Alexandra Otto, DDS, FAGD, FACD, FICD, FPFA

Dr. Alexandra Otto is a board-certified Pediatric Dentist who serves as the Medical Director of Pediatric Dentistry at Texas Children's Austin and as the lead Pediatric Dentist on the hospital's Craniofacial Team. She is recognized for her commitment to clinical excellence, patient safety, innovation, and expanding access to high-quality oral health care for children.

In addition to her role at Texas Children's, Dr. Otto is the founder of Kids Tooth Team Pediatric Dentistry, an award-winning group of pediatric dental practices in Central Texas and serves as Chief Dental Officer of Alcan Dental Cooperative, where she works to advance doctor-led, evidence-based pediatric dental care. She also co-founded Kids Tooth Team Outreach, a nonprofit mobile dental program that has provided more than $1 million in donated dental care to underserved children across Central Texas.

A sought-after international speaker and educator, Dr. Otto lectures on minimally invasive dentistry, esthetic zirconia crowns, patient safety, artificial intelligence, and emerging technologies in health care. She currently serves as President of the Texas Academy of Pediatric Dentistry and has been recognized by the American Dental Association as one of the top 10 dentists in the country. Dr. Otto has testified multiple times before the Texas Legislature on issues affecting children's oral health and access to care and is frequently featured in local and national media as an expert in pediatric dentistry and children's oral health advocacy.

Personal Statement

I believe every child deserves a positive dental experience that builds confidence and lays the foundation for a lifetime of healthy smiles. My goal is to partner with families to create individualized treatment plans that reflect each child’s unique needs, providing proactive, thoughtful care without ever compromising safety, quality, or long-term health. To me, great pediatric dentistry is about more than treating teeth—it’s about earning trust, reducing fear, empowering families through education, and helping children develop healthy habits that last a lifetime.

As both a pediatric dentist and a parent, I understand the importance of family-centered care and strive to make every visit as comfortable and positive as possible for both children and their families. Outside of work, I enjoy spending time with my husband and our two young children, traveling, exploring new places, and being involved in our community. I am passionate about using education, advocacy, and service to make a meaningful difference in the lives of children and families.

Clinical Interests

Minimally invasive approaches to pediatric dental care; esthetic pediatric dentistry, including zirconia crowns; craniofacial and multidisciplinary dental care; care of children with special health care needs and complex medical conditions; pediatric dental trauma; advanced behavior guidance, sedation, and hospital-based dentistry

Education

Organizations

Board Certification

Honors and awards

2024 - 40 Under 40, Incisal Edge

2022 - 10 Under 10 Award, American Dental Association

Multiple Years - Best Dentist & Best Pediatric Dentist, Hays and North Hays County

* Texas Children’s Hospital physicians’ licenses and credentials are reviewed prior to practicing at any of our facilities. Sections titled From the Doctor, Professional Organizations and Publications were provided by the physician’s office and were not verified by Texas Children’s Hospital.