visit!! Nikki at the front desk is so sweet and fun my daughter loves her!! We love seeing her right when we come in! Highly recommend.
Response from the owner:Thank you for your wonderful feedback, Autumn! It’s fantastic to hear that you and your daughter enjoy visiting us. We appreciate your recommendation and look forward to seeing you both at your next appointment!
Blake P.
I enjoyed my experience at Otto orthodontics today. Dr. Otto explained everything very well and Jeanna was very thorough going over treatment. Highly recommend.
John K.
New to the area and our first visit and we were very impressed. Everyone was very nice, explained in detail the process and what to expect. Highly recommend them to anyone.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first visit was a positive experience. Our team is dedicated to providing clear guidance and support. We appreciate your recommendation!
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!
Michelle
I had a good experience, the staff was very friendly and the consult was pretty informative. The place was clean and inviting.
Kyle S.
I’ve been trying to get Invisalign for a while. My regular dentist office has gave me the run around and the one ortho I met with prior gave lack luster service. Saw an Otto Orthodontics ad online and figured I’ll give it a shot. I was able to get scheduled within 3 days of inquiring and within my first hour long consult I knew they would take care great of me. Very easy process to begin and better payment options than the competitors. I look forward to beginning treatment in the next few weeks! Thanks!
Response from the owner:Hi Kyle! It was great seeing you today.. we are so excited to exceed your expectations! Congratulations again on your upcoming transformation - we are thrilled to be apart of it!
Cathleen T.
We are so pleased to have our daughter with special needs treated by Dr. Karkow and the team at Otto Orthodontic in Fenton. They have been phenomenal with our kiddo.
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.
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!
Carla E.
My 2 daughters go here and they're amazing today our youngest one started her braces journey. They was so kind to her even though she cant sit till long. But she did great and so did the lady working on her she was very patient with our daughter.
Response from the owner:Thank you for your wonderful review, Steve! We're thrilled to hear that your daughters had a great experience with us, especially as your youngest begins her braces journey. Our team truly values patience and kindness, and it’s great to know they made such a positive impact. We appreciate your trust in us and look forward to continuing to support your family!
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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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  • (314) 900-6886

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Our Convenient Locations

With multiple locations throughout Missouri, Otto Orthodontics makes it easy for patients to access top-notch orthodontic care. Whether you're in Creve Coeur, Des Peres, Fenton, St. Peters, or Wentzville, our offices are conveniently located to serve you. Our friendly and knowledgeable team is ready to help you achieve the smile of your dreams.

Each of our locations offers 5-star care, ensuring that every patient receives personalized attention and exceptional treatment. From complimentary consultations to advanced orthodontic solutions, Otto Orthodontics is dedicated to providing a positive and rewarding experience for every patient.

Virtual Consultations Available

Can't make it to one of our physical locations? No problem! Otto Orthodontics also offers virtual consultations, allowing you to start your smile transformation journey from the comfort of your own home. Simply request an appointment online or give us a call to schedule a virtual consult with one of our experienced orthodontists.

During your virtual consultation, our team will assess your orthodontic needs, discuss treatment options, and answer any questions you may have. Experience the convenience and expertise of Otto Orthodontics through our virtual consultation services today.