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AAO MemberInvisalign ProviderAccepting new patients
Otto Orthodontics - Des Peres / St. Louis
Otto Orthodontics is a family-focused orthodontic practice in St.
12360 Manchester Rd Suite 204, St. Louis, MO 63131
5.0(537 reviews)
About Otto Orthodontics - Des Peres / St. Louis
Dr. Genevieve Otto and Dr. Andrew Larkin handle everything from early phase-one cases to teen Invisalign, easing anxious patients along the way.
Otto Orthodontics sees a notably high share of teens and younger children starting early (phase-one) treatment, alongside adults and teens choosing Invisalign for straightening and bite correction. Reviews often mention Dr. Otto and Dr. Larkin taking time to walk families through treatment plans, including complex or TMJ-related cases handled with confidence. Several notes describe the office calming nervous or anxious patients, from first-time adult braces wearers to young children getting expanders. The office itself is described as modern, with laser scanning used in place of traditional impressions.
Summary of 200 patient reviews, October 2023–September 2026, updated September 2026
Otto Orthodontics is a family-focused orthodontic practice in St.
Louis, MO serving patients of all ages with comprehensive treatments including traditional braces, Invisalign, and other advanced orthodontic solutions. The practice is recognized as a Diamond Plus Invisalign provider and utilizes state-of-the-art technology such as iTero scanners and digital X-rays to deliver personalized, evidence-based treatment plans.
Treatments offered
InvisalignEarly Treatment
Who They Treat
Otto Orthodontics - Des Peres / St. Louis provides orthodontic treatment for the following age groups:
Children
Ages 6–11
Teens
Ages 12–17
Adults
Ages 18+
Technology & Equipment
Otto Orthodontics - Des Peres / St. Louis uses modern orthodontic technology to deliver precise, comfortable treatment.
3D Digital Scanning
Cone Beam CT (3D X-Ray)
Digital Records
iTero/TRIOS
CBCT
Orthodontists at this office
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Dr. Sara Patterson, DMD
NPI verified · no bio or photo on file
Lead OrthodontistNPI VERIFIEDAccepting New Patients
provider
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Dr. Kirsten Karkow
NPI verified · no bio or photo on file
Accepting New Patients
provider
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Dr. Andrew Larkin, DMD, MS
NPI verified · no bio or photo on file
NPI VERIFIEDAccepting New Patients
provider
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Dr. Katelyn Roland, DMD
NPI verified · no bio or photo on file
NPI VERIFIEDAccepting New Patients
provider
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Dr. Genevieve Otto, DDS, MSD
NPI verified · no bio or photo on file
NPI VERIFIEDAccepting New Patients
Insurance accepted
4 plans listedAetnaCignaHumanaRenaissance Dental
Accepts most major credit cards and insurance plans. Office staff available to help with insurance claims and paperwork. Will accept insurance even if not listed as a provider.
What patients say
Latest review 6 weeks ago
What patients praise
- Reviews describe both doctors managing complex and TMJ cases with confidence, continuing treatment until alignment is complete.
- Anxious adults and nervous children are repeatedly described as put at ease, including during expander placement and first braces appointments.
- Phase-one treatment for young children and Invisalign for teens and adults come up often, with reviews noting early visible improvement in twins' cases.
Things to know
- A few reviews mention feeling less personal attention due to the number of technicians involved, and occasional unfriendliness at the front desk.
- A few reviews describe uncertainty about progress updates mid-treatment and frustration with a newer policy requiring scans before replacing retainers.
Who it suits
- Teens starting Invisalign or braces
- Young children needing early phase-one treatment
- Anxious or nervous patients of any age
Doctors patients mention
- Dr. Genevieve Otto · 59 reviews
- Dr. Andrew Larkin · 8 reviews
- Last 90 days
- 69 reviews
- averaging 5.0★
- Last 12 months
- 174 reviews
- averaging 5.0★
- Owner replies
- 96% of reviews
- Compared with St. Louis
- Higher rated than 77%
- of 13 practices we track
29
Oct 2023Sep 2026
| Oct 2023 | 7 |
|---|---|
| Nov 2023 | 8 |
| Dec 2023 | 5 |
| Jan 2024 | 7 |
| Feb 2024 | 5 |
| Mar 2024 | 0 |
| Apr 2024 | 4 |
| May 2024 | 4 |
| Jun 2024 | 3 |
| Jul 2024 | 4 |
| Aug 2024 | 6 |
| Sep 2024 | 6 |
| Oct 2024 | 8 |
| Nov 2024 | 7 |
| Dec 2024 | 7 |
| Jan 2025 | 2 |
| Feb 2025 | 6 |
| Mar 2025 | 5 |
| Apr 2025 | 0 |
| May 2025 | 4 |
| Jun 2025 | 7 |
| Jul 2025 | 5 |
| Aug 2025 | 8 |
| Sep 2025 | 4 |
| Oct 2025 | 8 |
| Nov 2025 | 14 |
| Dec 2025 | 6 |
| Jan 2026 | 11 |
| Feb 2026 | 3 |
| Mar 2026 | 4 |
| Apr 2026 | 9 |
| May 2026 | 23 |
| Jun 2026 | 28 |
| Jul 2026 | 29 |
| Aug 2026 | 26 |
| Sep 2026 | 10 |
- 5★492
- 4★4
- 3★0
- 2★2
- 1★2
- 20225.0
- 20235.0
- 20245.0
- 20254.9
- 20265.0
1★5★
- Braces36
- Invisalign / clear aligners22
- Early (phase 1) treatment7
- Retainers4
- Expanders & appliances3
PraiseCriticism
- The orthodontist44
- Friendly staff41 / 2
- Gentle, comfortable care33
- Clear explanations31
- Great with kids32
- Office & technology25
- Treatment results21
- Scheduling & wait times13 / 1
| Theme | Praise | Criticism |
|---|---|---|
| The orthodontist | 44 | 0 |
| Friendly staff | 41 | 2 |
| Gentle, comfortable care | 33 | 0 |
| Clear explanations | 31 | 0 |
| Great with kids | 32 | 0 |
| Office & technology | 25 | 0 |
| Treatment results | 21 | 0 |
| Scheduling & wait times | 13 | 1 |
Recent reviews from Google
5.0
537 reviews
Sara B
3 weeks ago
The doctors and staff have all been wonderful here. My daughter has a complicated situation with missing teeth and the varied options were explained to us with thoughtfulness and care. Very pleased we and chose Dr. Otto as our orthodontist.
Courtney Carr
Edited a month ago
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!
Johanaliz Rodriguez
a month ago
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!
Justin Short Short
a month ago
Dr. Otto and her team are the best. I’m a retired general dentist and had many options of where to take my child. I chose Otto for a reason. Besides clinical expertise they are very efficient and do not waste your time sitting around the office waiting.
Sarah Torres
a month ago
Absolutely amazing team! Everyone is welcoming, professional, and supportive throughout the process. They made my son feel comfortable right away & I cannot say enough about how great our experience has been!! 10/10 would recommend.
Questions about this practice
What orthodontic treatments does Otto Orthodontics - Des Peres / St. Louis offer?
Otto Orthodontics - Des Peres / St. Louis offers: Invisalign, Early Treatment.
Does Otto Orthodontics - Des Peres / St. Louis accept dental insurance?
Otto Orthodontics - Des Peres / St. Louis accepts Aetna, Cigna, Humana, Renaissance Dental.
Does Otto Orthodontics - Des Peres / St. Louis offer free consultations?
Yes, Otto Orthodontics - Des Peres / St. Louis offers a free initial orthodontic consultation. Call (314) 900-6886 or book online to schedule.
Is Otto Orthodontics - Des Peres / St. Louis accepting new patients?
Otto Orthodontics - Des Peres / St. Louis is currently welcoming new patients in St. Louis, MO. Call (314) 900-6886 or book online to schedule.
Where is Otto Orthodontics - Des Peres / St. Louis located?
Otto Orthodontics - Des Peres / St. Louis is located at 12360 Manchester Rd Suite 204. Get directions: https://maps.google.com/?cid=17074535444502440869&g_mp=CiVnb29nbGUubWFwcy5wbGFjZXMudjEuUGxhY2VzLkdldFBsYWNlEAIYBCAA
What are the office hours for Otto Orthodontics - Des Peres / St. Louis?
Otto Orthodontics - Des Peres / St. Louis office hours: Mon 9:00 AM–5:00 PM, Tue 9:00 AM–5:00 PM, Wed 9:00 AM–5:00 PM, Thu 9:00 AM–5:00 PM, Fri 9:00 AM–4:00 PM, Sat Closed–Closed, Sun Closed–Closed.
Does Otto Orthodontics - Des Peres / St. Louis offer payment plans?
Yes, Otto Orthodontics - Des Peres / St. Louis offers flexible payment plans to make orthodontic treatment affordable.
Who are the orthodontists at Otto Orthodontics - Des Peres / St. Louis?
Otto Orthodontics - Des Peres / St. Louis is staffed by Dr. Sara Patterson, Dr. Kirsten Karkow, Dr. Andrew Larkin, Dr. Katelyn Roland, Dr. Genevieve Otto. The practice is a member of the American Association of Orthodontists (AAO).
What is the patient rating for Otto Orthodontics - Des Peres / St. Louis?
Otto Orthodontics - Des Peres / St. Louis has a 5-star rating based on 537 patient reviews on Google.
Research with AI
Accepting new patients
Free Consultation
Payment Plans Available
In-House Financing
Virtual Consultations
Online Booking Available
Emergency Hours Available
Accessibility & Parking
Wheelchair Accessible Entrance
Wheelchair Accessible Parking
Wheelchair Accessible Restroom
CashCredit CardsDebit CardsContactless / NFC
Mon9:00 AM – 5:00 PM
Tue9:00 AM – 5:00 PM
Wed9:00 AM – 5:00 PM
Thu9:00 AM – 5:00 PM
Fri9:00 AM – 4:00 PM
SatClosed
SunClosed
Social Profiles
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