Fewer Visits
Most check-ins from home
Family-Led Orthodontics in St. Louis
Trusted St. Louis Orthodontist for Kids, Teens, and Adults
Led by Dr. Zachary Varble, we bring a private-practice standard of care to families across St. Louis. Fewer in-office visits, weekly monitoring from home, and a smile designed around your face, not a template. Two offices serving St. Louis families in Creve Coeur and St. Peters.
We love Varble! All of the staff is very friendly, knowledgeable and willing to help. They were efficient at every appointment and never really had to wait. Her teeth look so good.
Love the dental monitoring the most. Such a cool new tool that helps us with a busy family like us.
— Shannon K., Parent
WHAT WE OFFER
Treatment options designed around your family
Braces
Damon Ultima self-ligating brackets. Fewer adjustments, shorter appointments, more comfortable treatment.
Aligners
Spark Clear Aligners, printed in our own 3D lab. A custom fit, faster turnaround, and a discreet option that works around a busy schedule.
DentalMonitoring
FDA-cleared remote monitoring powered by AI. Your child scans from home, and Dr. Varble reviews every check-in personally.
SLU Trained
JP Marshall Award
Member of American Association of Orthodontists
18+ Years of Experience
Faculty at SLU & SIU
MEET DR. VARBLE
The Doctor Behind Every VO Smile
Dr. Zachary Varble is the son and nephew of orthodontists, but he built Varble Orthodontics to practice on his own terms. Every clinical decision here is his, made through the lens of his training and what’s right for your family, never a corporate playbook. That’s the real difference between a private practice and a chain, and it’s why families across St. Louis trust us with their kids, then come back with the next one.
THE VO SMILE
More Than Straight Teeth
Straightening teeth is the easy part. A VO Smile is designed around eight details most people never notice on their own: the width and arc of the smile, how the teeth meet the lips, the proportion and color of each tooth, and the way the gumline frames it all. Dr. Varble plans every case against these tenets, so the result fits your child’s face and looks like it was always meant to be there.
Alignment + Contacts
Teeth sit in their proper positions and meet cleanly, with no gaps or overlap. The foundation every other detail builds on.
Smile Width
A fuller, broader smile that reaches the corners of the mouth instead of leaving dark spaces on the sides.
Smile Arc
The curve of the upper teeth follows the curve of the lower lip, the natural shape of a healthy, youthful smile.
Upper Tooth Position
How much of the front teeth show at rest and in a full smile, set for a balanced, age-appropriate look.
Midlines
The line between the two front teeth lines up with the center of the face, so the smile reads as symmetrical.
Tooth Shape + Proportion
Each tooth is shaped and sized in proportion to the ones beside it, not just straightened in place.
Gum Display + Shape
An even gumline that shows the right amount and frames the teeth, rather than competing with them.
Tooth Color
The finishing touch. Brightness and shade that complete the result once everything else is in place.
Why Families Choose VO
Care That Fits Your Family's Life
Choosing an orthodontist is a long commitment, often across more than one child. Families come to us because the care feels personal, the schedule actually works for them, and every decision is made by the doctor who owns the practice.
A Smile Designed for the Face
We plan every case against the VO Smile tenets, so the result fits your child’s features, not just a straight set of teeth.
Fewer Visits, More Life
With DentalMonitoring, most check-ins happen from home. You come in for the moments that matter, not the routine ones.
One Stop for the Whole Family
We share a roof with Dentistry for Children and Adolescents, so dental and orthodontic visits can happen on the same trip.
Start the Same Day
When treatment is the right call, there’s no waiting weeks to begin. We can often start the same day as your free VO Smile Assessment.
WHAT TO EXPECT
What Treatment Looks Like Here
01
It Starts With a Conversation
Your first visit is a free VO Smile Assessment. We take a quick 3D scan (no goopy impressions), Dr. Varble walks you through what he sees, and you leave with a custom plan, a preview of the finished smile, and honest answers on timing and cost.
02
Treatment That Fits Your Week
Once you start, most of the work happens between visits. Your child scans from home each week with DentalMonitoring, Dr. Varble reviews every scan himself, and you only come in when there’s a real reason to. Fewer trips, same close attention.
03
The Day You See It
At your last visit, the braces or aligners come off and you see the result for the first time. Not just straight teeth, but a smile designed around your child’s face, finished down to the details most people never think to ask for.
REAL FAMILIES, REAL RESULTS
The proof is in the smiles
TWO LOCATIONS
Convenient offices across St. Louis
Creve Coeur Office
St. Peters Office
Learn More
Orthodontic guides for parents
The Complete Guide to DentalMonitoring
Most parents come into our office having never heard of DentalMonitoring. By the end of…
Can Clear Aligners Fix My Bite?
When most people think about clear aligners, they picture straighter teeth. And that makes sense.…
Prom and Special Events: Looking Great with Braces
Prom is around the corner. Maybe it’s homecoming, a quinceañera, a wedding, or a family…
COMMON QUESTIONS
What parents ask most
What age should my child first see an orthodontist?
Around age 7. That’s when enough permanent teeth have come in for Dr. Varble to spot anything developing, even if treatment is years away or never needed. The first visit is a free VO Smile Assessment, and often the answer is simply to keep an eye on things.
Do you take my insurance?
We work with most major insurance plans and file claims for you. At your free assessment we’ll walk through your specific coverage and lay out the cost clearly before anything starts, no surprises. Find more information at: Insurance & Financing
How many visits will this take?
Fewer than you’d expect. With DentalMonitoring, your child scans from home each week and Dr. Varble reviews every scan himself, so you come in only when there’s a clinical reason to. For many families that means about half the in-office visits of a traditional practice.
Braces or clear aligners, which is right for my child?
Both work, and the right choice depends on your child’s bite, age, and habits. Dr. Varble uses Damon Ultima braces and Spark Clear Aligners, and he’ll walk you through which fits best at your assessment. It’s a recommendation built around your child, not a default.
Can we really start the same day?
Often, yes. If treatment is the right call and you’re ready, our systems let us begin the same day as your first visit, so you’re not waiting weeks to get going.
Ready to see what's possible?
Your free VO Smile Assessment includes a 3D scan, a custom treatment plan from Dr. Varble, and a digital preview of your smile. No pressure, no commitment.
