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!

Kelly H.

Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.

Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!

Destinie E.

My daughter started going to OTTO this year and we are so happy with our experience. The staff were very welcoming and helpful with our questions and making sure she was comfortable. Highly recommend.

Response from the owner:Thank you for your wonderful review! We're thrilled to hear that your daughter is enjoying her time with us. Our team is dedicated to providing a comfortable experience for all our patients. We appreciate your recommendation!

Gretchen S.

We had a great experience with the consultation today and excited to be apart of this office for Madi's braces. The staff is so friendly and knowledgeable.

Response from the owner:Thank you for your wonderful feedback, Gretchen! We're thrilled to hear about your positive consultation experience. Our team looks forward to supporting Madi on her journey to a beautiful smile!

Aida T.

I had my Invisalign appointment with Dr. Otto and had a great experience from start to finish. Dr. Otto was very knowledgeable she took the time to explain the entire Invisalign process, and answered all of my questions . The staff was incredibly friendly, welcoming, and informative!

Response from the owner:Thank you for your wonderful feedback, Aida! We're thrilled to hear that Dr. Otto provided a comprehensive Invisalign experience and that our staff made you feel welcomed. We appreciate your support!

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.

Lynda B.

Absolutely wonderful staff. The dental assistants were great and patience with our son. Walked him through everything they would be going. The doctor was a peach. No complaints!

Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that our team made your son's visit so positive. Your kind words about our staff and the care provided mean a lot to us!

Allison D.

Dr. Otto is an earth angel!!! I am grateful our paths crossed. We had an unfortunate experience where my 10 year old knocked out her front two teeth at a friend’s home. At this point, we were not a patient of hers and did know her. She lived nearby, hopped in her car in her PJs (god love her), came over to reinsert the teeth. Dr Otto continued to check in while we were at Children’s hospital and days/weeks following. She researched and offered guidance on when to start braces. Today was an exciting day with brackets ❤️

Response from the owner:Thank you for your kind words, Allison! It's heartwarming to hear how we could help during such a challenging moment. We're thrilled to be part of your daughter's journey toward a beautiful smile.

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!

Tabitha R.

Dr. Otto and her team are amazing! As a single parent, her and her team have made it affordable for both of my kids to have braces. That alone shows such kindness, compassion, and selflessness. Every time we are at their office, it always feels so warm and welcoming. I would truly recommend them to anybody. There is a good energy in the office. It’s a real team! I love Dr. Otto and her group.

Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you and your kids feel welcomed and supported at our office. Your recommendation means a lot to us. We look forward to seeing you again!

Hyonna L.

Best orthodontist! Everyone is extremely kind. I was impressed how thorough the doctors/ staff were with my treatment plan. I’ll be sad when my treatment is complete, because of the staff!! Don’t question it, go to Otto!!

Response from the owner:Thank you for your wonderful review, Hyonna! We’re thrilled to hear that our team's kindness and thoroughness have impressed you. Your satisfaction means the world to us—looking forward to seeing your beautiful smile shine!

Sarah F.

Per the patient (9yr old) - “they were awesome! Very nice & very careful while putting on my braces”

Response from the owner:Thank you, Sarah! We're thrilled to hear your child had a positive experience with us. Our team strives to provide gentle and attentive care. We look forward to seeing you both again soon!

Denis H.

Great orthodontist! Their skills and experience are the best we have worked with. They listen to your concerns and proactively response to any questions you may have!

Response from the owner:Thank you for your kind words, Denis! We're thrilled to hear that you had a positive experience with our team. Your satisfaction is our priority, and we look forward to continuing to support your orthodontic journey!

Lisa H.

I am currently undergoing invisalign treatment with Otto orthodontics. I had a question/concern recently, they got me in and addressed it promptly. All was good! They put my mind at ease.

Response from the owner:Thank you for your wonderful review, Lisa! We're glad to hear that your concerns were addressed promptly and that you're feeling at ease during your Invisalign treatment. We appreciate your trust in us!

Terry H.

I found Otto Orthodontics just last week. Their website and the team that answers phone calls say that they want to get to know you and truly care about their patients. I was shocked to find out that this is NOT just a slogan at Otto. They really mean it! My partner had a situation that seemed to be impossible for him to get the treatment he needed. The team at Otto was able to find a solution and make his treatment possible! The technology they have is awesome, you don't even need to have impressions with the yucky stuff everyone chokes on, it is like a 5 second laser instead. Incredible. I just can't thank everyone at Otto enough for their genuine care for folks. They deserve more than 5 stars for sure!

Response from the owner:Thank you for your wonderful review, Terry! We're thrilled to hear about your positive experience and glad our team could provide the care and innovative solutions you needed. Your kind words inspire us to keep delivering exceptional service!

C B.

Everything was explained very thoroughly and the exam was very fast for my son’s first time being at an orthodontist! They all were so friendly 🩷we got all our questions answered and my son felt better after hearing the braces would not hurt 😊

Response from the owner:Thank you for the wonderful feedback! We're delighted to hear that your son felt comfortable during his first visit and that our team was able to address all your questions. We appreciate your trust in us!

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