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 that truly care about what they do. They give 110% for our patients and our practice.

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!

Rich or Lauren O.

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!

Erin

The young lady was very friendly and polite. She took time to explain things very well.

Response from the owner:Thank you for your kind words, Erin! We're thrilled to hear about your positive experience with our team. Our commitment to providing thorough explanations and friendly service is our priority. We appreciate your feedback!

Isabella M.

Love coming to ortho in Fenton!! The friendliest staff and attentive staff members!! Always a great experience!!

Response from the owner:Thank you for your kind words! We’re thrilled to hear you enjoy visiting our team in Fenton. Our staff always strives to provide a welcoming and attentive experience. We look forward to seeing you again soon!

Missy D.

We love Otto Orthodontist everyone is great to work with and always and helpful and full of smiles!! Thanks for being great!!

Response from the owner:Thank you for your kind words, Missy! We're thrilled to hear that you enjoy working with our team. Your positive feedback about our smiles and support means a lot to us. Looking forward to seeing you again!

Jordan P.

We went to Otto ortho for a second opinion. My daughter(12yrs) was so impressed by the staff and I couldn’t be happier that they matched the other quote that we will be seeing them for the next 2+ years!

Response from the owner:Thank you for your wonderful feedback, Jordan! We're thrilled to hear that your daughter felt comfortable with our team and that we could provide a competitive quote. We look forward to supporting her smile journey!

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!

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!

Nicole T.

This is our third time going with Otto and i continue to be impressed with them and recommend them to everyone. Every staff member makes you feel welcome and like they know you. Highly recommend for any orthodontic needs!!!

Response from the owner:Thank you for your wonderful feedback! It’s fantastic to hear that you feel welcomed and valued during your visits. We appreciate your continued trust in our team for your orthodontic needs and look forward to serving you again.

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!

Macii P.

Everyone was so friendly which made the whole process so much smoother and less scary for my son. Would highly recommend Otto Orthodontics.

Response from the owner:Thank you for your wonderful feedback! It's great to hear that our team's friendliness made the experience easier for your son. We appreciate your recommendation and look forward to welcoming you back!

Jessica M.

Every time we walk in we feel welcome! The girls and Dr. Larkin are great. Not only are they knowledgeable and do a great job, but they are fun and inviting. You can tell they enjoy their job!

Response from the owner:Thank you for your wonderful feedback! We're thrilled to know you feel welcomed and enjoy the atmosphere we create. Our team truly loves what they do and appreciates your recognition of their efforts!

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!

Bobbie J.

Very clean pleasant office. Treated kindly while getting all concerns addressed and questions answered. Great payment plans easy and convenient.

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.

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