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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
    • Care Instructions
    • Emergency Care
    • Products
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
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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.
Ashley F.
Staff were extremely friendly! The team knew what they were doing, open to answering any questions I had. Highly recommend!
Response from the owner:Thank you, Ashley! We're thrilled to hear you had a positive experience with our friendly team. Your recommendations mean a lot to us. We look forward to seeing you again soon!
Ursula E.
Fantastic office! Everyone was so friendly and made my daughter feel at complete ease. I can't wait to see her smile results!
Response from the owner:We're thrilled to hear this! Our goal is always to combine excellent care with a genuinely friendly atmosphere, and it's great to know that's the experience you had.
Holly P.
The staff and doctors are very friendly. They have made the process of getting braces very easy. We look forward to working with them for the next few years on our child's new smile!
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!
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!
Tiffany B.
My son has been coming here almost a year. The staff is friendly and I love all the pink!! First time anyone getting braces and it has been a great experience. The girls are so nice and the office is very clean. Highly recommend
Response from the owner:Thank you for sharing your positive experience! It's wonderful to hear that your son enjoys his visits, and we’re glad you appreciate our friendly staff and clean environment. Your recommendation means a lot to us!
Lauren L.
Staff is so friendly and helpful. Happy to answer any and all questions. Great experience all the way around and my daughters teeth look amazing!
Response from the owner:Thank you for your wonderful feedback, Lauren! We're thrilled to hear that our team's friendliness made your experience enjoyable. It's fantastic to know your daughter's smile is looking amazing. We appreciate your kind words!
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.
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!
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!
Kayla R.
My son just got his braces removed and I swear for the last 2 years we have had the most positive experience every single time we’ve gone into the Otto Orthodontics Wentzville office. They go above and beyond in every way. Highly, highly recommend!
Response from the owner:Thank you for sharing your wonderful experience, Kayla. We're thrilled to hear that you and your son have enjoyed such positive visits. Your recommendation means a lot to us!
John K.
New to the area and our first visit and we were very impressed. Everyone was very nice, explained in detail the process and what to expect. Highly recommend them to anyone.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first visit was a positive experience. Our team is dedicated to providing clear guidance and support. We appreciate your recommendation!
Brian Dawson R.
The staff is amazing and welcoming! Our daughter has had a great experience on braces with Otto.
Response from the owner:Thank you for your wonderful review, Brian! We're thrilled to hear that your daughter had a great experience with our team. We look forward to continuing to provide excellent care!
Marissa P.
After the first consultation my daughter loved the staff and very comfortable with the place! This is what made us go with Otto orthodontics! Ever since they have been very communicative and friendly! Love the point system they offer as well. Highly recommend them.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
Jenn N.
We switched to Otto a year ago and are so happy we did. They had a great plan for son's orthodontic care. The staff and doctors are very kind, friendly, and professional.
Response from the owner:Thank you for your positive feedback! We are delighted to hear about your experience and appreciate your support. Our team is dedicated to providing exceptional care, and we look forward to serving you again.
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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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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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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.