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!

Autumn H.

We love Otto Orthodontics!! The doctors and staff are so friendly and welcoming. We are always satisfied after every visit!! Nikki at the front desk is so sweet and fun my daughter loves her!! We love seeing her right when we come in! Highly recommend.

Response from the owner:Thank you for your wonderful feedback, Autumn! It’s fantastic to hear that you and your daughter enjoy visiting us. We appreciate your recommendation and look forward to seeing you both at your next appointment!

KIMBERLY R.

Brought my twins here and they absolutely love this place!!! They explain everything so not only I understand but the kids do too!! Very welcoming and friendly

Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear your twins enjoyed their visit and found our explanations helpful. Our team strives to create a friendly, welcoming environment for families. We look forward to seeing you again!

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.

Gina S.

Dr. Larkin is the best! His attention to detail is unmatched. He focuses on dental health and beauty. The staff is also so nice and fun!

Response from the owner:Thank you for your wonderful review, Gina! We're thrilled you found Dr. Larkin's attention to detail and our team's friendliness exceptional. Your smile is our priority, and we appreciate your kind words!

Mylea N.

Wonderful place! Front desk always on top of everything and the dental assistant are amazing.

Response from the owner:Thank you for your kind words, Mylea! We pride ourselves on our attentive front desk and dedicated dental assistants. Your positive feedback truly motivates our team to continue delivering exceptional service. We appreciate you!

Lindsay R.

My daughter has her first appointment yesterday and has the most positive experience. The staff was incredibly friendly and gave us all of the information to make getting braces the smoothest process. We feel very informed and prepared should anything go wrong. Our family is very pleased.

Response from the owner:Thank you for your wonderful feedback, Lindsay! We're thrilled to hear that your daughter had a positive experience with our team. We look forward to supporting your family throughout the orthodontic journey!

Janice M.

Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.

Response from the owner:Thank you for your wonderful feedback, Janice! We're delighted that you and your son experienced our attentive service throughout the consultation process. We look forward to seeing you again soon!

Isabella M.

Love coming to ortho in Fenton!! The friendliest staff and attentive staff members!! Always a great experience!!

Response from the owner:Thank you for your kind words! We’re thrilled to hear you enjoy visiting our team in Fenton. Our staff always strives to provide a welcoming and attentive experience. We look forward to seeing you again soon!

Kyle S.

I’ve been trying to get Invisalign for a while. My regular dentist office has gave me the run around and the one ortho I met with prior gave lack luster service.

Saw an Otto Orthodontics ad online and figured I’ll give it a shot. I was able to get scheduled within 3 days of inquiring and within my first hour long consult I knew they would take care great of me.

Very easy process to begin and better payment options than the competitors. I look forward to beginning treatment in the next few weeks!

Thanks!

Response from the owner:Hi Kyle! It was great seeing you today.. we are so excited to exceed your expectations! Congratulations again on your upcoming transformation - we are thrilled to be apart of it!

Sue S.

Friendly, efficient, and thorough! I had my first appointment for Invisalign and it was a great experience.

Response from the owner:Thank you for sharing your positive experience, Sue! We're delighted to hear that your first appointment for Invisalign was friendly, efficient, and thorough. We look forward to continuing to support your journey!

Nikki G.

I absolutely love Otto Orthodontics! The staff is always so fun, friendly, and welcoming from the moment you walk in. The office is super clean, adorable, and has such a positive vibe. They make every appointment enjoyable and really care about their patients. Highly recommend to anyone looking for an orthodontist who makes you feel comfortable and excited to come in. 5 stars all the way!

Response from the owner:Thank you for your glowing review! It’s wonderful to hear that our staff made such a positive impression. We strive to create an enjoyable atmosphere and are thrilled you felt welcomed and cared for during your visits.

Kimber E.

Took me a long time to pick a place for my daughter's orthodontist work. And Im so glad I picked this place. They are so nice and so easy to deal with making appts and changing appts. And they are efficient and I love that the appts dont take forever.

Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you found our team friendly and accommodating. Efficiency is important to us, and we're glad your experience reflected that. We appreciate your trust!

TK B.

Prompt, easy, courteous, professional, informative, and this is just day 1. Stay tuned…

Response from the owner:Thank you for your kind feedback! We're thrilled to hear you found our service prompt and professional. We're excited to continue this journey with you—stay tuned for more great experiences ahead!

Courtney C.

I’ve had a fabulous experience during my first few visits. The office atmosphere is so inviting, feels luxurious & the team is really friendly. My Invisalign consultation was extremely thorough — I felt well-educated about the entire process. I especially loved being able to see a before-and-after preview of my expected results. So excited for my new smile!

Response from the owner:Thank you, Courtney, for your wonderful feedback! We’re thrilled that you enjoyed the inviting atmosphere and found your consultation informative. Your excitement for your new smile is contagious, and we look forward to supporting you throughout your journey!

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!

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