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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
    • Wentzville
    • 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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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 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.
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!
Learn More
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.
Learn More
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.
Learn More
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.

Learn More
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
Learn More
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.
Nicole H.
Literally the best! They know what they’re doing here, and when I say so nice omg it’s like visiting family. Everyone in the office always has a smile on their faces. The office is always bright and clean. It’s so calm and peaceful at Otto orthodontics. I love it there!
Kelly S.
My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!
Response from the owner:Thank you for the kind feedback! We love being able to make orthodontic visits a little easier and more pleasant for our patients and their families.
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.
Angel W.
They where very patient with us and answered all my kids questions with out hesitation and didn’t rush out. They explained prices and how everything was going to work and made me feel confident that my kids teeth are going to be taken care of not just their teeth taken of but they was going to be taken care of too by people that care
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. We are glad to hear our efforts make a positive difference.
Camme S.
phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team made such a positive impact on your experience. Your recommendations mean a lot, and we look forward to continuing to provide exceptional care!
Katie W.
Going back to Otto for my second daughters ortho needs! Otto is the best and I highly recommend them!
Response from the owner:Thank you for your fantastic review, Katie! We're thrilled to hear that you had such a positive experience with our team. Your recommendation means a lot to us, and we look forward to continuing to meet your orthodontic needs!
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
Jen N.
The office of Otto Orthodontics is great. My daughter has been going to their Fenton office for the last 2 years for treatment. Today she completed her braces regimen and we are so very happy with the results. The staff and doctors are friendly, knowledgeable, patient, and professional. I would definitely recommend their services.
Response from the owner:Thanks so much for the review Jen! It was so great meeting you and your daughter yesterday! Looking forward to seeing you guys again- thank you! :)
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.
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.
Brenda Z.
I was a little intimidated coming in for my first session with Invisalign. Alyssa’s calming and very attentive personality gave me much comfort. My daughter had completed Invisalign treatment and was very successful as her first 2 orthopedic agencies were not successful. I will recommend Otto Orthodontics to others for sure! I look forward to this journey with Otto!
Response from the owner:Thank you for sharing your experience! It's wonderful to hear how Alyssa's supportive nature helped ease your initial concerns. We're excited to be part of your Invisalign journey and appreciate your recommendations!
Melissa
I have been in invisalign treatment with this office for 2 years now. They are always professional, kind, and on point with all of their appointments. They are thorough and make sure you don't leave without addressing the next steps. 10/10 recommend them.
Response from the owner:Thank you for your wonderful feedback, Melissa! We're delighted to hear about your positive experience with our team. Your recommendation means a lot to us, and we look forward to continuing to support your journey!
Christa S.
Dr. Otto and the staff are all very nice and attentive. The office is super cute and best of all, my teeth are so straight now! I look back at old pictures and am just amazed at how nice my teeth look now! Yay! Thank you Otto Orthodontics!
Response from the owner:We’re thrilled to hear that you had such a positive experience at our office! Your kind words about Dr. Otto and our staff mean a lot. Enjoy your beautiful smile and those amazing old photos!
Chelsey M.
Otto orthodontics was fantastic. From the consultation to getting braces off. Dr. Roland is amazing and so sweet. The staff at Wentzville is always smiling and nice! Highly recommend!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to creating a welcoming atmosphere for everyone, and it's wonderful to know that our efforts resonate with the community.
Luke G.
10/10 would recommend. Started my Invisalign treatment today and the whole process was super easy, Courtney was great
Response from the owner:Thank you, Luke, for your positive rating! We appreciate your support and look forward to providing excellent service in the future. Your satisfaction is our priority.
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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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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.