

We are proud to be Fenton's top rated dentist, thanks to our amazing patients who trust us with their smiles!
We provide comprehensive dental care focused on understanding why dental problems happen — not just fixing them when they do. Dr. Adam DeCota is a Kois Center-trained dentist and clinical instructor, bringing one of the highest levels of diagnostic training in dentistry to every patient he sees. Our services include preventive care, family dentistry, dental implants, restorations, root canal treatment, cosmetic dentistry, teeth whitening, braces, periodontics, TMJ treatment, sleep apnea solutions, and custom bite appliances — all in one practice. Every visit is thorough, judgment-free, and built around your long-term health. We serve patients of all ages in Fenton and the greater St. Louis area and are always welcoming new patients.

When something breaks down — whether it's a tooth, a root, or a structure — we focus on understanding why it happened and restoring it in a way that's built to last.
Services:
Dental Restorations
Dental Implants
Root Canal Treatment
Wisdom Teeth Removal

Your smile is personal. Whether you're looking for a subtle refresh or something more transformative, we blend clinical precision with an eye for what looks and feels right for you.
Services:
Cosmetic Dentistry
Teeth Whitening

Alignment affects more than aesthetics — it impacts how your teeth function, how your bite feels, and how long your smile lasts. We offer options that fit your life and your goals.
Services:
Braces

The way your teeth fit together and how you breathe at night are deeply connected to your overall health and daily comfort. We take these concerns seriously and approach them with the full picture in mind.
Services:
TMJ Diagnosis and Treatment
Mouthguards & Bite Appliances
Sleep Apnea & Snoring

Healthy smiles are built over time, not just fixed in moments. Regular care, early detection, and patient education are how we help you avoid bigger problems before they start.
Services:
Family Dentistry
Oral Hygiene / Cleaning
Periodontics
Dr. Adam DeCota
Dr. Adam DeCota has been practicing dentistry for over two decades with a focus on complex restorative and cosmetic care — the kind of cases other offices refer out. His foundation in advanced diagnosis comes from the Kois Center in Seattle, one of the most respected postgraduate dental programs in the world, where he has completed over 200 hours of continuing education spanning esthetics, implant dentistry, bite function, and gum health. That training didn't just sharpen his clinical skills — it changed how he thinks about care entirely. Rather than simply treating what's broken, Dr. DeCota works to understand why it broke in the first place.
What sets Dr. DeCota apart in the St. Louis area is that he didn't just complete the Kois curriculum — he earned the designation of Mentor, a distinction that requires passing both a written examination and a clinical skills assessment. Today, he returns to Seattle to help teach and facilitate courses for other dentists going through the program. Additional credentials include a mini-residency in implant placement from the McGarry Implant Institute, completion of F.O.R.C.E. — a specialist-led orthodontic continuing education program modeled after graduate school — and recognition as one of Incisal Edge magazine's Top 40 Dentists Under 40. He is also an active member of the American Dental Association, Missouri Dental Association, and St. Louis Dental Society.
At the core of everything Dr. DeCota does is a simple question: What would I do if this were someone I love? That filter guides every diagnosis, every treatment recommendation, and every conversation with a patient. Whether you're coming in for a routine cleaning or a full-mouth rehabilitation, you can expect honesty, thoroughness, and a doctor who is genuinely invested in your long-term health — not just today's fix.

Yes! We're always welcoming new patients and would love to be your dental home. You can book online or give us a call and we'll get you set up.
Your first visit is a thorough, no-rush experience. We'll review your health history, take digital X-rays, and Dr. DeCota will personally walk through a comprehensive exam covering your teeth, gums, bite, and jaw. Most patients tell us it's the most thorough exam they've ever had. You'll leave with a clear picture of where you stand and a plan that makes sense.
We accept most major dental insurance plans and handle all your claim submissions electronically for faster reimbursements. Our team will help you understand your benefits before treatment so there are no surprises.
We offer the DeCo Membership Savings Plan — our in-house alternative to traditional insurance. We also offer interest-free financing through CareCredit. Call us and we'll walk you through what fits your situation best.
Yes, we're a family practice and see patients of all ages.
We hear this often. Our entire approach is built around making patients feel comfortable, informed, and never pressured. We slow down, explain what we're seeing, and make sure you understand every recommendation before anything moves forward.
Plan for a thorough visit — we don't rush. A comprehensive new patient exam takes time to do properly, and we believe that time is what leads to better long-term outcomes.
Absolutely. We work with anxious patients every day. Just let us know when you call and we'll make sure your visit is as calm and comfortable as possible from start to finish.
Dr. DeCota is a Kois Center Mentor — one of the highest credentials in advanced, comprehensive dentistry — and has been involved with the program for over 20 years. Our focus isn't just fixing what's broken. We work to understand the root cause so the same problems don't keep coming back.
Easy — just call us at (636) 349-2400 or book online. We'll take it from there.
DeCo Dental
1391 Smizer Mill Rd # 104,
Fenton, MO 63026,
United States
Tuesday - 8:00 AM - 6:00 PM;
Wednesday - 8:00 AM - 6:00 PM;
Thursday - 8:00 AM - 6:00 PM
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