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Otto Ortho
  • Our Practice
    • Who We Are
    • What Sets Us Apart
    • Meet Our Doctors
    • Meet Our Team
    • Locations
    • Our Technology
    • Community Involvement
    • Office Tours
    • Patient Reviews
  • Orthodontics
    • Braces
      • Types of Braces
      • Braces For Kids
      • Braces For Teens
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      • Braces for Senior Adults
      • Braces Care
      • Color My Braces
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      • Invisalign For Teens
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      • Two-Phase Treatment
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Meet Our Doctors

otto-matic confidence in every smile

Our Doctors

Meet Your

Amazing orthodontists

Amazing
orthodontists

All of our patients are unique individuals with specific needs and goals, and Dr. Otto and her extraordinary team of orthodontists treat each patient with personalized service.

Dr. Genevieve Otto

Dr. Genevieve Otto

Orthodontist

Growing up, I always had a passion for science and medicine as well strong creative interests in design and aesthetics. Orthodontics is the perfect field for me because I not only create functional, healthy smiles but also beautiful smiles that help balance facial aesthetics. While I treat patients of all ages, I really love that I can be a positive influence on many adolescents during a very influential time in their lives. I cherish the opportunity to help people in my own community and enjoy getting to know them during their treatment. A career in orthodontics has given me the opportunity to increase self-confidence by designing smiles that everyone is proud to show off. Being able to affect others in such a way is truly a gift.

Education

  • Bachelor of Science, Biomedical Sciences — University of Missouri
  • Doctor of Dental Surgery — University of Southern California
  • Master of Science & Certificate in Orthodontics — St. Louis University

Personal

I grew up in St. Charles, MO with my parents and two sisters who I am lucky to have a very close relationship with. Fortunately, my entire family still lives in St. Louis and I enjoy spending my free time with my parents, sisters, brothers-in-law and many nieces and nephews. My husband A.J. and I have three wonderful daughters of our own- Scarlett, Sloane and Teddi. When my husband and I are not running the practice, we love to travel with our daughters, try out new restaurants and spend time with friends and family.

Dr. Kirsten Karkow

Dr. Kirsten Karkow

Orthodontist

I love orthodontics. It’s a science and an art, and I’m proud to be in this field. Designing and creating gorgeous smiles is an artistic outlet for me, and I love working with all kinds of people to create their best smiles and watch their confidence grow. It doesn’t matter how complex the case is. We can do this, together.

Education

  • Early Acceptance into Dental School
  • Doctor of Dental Surgery — University of Iowa
  • Master of Science & Certificate in Orthodontics — Marquette University
  • Serves on the St. Louis Children’s Hospital Cleft Palate and Craniofacial Team Under the Division of Plastic Surgery

Personal

I grew up in Manchester, Iowa, in a big family. My husband, Nick, and I now live in Webster Groves with our daughters, Ava and Knox, and love the community there. I love hanging out with family, exploring the STL food scene, being active, and practicing pretty much any type of art.

Dr. Andrew Larkin

Dr. Andrew Larkin

Orthodontist

Since dental school, Dr. Larkin has always been very involved in the efforts of organized dentistry. He feels this involvement is necessary to protect the integrity of the profession to ensure positive patient outcomes. Dr. Larkin practices with this same fervor in helping his patients achieve a smile that portrays confidence and beauty throughout their lives.

Education

  • Bachelor of Arts, Biology & Spanish — University of Kansas (with a 7-month study at the University of Costa Rica)
  • Doctor of Dental Medicine & Master of Public Health — A.T. Still University, Arizona School of Dentistry & Oral Health
  • Master of Science in Orthodontics and Dentofacial Orthopedics — Arizona School of Dentistry & Oral Health

Personal

Born and raised in southwestern Kansas, the Midwest is home to Dr. Andy Larkin. Dr. Larkin and his wife, Kim, love spending time outdoors with their daughter. McKenna, and Bernadoodle, Stanley. When he is not chairside, you may find him on the golf course, tennis court, or in a deer stand. He is an especially passionate college and professional sports fan, so catching Dr. Larkin at Allen Fieldhouse to cheer on the Jayhawks or the Enterprise Center to root for the Blues would be no surprise.

Dr. Roland

Dr. Katelyn Roland

Orthodontist

I truly believe that everything happens for a reason and my journey into the orthodontic profession is no different. I fell in love with the field after my first orthodontic visit at the age of 9 and found my passion for transforming smiles and making a positive impact on my patients’ lives. My attention to detail and drive for perfection is instilled in my core. These developed during childhood through my involvement in gymnastics. I continued as a collegiate gymnast and further gained an appreciation for teamwork. All of which help me to achieve the best orthodontic results for my patients.

Education

  • Bachelor of Science, Cellular and Molecular Biology — West Chester University of Pennsylvania
  • Doctor of Dental Medicine — Nova Southeastern University College of Dental Medicine
  • Master of Science & Certificate in Orthodontics — St. Louis University

Personal

On a personal note, my husband, Steven, and I moved to Saint Louis with our ridgeback pup, Zola, for my orthodontic residency. We fell in love with the area and decided to make it our home. The vibrant community, diverse range of activities, and amazing food have made this city a special place for us.

Dr. Andrew Frost

Orthodontist

Dr. Andy Frost’s roots in the orthodontist business are as deep as the ones in your second bicuspid. Seriously now, Dr. Frost’s career as an orthodontist began even before he started perfecting smiles. Dr. Frost’s father, the late Dr. W. Dale Frost, was an orthodontist and passed his love of orthodontics on to his son. In the last 25 years, Dr. Frost has carried on his father’s legacy.

After finishing his undergraduate studies at Duke, Dr. Frost went on to dental school at Washington University in St. Louis and earned a Master of Science degree in Orthodontics from St. Louis University. While at SLU, Dr. Frost was awarded the Harry Sicher Award for his Master’s thesis. He is a member of the Greater St. Louis Dental Society, the American Dental Association and the American Association of Orthodontics. Dr. Frost has improved thousands of smiles for thousands of patients of all ages in the St. Louis area.

Dr. Sara Patterson

Orthodontist

It is a privilege to join the team at Otto Orthodontics and to continue serving the St. Louis community. I earned my Doctor of Dental Medicine degree from A.T. Still University in Missouri and went on to complete a comprehensive three-year orthodontic residency at the University of Pittsburgh. During my training, I had the opportunity to learn from leading experts in biomechanics and craniofacial growth and development—experiences that have profoundly shaped my clinical philosophy. I am committed to providing personalized, evidence-based treatment that transforms smiles and changes lives.

My daughter, Sage, and our Golden Cavapoo, Scout, are excited to be returning to The Hill. Outside the office, I enjoy staying active at CycleBar and cheering Sage on at the soccer field.

Whether you are exploring orthodontic treatment for your child, teen, or yourself, I look forward to partnering with you to achieve a smile that reflects your best self.

Education

  • Bachelor of Science, Biology and Biological Sciences — St. Louis University
  • Doctor of Dental Medicine — A.T. Still University
  • Master of Dental Science in Orthodontics and Dentofacial Orthopedics — University of Pittsburgh

Get Ready

to rock a

New smile

Complimentary Consult
Our Reviews

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!

4 exam rooms with patients being seen
Morgan B.
My daughter got her braces in today and it was a fabulous experience. Michelle was so kind and talked her through each step. Highly recommend!
Response from the owner:Thank you for your wonderful review, Morgan! We're thrilled to hear that your daughter had a fabulous experience with Michelle. Your recommendation means a lot to us. We look forward to seeing you both again!
Lisa L.
We had a great time today. Christian got his top braces and did very well. He was nervous and calmed down quickly as they explained it all to him. I am so proud of how well it all went. Here he is, I think he is so happy. Thanks Otto
Response from the owner:Thank you for sharing your experience, Lisa! We're thrilled to hear that Christian did so well with his top braces and that our team was able to calm his nerves. It's wonderful to know that he is happy with the results! We appreciate your support and look forward to seeing you both again.
Kayla G.
This is a fantastic place. Very knowledgeable, personal and friendly staff. They are so patient with my daughter holds the candy bar hostage, and refuses to cooperate. They just stay calm in the midst of the chaos.
Response from the owner:Thank you, Kayla! We're thrilled to hear you had a fantastic experience with our team. Your daughter's joy is our priority, and we appreciate your kind words about our staff's patience and professionalism.
Morgan T.
Everyone is so nice and helpful! Can’t wait to start treatment with them, very confident in their knowledge and services.
Response from the owner:Thank you for your kind words, Morgan! We are thrilled to hear that you feel confident in our team and services. We look forward to starting your treatment and providing you with the best care possible!
Brandon M.
Dr. Otto and her team are fantastic! Simply put - they want the best for their patients and go above and beyond to do so. Highly recommend!
Response from the owner:Thank you, Brandon! We appreciate your kind words and are thrilled to hear that you had a positive experience with Dr. Otto and our team. Your recommendation means a lot to us!
Jodi T.
My daughter just got her braces today. She was a bi nervous but they explained everything before they did it and made it a comfortable experience for her! I appreciate their care and support!
Response from the owner:Thank you for your kind words! Your vote of confidence in our practice is why we do what we do!
Jodi H.
Really nice and super quick. We went in for our consult, they reviewed all of our options and my son had braces on and we were out the door in 90 minutes.
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
bre K.
Otto Orthodontics know what they are doing! The Drs and staff are amazing and alway very quick to get you in for appointments. I am currently doing Invisalign treatment and couldn’t be happier! :)
Response from the owner:Thank you for your wonderful review, Bre! We're thrilled to hear that you are happy with your Invisalign treatment and appreciate the praise for our doctors and staff. Your satisfaction is our priority, and we look forward to continuing to support you on your orthodontic journey!
T. “Trulytwofoursix” H.
The Manchester office is great! My son is always nervous and the girls are so patient with him. The office is inviting. Everyone is very professional and welcoming. I would definitely recommend Otto.
Response from the owner:Thank you for your wonderful review! We take pride in creating a welcoming environment and appreciate your recognition of our team's patience and professionalism. Your recommendation means a lot to us!
Courtney S.
I love how friendly the atmosphere is. They make you feel very comfortable with every situation. I highly recommend them!
Response from the owner:Thank you, Courtney! We appreciate your positive feedback about our friendly atmosphere. Our team is dedicated to making every visit comfortable. We look forward to continuing to provide excellent care!
M D
Noah had a great visit. The little guy was very nervous but the staff was wonderful at telling him what they are going to do and explaining everything made my 8 year old boy happy and relaxed thank you for your care and patience.
Response from the owner:We're so glad to hear that Noah had a great visit! Our team strives to provide a comforting environment for all our young patients. Thank you for your kind words about our staff and their efforts to make Noah feel relaxed. We appreciate your trust in us!
Tara N.
My daughter's care has made tremendous progress in just the last year alone. Both the Wentzville and St. Peters locations are flexible to fit you in for emergencies too. Kind and friendly care, can't go wrong. Daughter loves their reward program too. Great incentive!
Response from the owner:Thank you for your wonderful review, Tara! We're delighted to hear about your daughter's progress and that our teams in Wentzville and St. Peters were able to assist you promptly. It's great to know that she enjoys our reward program as well. We appreciate your support!
Hanah P.
I went today for my free consultation and it was amazing!! The St. Peter's location was very welcoming and very friendly! They made it easy to make a connection with and they were able to answer the question I had and, of course, said if I had any more later to not hesitate to reach out so they could answer those as well. They made me feel very comfortable as I had never been to an orthodontist!! 100/10 recommend!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Allison D.
I’ve been taking my two kids to Dr. Otto (and now also Dr. Larkin) for a few years now. We’ve experienced both the Wentzville and St. Peter’s offices, and I have nothing but praise for the entire staff. Everyone is kind, friendly, patient, understanding AND they make my kids feel safe and comfortable. Highly recommend!
Response from the owner:Thank you for your kind words! We do everything in our power to make scheduling, completing, and following up on patient appointments as seamless as possible.
LylleyAnn R.
My first appointment at Otto orthodontics went amazing. The staff was so polite and made sure that if I had any questions or concerns they had an answer! If you or a loved one is looking into braces or Invisalign id highly recommend them. I haven’t even started treatment yet and I know I’ll love it here!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
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Our locations

We Can’t Wait ToSEE YOU SOON!

Wentzville
  • 1002 Schroeder Creek Blvd.
    Wentzville, MO 63385
St. Peters
  • 314 Mid Rivers Mall Dr.
    St. Peters, MO 63376
Fenton
  • 1560 Smizer Station Rd.
    Fenton, MO 63026
Des Peres
  • 12360 Manchester Rd. Ste. 204
    St. Louis, MO 63131
Creve Coeur
  • 11710 Old Ballas Road, Unit 210
    Creve Coeur, MO 63141

Saint Louis, MO

Fenton, MO

St. Peters, MO

Wentzville, MO

Creve Coeur, MO

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