Request appointment

It’s Virtually Possible to Get Started

We know that life is busy! That’s why we’re excited to offer virtual consultations that can be completed from the convenience of your own home.

Locations

Creve Coeur

Des Peres

Fenton

St. Peters

Wentzville

Call / Text

Contact Hours

Monday	8:30am – 5:00pm
Tuesday	8:30am – 5:00pm
Wednesday	8:30am – 5:00pm
Thursday	8:30am – 5:00pm
Friday	7:30am – 4:00pm

Experience Our

5-Star Care

Check out what patients have to say about their 5-star experience with our amazing team. We can’t wait to provide you and your family with the same quality of care!

Tammi B.

We’ve had a wonderful experience with Otto Orthodontics! The staff is friendly, welcoming, and professional, and they make every visit a great experience. They take the time to answer questions, explain the process, and make sure you feel comfortable throughout treatment. We are so happy with the care we’ve received and would highly recommend them to anyone looking for a great orthodontist!

Barry P.

Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.

Camme S.

phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend

Lauren S.

Every visit is super quick and informative and they provide delicate hands and compassionate care.

Hannah T.

I will always recommend Dr. Otto’s office. I had a very challenging ortho case most orthodontists did not want to do and she took a chance on me and gave me my dream smile.

Nevermore

Otto Orthodontics have made a long time dream come true. I can't thank them enough for all the hard work they out into making my smile the best it could possibly be. 3 years worth, my bite was terrible and I never smiled until now. To all the staff at the St. Peters location thank you for being kind, patient and just generally awesome.

Shelby D.

Starting the orthodontic process with our son felt a little overwhelming and the team at Otto was patient, transparent, and informative as we navigated it. Our son was comfortable the whole time and had all of his questions answered too. I’m glad this is where we chose to go!

Diane B.

Friendly and knowledgeable doctors and techs! Always answer my questions and explain what’s going on with my treatment. A joy to walk in and be greeted warmly by the desk staff too!

Rachel

I'm an adult getting Invisalign at Otto, and what stood out to me right away is that the people who work there have beautiful teeth and are patients themselves. I really respect that. They know the process from the inside.

Darryl F.

I want to take a moment to give a special shoutout to Dr. Kirsten Karkow and the entire team at Otto Orthodontics! If your teeth aren’t completely straight and you’re considering an orthodontist, I highly recommend Dr. Karkow and her team. From the very beginning, the atmosphere has been fun, welcoming, and caring. Every visit, I felt genuinely appreciated and treated like royalty. Even after my braces were removed, Dr. Karkow took the extra time to make sure my teeth were filed evenly and that everything looked just right. That level of care and attention to detail truly meant a lot to me. I can honestly say I enjoyed wearing braces, which is something I never thought I would say! The hospitality, kindness, and professionalism shown at every visit made the entire experience so much better. I will truly miss you guys! ❤️ Thank you, Dr. Karkow and the entire Otto Orthodontics team, for taking such great care of me. Keep up the amazing work!

Lauren J.

We had our first appointment with Otto yesterday and it was honestly the quickest, most efficient appointment ever. They were so friendly and gave us all the information we needed! Highly recommend!

Keka S.

My daughter just got her braces on today, and we had a wonderful experience! She usually gets very anxious during dental appointments, but the staff went above and beyond to make her feel at ease. They took their time answering all of our questions and explained every step of the process. Highly recommend!"

andrea M.

Dr Roland and staff are truly amazing! So nice and thorough, they take the time to explain what they are doing and why. I am in the dental field and this is where I recommend my patients to always!

Ashley G.

Walked in for a consult and left with braces for my 16 year old an hour and forty five minutes later. The most pleasant staff! Couldn’t imagine going anywhere else!

Tiffany K.

Everyone at Otto Orthodontics is incredibly friendly, welcoming, and professional. They took the time to explain everything thoroughly, making us feel comfortable and informed throughout the entire process. My kids actually look forward to going to their appointments, which says a lot! We highly recommend Otto Orthodontics to anyone looking for exceptional orthodontic care.

Virtual Consult

otto-matic confidence in every smile