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!

Alicia J.

Dr Roland and all of the girls were so sweet, personable, professional, knowledgeable, and experienced! I will definitely be back for all of my ortho needs.

Response from the owner:Alicia, thank you for your wonderful feedback! We're thrilled to hear that you felt welcomed and cared for by our team. We look forward to assisting you with your orthodontic needs in the future!

Sue S.

Friendly, efficient, and thorough! I had my first appointment for Invisalign and it was a great experience.

Response from the owner:Thank you for sharing your positive experience, Sue! We're delighted to hear that your first appointment for Invisalign was friendly, efficient, and thorough. We look forward to continuing to support your journey!

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.

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!

Dr. Latoya A.

My experience with Otto Ortho. has been incredibly positive. The staff is attentive and always ready to answer any questions. My daughter is still covered under her plan, and I can confidently say that she is very comfortable with the team and the entire process.

Response from the owner:Thank you for taking the time to share this! It's always rewarding to know that the care and attention our team puts into every visit is making a difference.

Elizabeth Gambaro P.

My 9 year old twins are in phase one orthodontic treatment with this office and we could not be happier. The staff is so kind and accommodating, and my kids’ teeth are already looking so much straighter. Dr. Otto is so compassionate and even met me after Hours to fix a bracket on my son’s tooth that was loose before we were going on vacation.

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

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.

Chris C.

Everyone is so kind and make me and my son feel right at home. We never wait long and are in and out without any issues. We are so lucky to have such a great place close to home that I can take my kids to for orthodontic appointments.

Mary B.

The entire team is friendly, professional, and genuinely cares about their patients. From the moment you walk in, you’re made to feel welcome and comfortable.

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.

Kaiya C.

Such amazing and sweet people. The environment is very inviting. 10/10 would recommend.

Response from the owner:Thank you for your wonderful feedback! We’re delighted to know that our team and inviting atmosphere made such a positive impression. Your recommendation means the world to us. We look forward to welcoming you back!

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!!

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!

Sera D.

So quick! Even got us in early because we were there. They ask questions and engage with my daughter. Couldn’t be happier!

Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your daughter felt engaged and that we could accommodate you early. We strive to provide a welcoming atmosphere for all our families.

Brooke T.

Nothing but amazing things, the staff is absolutely amazing! We love our visits in for my son. Highly recommend.

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!

Tina M.

This office is amazing. Staff is so friendly and great with children. I highly recommend them to family and friends.

Response from the owner:Thank you for your kind words, Tina. We appreciate your recommendation! Our team is dedicated to creating a welcoming atmosphere, especially for families. We look forward to serving you and your loved ones in the future!

Our Practice

otto-matic confidence in every smile

We’re Not Your Typical ORTHODONTIC PRACTICE

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

Dr. Kirsten Karkow

Dr. Andrew Larkin

Dr. Katelyn Roland

Dr. Sara Patterson

Get to know us

Our technology

high-tech comfort & Care

We Love Serving Our Community

CHECK OUT OUR LOCATIONS

Tour Our

OFFICES

Des Peres

Fenton

St. Peters

Wentzville

Wentzville

St. Peters

Fenton

Des Peres

Creve Coeur

Related Pages:

Meet Our Amazing Orthodontists

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