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Your Trusted Orthodontist in St. Louis, MO
At Otto Orthodontics, we treat patients with the same respect and professionalism we would expect for ourselves. Our practice is built on personalized service, recognizing that each patient has unique needs and goals. Our team, led by Dr. Genevieve Otto, combines advanced technology with compassionate care to deliver optimal orthodontic outcomes. We prioritize patient comfort through modern facilities, cutting-edge tools like iTero scanners, and a welcoming environment.

Our commitment extends beyond treatment to fostering trust and community involvement, ensuring every visit is positive and memorable. With locations across St. Louis, we strive to make orthodontic care accessible and stress-free for all ages.
Services
Braces Invisalign Two-Phase Treatment Teeth Whitening Botox
Highlights and features
  • We offer personalized orthodontic care tailored to individual needs.
  • Our practice utilizes advanced technology like iTero scanners and digital X-rays.
  • Experienced team members treat patients of all ages with expertise.
  • We prioritize patient comfort through welcoming, modern office environments.
  • Flexible scheduling and efficient appointment management ensure convenience.
What people say
Friendly staff Clean office Efficient service Personalized care Positive outcomes
Services
Braces
Braces at Otto Orthodontics correct misaligned teeth and jaw issues through customized treatment plans. We offer traditional metal braces and modern aesthetic options for children, teens, and adults. Our team ensures comfort and effectiveness while helping patients achieve lasting, functional smiles.
Invisalign
Invisalign treatment uses clear, removable aligners to straighten teeth discreetly. As a Diamond Plus Invisalign provider, we cater to patients of all ages with precision planning and regular progress monitoring. This option suits those seeking a nearly invisible alternative to traditional braces.
Two-Phase Treatment
Two-phase treatment addresses complex orthodontic issues in children through strategic intervention. The first phase focuses on jaw development, while the second aligns permanent teeth. This approach ensures optimal results and reduces future treatment complexity for growing patients.
Teeth Whitening
Professional teeth whitening services enhance smiles through safe, effective bleaching solutions. We offer take-home whitening kits with custom trays and whitening pens for touch-ups. These treatments remove stains caused by food, drinks, and daily wear to restore natural tooth brightness.
Botox
Botox treatments at Otto Orthodontics address facial tension and enhance smile aesthetics. Administered by trained professionals, these injections complement orthodontic care by reducing muscle strain associated with TMJ disorders and improving facial symmetry for a more balanced appearance.
People
Dr. Genevieve Otto
Orthodontist
Dr. Otto combines passion for orthodontics with a commitment to positively influencing adolescents during critical developmental stages. She leads the team with expertise in creating personalized treatment plans that prioritize patient comfort and confidence.
Dr. Kirsten Karkow
Orthodontist
Dr. Karkow approaches orthodontics as both science and art, designing customized smile transformations for patients of all ages. Her focus on individualized care ensures each patient receives attention to detail and technical precision for optimal results.
Dr. Andrew Larkin
Orthodontist
Dr. Larkin advocates for professional integrity and patient-centered outcomes in orthodontics. He specializes in comprehensive treatment planning and community engagement, ensuring patients receive both clinical excellence and compassionate care.
Dr. Katelyn Roland
Orthodontist
Dr. Roland's meticulous approach to orthodontics focuses on transforming smiles and boosting patient confidence. Her dedication to perfection ensures every treatment plan addresses both functional and aesthetic goals with precision.
Dr. Sara Patterson
Orthodontist
Dr. Patterson emphasizes the transformative impact of orthodontics during pivotal life stages. She specializes in creating positive experiences for young patients, combining technical skill with empathy to build confidence through improved dental alignment.
Questions
What orthodontic services do you offer for adults?
We provide braces, Invisalign, and teeth whitening tailored to adult needs. Our team addresses unique concerns like TMJ issues while ensuring treatments fit professional lifestyles.
Do you treat children and teens?
Yes, we specialize in pediatric orthodontics including early intervention. Our team creates comfortable experiences for young patients with age-appropriate explanations and engaging office environments.
What payment options are available?
We offer flexible financing plans and work with patients to find affordable solutions. Our team explains all costs upfront and helps maximize insurance benefits for orthodontic treatments.
How do emergency orthodontic issues get handled?
We provide guidance for urgent concerns through phone consultations. For severe cases, we schedule same-day appointments to address pain or appliance issues promptly.
What technology do you use?
Our practice features iTero scanners, digital X-rays, and precision bracket placement software. These tools enhance diagnostic accuracy and treatment efficiency while minimizing patient discomfort.