City Lifestyle

Want to start a publication?

Learn More

Featured Article

Almost All-Female Team Of 50 Staffers

Mother Of Three Daughters At Otto Orthodontics Built Four Offices

Genevieve 'Gena' Otto, D.D.S., M.S., cares about smiles.

“I love perfecting a smile and seeing that self-confidence change,” Dr. Otto says. “Growing up, I always had a passion for science and medicine as well as strong creative interests in design and aesthetics. Orthodontics is the perfect field for me because I not only create functional, healthy bites but also beautiful smiles that help balance facial aesthetics. While I treat patients of all ages, I love that I can be a positive influence on many adolescents during a very influential time in their lives.”

Born and raised in St. Louis, Dr. Otto is considered to be a prominent figure in her community. After completing dental school at the University of Southern California and orthodontic residency at Saint Louis University, she wanted to open her own unique practice.

Today, with office locations in Des Peres, Fenton, St. Peters and Wentzville, she collaborates closely with her associates, Dr. Kirsten Karkow, Dr. Andrew Larkin and Dr. Katelyn Roland, to ensure that each patient receives personalized treatment tailored to their needs.

Otto Orthodontics is a family-run business led by Gena and her husband, A.J., who is the practice director. A mother of three daughters, Scarlett (10), Sloane (10) and Teddi (5), Gena is a role model for many young women, not only coaching her daughters’ volleyball team but offering shadowing opportunities to those interested in the dental field. 

By investing her time and energy into her family and community endeavors, Gena exemplifies the importance of finding harmony between one’s professional aspirations and personal responsibilities, serving as an inspiration to both her colleagues and patients alike.

Her passion for orthodontics and her entrepreneurial spirit have led to her creating an orthodontic powerhouse. She heads an almost all-female team of 50 staff members who have helped her shape her practice into the industry-leading group that it is today. Voted St. Louis’s Top Orthodontist by St. Louis Magazine, St. Louis Post-Dispatch and Ladue News, she is a key player in the St. Louis dental community.

“A lovely smile is more than just straight teeth,” Gena says. Her attention to detail is unmatched. She employs cutting-edge techniques such as gingival tissue contouring, enamel edge refinement, Zoom whitening and even offers Botox and injectable fillers to enhance the overall appearance of her patients’ smiles.

As St. Louis’s Top Invisalign Provider, Gena can treat almost any case with Invisalign. Nearly 40% of her adult patients are Invisalign cases.

However, aligner technology is also a great option for children. Gena’s own daughter completed an initial phase of Invisalign treatment at age eight and most children are candidates for this innovative treatment option.

Otto Orthodontics provides affordable options, including interest-free payment plans, price breaks for families with multiple children in treatment and discounts for paying in full. Recognizing the importance of accessibility to quality care, the Hero Program offers discounts for single parents, teachers, first responders, military personnel and nurses, acknowledging their invaluable contributions to society. By prioritizing affordability and inclusivity, Gena ensures that her practice remains accessible to all, regardless of socioeconomic status.

Dr. Gena Otto has earned a reputation as a leading orthodontist in the region, transforming smiles and changing lives one patient at a time.

Call/Text 314.900.6886

  • Genevieve Otto, D.D.S., graciously allowed these photos to be taken at her home; interior design by Annie Brahler /

Businesses featured in this article