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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
    • Your First Visit
    • Virtual Consult
    • Patient Forms
    • Patient Rewards
    • Financial Info
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    • Creve Coeur
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Our Practice

otto-matic confidence in every smile

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

Braces Off Bar featuring colorful candy dispensers and neon sign, creating a fun and inviting atmosphere for patients at Otto Orthodontics.
Doctor interacting with three young girls in an orthodontic office, showcasing personalized care and engagement in a friendly environment.

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.

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AAO logo
Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
Otto Orthodontics award badge for 'Best of St. Charles County 2024', featuring circular design and black background.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
Logo of Otto Orthodontics featuring a stylized tooth design, representing personalized orthodontic care and commitment to patient smiles.
St. Louis Magazine A-List award recognition for Otto Orthodontics, highlighting excellence in orthodontic care.
Orthodontic logo featuring a stylized tooth design, symbolizing personalized dental care at Otto Orthodontics.
Otto Orthodontics logo, representing personalized orthodontic care and commitment to patient satisfaction.
Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto smiling in orthodontic attire, representing personalized orthodontic care at Otto Orthodontics.

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.
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Dr. Kirsten Karkow smiling, showcasing her passion for orthodontics and personalized patient care at Otto Orthodontics.

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!
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Dr. Andrew Larkin smiling in orthodontic scrubs with "OTTO" logo, representing personalized orthodontic care at Otto Orthodontics.

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.
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Dr. Katelyn Roland smiling in orthodontic attire, representing personalized patient care at Otto Orthodontics.

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.
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Dr. Sara Patterson, orthodontist at Otto Orthodontics, smiling in a white coat, emphasizing her expertise in orthodontic care and personalized treatment.

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.
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Our Team

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.

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Team of orthodontic professionals at Otto Orthodontics, showcasing dedication and care in a welcoming environment, dressed in black and white attire.

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 displaying digital impressions for orthodontic treatment, highlighting advanced technology in patient care at Otto Orthodontics.
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-ray machine used for detailed imaging in orthodontics, highlighting advanced technology for accurate diagnosis and personalized treatment plans.
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 orthodontic tool for bracket placement, featuring measurements of 3.5, 4.0, 4.5, and 5.0, used in advanced techniques for personalized patient care at Otto Orthodontics.
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.

Clear orthodontic retainer showcasing a precise fit, highlighting in-house fabrication at Otto Orthodontics for personalized patient care.
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.

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community involvement

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.

  • Sponsorships & Donations
  • Supporting Local Schools
  • Sponsoring Local Teams
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Group of children and staff at Otto Orthodontics office, smiling and posing with a green stuffed toy, showcasing community involvement and a welcoming environment for patients.

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. 

Tour the Office
Otto Orthodontics sign displayed on a brick building exterior, emphasizing community-focused orthodontic care in St. Louis.

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.

Tour the Office
OTTO Orthodontics logo displayed prominently in a modern orthodontic office, reflecting a commitment to quality patient care and comfort.

St. Peters

Our modern facilities are simply second to none. We have the nicest, most comfortable, and technically advanced office spaces around.

Tour the Office
Otto Orthodontics office exterior showcasing modern design, large windows, and welcoming atmosphere, emphasizing patient comfort and advanced orthodontic care.

Wentzville

Besides the fact that happy patients and parents are our best advertisement, our team is passionate about creating a warm and welcoming environment.

Tour the Office
Orthodontist in a white coat providing treatment to a young patient in a modern office setting, emphasizing comfort and personalized care at Otto Orthodontics.

Get Ready

to rock a

New smile

Complimentary Consult
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 clinic interior with dental professionals assisting patients, featuring modern equipment and vibrant artwork.
Summer F.
Everyone there was so friendly and never made me feel bad or uncomfortable about how bad my teeth are and went over lots of options for my treatment and were very understanding and accepting was just overall amazing definitely made me feel very comfortable
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!
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!
Cathy H.
We had a wonderful experience for phase 1 & 2 of braces! Otto orthodontics is the best!!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to hear that this effort is recognized.
Tom
Dr. Otto is very attentive and professional, makes young patients feel at ease. Her staff is well-trained, friendly and the practice is very efficient at dealing with numerous patients. We have been very happy with Dr. Otto and recommend her to anyone seeking orthodontic treatment.
Halle J.
I just got my Invisalign off today and this whole process with Otto has been so incredibly painless and absolutely wonderful! Every Dr and assistant I had could not have been nicer and really made me feel welcomed and heard. I would Reccomend Otto time and time again! 🩷
Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that your Invisalign experience with Otto was smooth and enjoyable. Our team is dedicated to making every visit welcoming and supportive. We appreciate your recommendation!
Olivia M.
I just finished my treatment after almost 2 years! Every visit has always been great, from walking in the door to leaving every single person I encountered was absolutely AMAZING! I will always recommend Otto to EVERYONE! Thanks for being so fabulous ladies💕
Response from the owner:Thank you, Olivia! We’re thrilled your daughter started her orthodontic journey with us. It’s great to hear she enjoyed the process and felt supported! We look forward to seeing her smile grow!
Madeleine D.
Absolutely loved going here! My before and after is amazing! The whole staff is very sweet and guided me through the whole process perfectly!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
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!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's rewarding to know that our efforts resonate with the community.
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.
Samantha M. K.
I sometimes am a little pessimistic of overwhelmingly 5-star reviews, because some practices incentivize them without disclosure, but I have to say - this place and the folks here are pretty great and I have no incentive to say so. No one tried to sell anything to me or push me to make a decision, which is frankly why I left my other provider. The space also doesn’t have the gloomy, archaic setting that dental practices sometimes suffer from, if that matters to you and your kiddos.
Response from the owner:Thank you for your thoughtful review! We're delighted to hear you had a positive experience with our team and enjoyed our welcoming environment. Your comfort and satisfaction are our top priorities. We look forward to seeing you again!
Michael A.
We had an amazing experience at Otto Orthodontics- Wentzville. Their team was professional, knowledgeable and understood our concerns. They are very family friendly and made efforts to ensure my 9 y/o daughter was comfortable. The office was very clean and organized. Extra shoutout to Ashley our treatment coordinator who explained everything extremely well and answered all of our questions. We never felt rushed and we left the office feeling like we had an excellent plan in place. Thank you to the entire team at Otto Orthodontics.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you had such a positive experience at our office. It's great that Ashley made your daughter feel comfortable. We appreciate your trust in our team!
Donio P.
Our experience was great. Everyone was very friendly and it was easy to schedule appointments. We feel very comfortable with our treatment plan at Otto.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is appreciated.
Britney F.
Three of my children have gotten braces with Otto, and I highly recommend them. Scheduling appointments has always been flexible, and the staff is amazing, friendly, and helpful. We've had a wonderful experience and are very happy with the care our family has received.
Liz H.
We love Otto! Friendly staff, modern office, flexible scheduling, and great incentive program for patients.
Response from the owner:Thank you, Liz! We're thrilled to hear you love our friendly staff and modern office. Your satisfaction is our priority, and we look forward to continuing to provide you with excellent care.
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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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  • Wentzville, MO
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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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  • (314) 900-6886

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Meet Our Amazing Orthodontists

Our team of orthodontists at Otto Orthodontics are dedicated to providing top-notch care and creating beautiful smiles for our patients. Each of our doctors brings a unique set of skills and expertise to the practice, ensuring that every patient receives personalized treatment tailored to their individual needs. From traditional braces to Invisalign and other orthodontic treatments, our orthodontists are committed to helping you achieve the smile of your dreams.

Dr. Genevieve Otto, Dr. Kirsten Karkow, Dr. Andrew Larkin, Dr. Katelyn Roland, and Dr. Andrew Frost are passionate about orthodontics and are constantly staying up-to-date on the latest advancements in the field. With years of experience and a dedication to excellence, our orthodontists strive to make every patient's orthodontic journey a positive and rewarding experience. Whether you're a child, teen, adult, or senior adult, you can trust our team to help you achieve a beautiful, healthy smile.