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!

Luke G.

10/10 would recommend. Started my Invisalign treatment today and the whole process was super easy, Courtney was great

Response from the owner:Thank you, Luke, for your positive rating! We appreciate your support and look forward to providing excellent service in the future. Your satisfaction is our priority.

Kelly H.

Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.

Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!

MiKaila M.

I love Otto Orthodontics, they are extremely welcoming and always answers all of my questions. I absolutely love having Alyssa as my assistant every time , she’s so sweet, helpful and genuine.I highly recommend going to Otto for ortho.

Response from the owner:Thank you for the kind words about our office. We are glad your questions always get answered.

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!

Tammy R.

I cannot recommend this practice enough! Every time I walk through the door, I am always welcomed with a smile from staff. Being an older patient, I always wished for a better smile. Without question, The Wentzville team made my Invisalign journey incredibly smooth. The team is professional, the office is efficient, and my teeth look absolutely perfect. Thank you! If you are thinking about getting orthodontic work, this is definitely the place to go!!

Becky D.

I took my daughter to 2 other orthodontists before choosing Otto. Very happy with our choice!

Response from the owner:Thank you, Becky. We are honored you chose us and glad you are happy with that choice.

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.

Olivia R.

Otto Orthodontics was a great experience. The entire staff was very welcoming, knowledgeable and efficient. This office made getting my son braces seem like a breeze.

Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to know that our efforts are making a difference.

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!

Tyson Q.

Simply the best! Great staff, very kid friendly I can’t say enough good things about the whole experience. Get off social media and call her right now! You will not regret it. Because...................... It’s like winning the lotto when you get to see Dr. Otto!

Shelby D.

Starting the orthodontic process with our son felt a little overwhelming and the team at Otto was patient, transparent, and informative as we navigated it. Our son was comfortable the whole time and had all of his questions answered too. I’m glad this is where we chose to go!

Response from the owner:Thank you, Shelby. Patient, transparent and informative is exactly how we want families to feel through the whole process.

April B.

They made our move from another state a breeze. The office staff is fantastic and so friendly!

Response from the owner:Thank you, April. We are glad the move was smooth, and our front office will love hearing this.

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!

Kasey F.

We love Otto! Nicole has been working with my son Leo and she has been exceptional. Dr. Larkin is amazing, as well. Nicole lets my daughter, Rowan, be her little assistant and now she wants to be an Orthodontist when she grows up because of her. My kids always have a good time 😊

Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a supportive and professional environment, and it’s rewarding to know that our efforts resonate with the community.

Janice M.

Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.

Response from the owner:Thank you for your wonderful feedback, Janice! We're delighted that you and your son experienced our attentive service throughout the consultation process. We look forward to seeing you again soon!

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