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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
    • New Patient Portal
    • Make A Payment
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Our Practice

otto-matic confidence in every smile

our practice

We’re Not Your Typical ORTHODONTIC PRACTICE

Braces off brar with candy dispensers
Dr. Otto with 3 young girls

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.

Learn More
American Association of Orthodontists logo and symbol for orthodontic professionals.
Top Doctor List recognition for Otto Orthodontics in St. Louis Magazine, highlighting excellence in personalized orthodontic care.
Otto Orthodontics logo featuring a stylized tooth design, symbolizing personalized orthodontic care and commitment to patient satisfaction.
Juell 3D-3 dental 3D printer logo emphasizing modern orthodontic technology and innovation at Otto Orthodontics.
Otto Orthodontics Top Workplaces 2026 award and recognition.

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
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
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

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
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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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
Outside view of Otto Orthodontics

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 sign

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 outside view

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
Dr. Otto speaking with a young patient

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.
Tyler N.
Fast, friendly, cheerful, efficient. And they helped me find a solution I could afford.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a professional and welcoming environment, and it’s rewarding to know that this resonates with our community.
Chelsea F.
Our daughter got her braces on today, and we had a fantastic experience! The office personnel were professional and kind, and I love that I was able to sit alongside my daughter during this experience. Thank you, Otto Ortho!
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 commitment shines through.
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!
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.
Natalie J.
Otto Orthodontics has been wonderful. The staff are wonderful and great with my 7 year old!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a supportive and professional environment, and it’s rewarding to know that our efforts are recognized.
Alicia B.
Wait wasn’t super long. Everyone was super nice and easy to talk to. They all took the time to listen to all of my concerns. Ashley was very informational making sure I understood everything and that I was satisfied before I left. 10/10 would recommend and will be back!
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.
Alyse K.
Efficient and extremely well organized practice. We are just starting the process, but we were super impressed with office management and communication.
Response from the owner:Thank you, Alyse. We are glad the organization and communication made a strong first impression, and we look forward to the road ahead.
Mindy F.
I had a complicated case, Otto orthodontics took fantastic care of me and every single assistant was gentle each time. They addressed all of my concerns and explained what they were doing as they were doing it. I never felt like I was in the dark on what was going on. I often saw Christina during my appointments and she was so kind and took great care of me. I would 10/10 recommend going to Otto for adult orthodontics!
Response from the owner:Thank you, Mindy. Gentle hands and clear explanations along the way are what we want everyone to experience here.
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!
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
Brittany S.
Otto Orthodontics has been so welcoming and great with my son. Looking forward to the results.
Tim S.
Just committed to second round of teeth straightening for our daughter Sophia. Otto orthodontics was amazing start to finish with her first round. Looking forward to her completed process! Don’t look further for an amazing orthodontist experience for your kiddos!
Response from the owner:Thanks for leaving us a review Tim- your comment about our professionalism is much appreciated. We are so grateful for your business and kind words!
Justin Short S.
Dr. Otto and her team are the best. I’m a retired general dentist and had many options of where to take my child. I chose Otto for a reason. Besides clinical expertise they are very efficient and do not waste your time sitting around the office waiting.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional atmosphere for everyone. We are pleased to hear that our efforts are making a positive impact.
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!
Anna K.
We love Dr. Otto and everyone at Otto Orthodontics!!! They are the absolute BEST! My kids always look forward to their appointments 😊
Response from the owner:Thank you for the kind words! We're committed to making every visit a positive one, and it's great to hear that reflected in your experience.
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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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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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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.