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 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.

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!

Amy F.

Absolutely a wonderful experience! I wish I could have done it years before but since I could not, I’m thrilled to have do it at at 55!

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!

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!

D. D.

Today I went in to start my aligner treatment and the entire staff was great. Starting with the receptionist, to the dental assistant, and Dr. Otto. Everyone was super nice and had great energy! I feel like I made the right decision choosing them for my orthodontic treatment. I’m looking forward to see my results!

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.

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!

Sarah H.

Otto goes above and beyond for their patients. From the initial consult to each visit- the staff is welcoming and information is readily available. They’re never too busy to take the time to answer questions. Appointment times are valued and you’re in and out quickly. Love the ability to text or talk on the phone with the staff. Thank you, Otto.

Johanaliz R.

I had a great experience at Otto Orthodontics! Everyone was very professional, friendly, and made me feel comfortable throughout the entire process. Getting my braces was much easier and more comfortable than I expected. I’m very happy with the care I received and would definitely recommend them!

STLO

Great staff, always super friendly, my kids love the fun energetic atmosphere, and most important my child’s cross bite and crowding have been fixed! They’re flexible and have many options for appointment times that work well for everyone. Definitely will use in the future if any more of our kids require orthodontia.

Sarah A.

Wonderful team and doctor. Great experience. Staff is super friendly. Highly recommend. Wouldn’t go anywhere else!

Dr. Latoya A.

My experience with Otto Ortho. has been incredibly positive. The staff is attentive and always ready to answer any questions. My daughter is still covered under her plan, and I can confidently say that she is very comfortable with the team and the entire process.

Missy A.

I had my initial consult with them on Tuesday. Everyone was knowledgeable, kind, and efficient. I will be starting Invisalign with them and I’m so excited!

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!

tbs993

Otto Orthodontics and its staff have been great. Dr. Carly is the best. I really had no issues the entire time that my daughter had her braces on. Thank you all so much.

Lindsey

Hands down one of the most delightful doctor/dental/ortho experiences I have ever had!

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