Our Practice

otto-matic confidence in every smile

We’re Not Your Typical ORTHODONTIC PRACTICE

At Otto Orthodontics, we work hard to treat our patients the same way we would like to be treated: with respect, professionalism, and sensitivity.

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

our doctors

Meet Your Amazing

ORTHODONTISTS

Dr. Genevieve Otto

Orthodontics is a passion for me. I love that I can be a positive influence on many adolescents during a very influential time in their lives.

Dr. Kirsten Karkow

Orthodontics is both a science and an art. I love working with patients of all ages to design and create their best smiles!

Dr. Andrew Larkin

I have always been very involved in the field of Orthodontics to protect the integrity of the profession and to ensure positive patient outcomes.

Dr. Katelyn Roland

My attention to detail and drive for perfection is instilled in my core and my passion is transforming both the smiles and lives of my patients.

Dr. Sara Patterson

Orthodontics is my passion because it allows me to make a meaningful impact during a pivotal time in young people's lives—helping them grow in both confidence and self-esteem.

Get to know us

We are fortunate to offer our patients an excellent team of dedicated professionals who truly care about what they do. They give 110% for our patients and our practice.

We’re proud to be recognized as one of St. Louis’s Top Workplaces of 2026 — a testament to our team and office culture.

Our technology

high-tech comfort & Care

We firmly believe that technology plays a crucial role in achieving optimal results for our patients, and it is one of the key factors that sets us apart from other orthodontic practices.

iTERO SCANNER

Thanks to the revolutionary iTero scanning technology, you no longer have to bite down on uncomfortable molds to get an impression of your teeth.

Digital X-Rays

These X-rays provide us with detailed images of a patient’s smile, allowing us to accurately diagnose issues and create a customized treatment plan.

Precision Bracket Placement

Precision Bracket Placement is a technique that leverages advanced computer software to plan the exact position of each bracket on a patient’s teeth.

In-House Lab & retainers

With our in-house lab, we can fabricate your retainers right here in our office, which allows for a better fit and faster fabrication of appliances.

We Love Serving Our Community

Our St. Louis communities are not just where we work. We also live, grow, and raise our families in these same areas.

At Otto Orthodontics, we are dedicated to showing our support and giving back to the communities we love so much.

CHECK OUT OUR LOCATIONS

Tour Our

OFFICES

Our offices are specially designed around your patient experience. Check out a tour of your location and see what all there is to be excited about!

Des Peres

Working as a team, we strive to provide an environment of comfort for our patients while they receive quality orthodontic treatment.

Fenton

Orthodontic treatment is an important time in your life. We strive to make it a positive, memorable experience, and offer all kinds of fun amenities for our patients.

St. Peters

Our modern facilities are simply second to none. We have the nicest, most comfortable, and technically advanced office spaces around.

Wentzville

Besides the fact that happy patients and parents are our best advertisement, our team is passionate about creating a warm and welcoming environment.

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!

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.

Lauren M.

The staff were amazing and really made my daughter feel at ease! They were very informative and helped guide which path we need to take in regards to braces! Definitely would recommend!

Rachel D.

They are very detailed with explaining and super easy to get ahold of between calling and texts!

Holly P.

The staff and doctors are very friendly. They have made the process of getting braces very easy. We look forward to working with them for the next few years on our child's new smile!

Michelle

I had a good experience, the staff was very friendly and the consult was pretty informative. The place was clean and inviting.

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!

Mindy S.

They explained everything in detail so my child knew exactly what to expect. Very patient with us. Gentle with her and after a long time coming…her teeth look great!

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.

David F.

Everyone is so nice and they are very efficient. Love Dr. Otto, she's terrific. I am so pleased with the progress they are making with the corrections to my teeth.

Samantha F.

We love, Otto Orthodontics and Ashley Cole is the best! She has really helped our daughter with her ortho fear! We look forward to seeing her each visit!

Josh W.

Otto is top notch. Brooke installed my brackets for my Invisalign today and did an incredible job. I typically hate sitting still for too long but she did a great job walking me through everything and finished before I knew it. Dr. Otto also rocks. Knows her stuff but most importantly she explains it well. All around great experience from every team member!

Kristen V.

We love Otto Orthodontics! The staff is so friendly and welcoming and we appreciate the incentives for the kiddos.

Dee J.

The staff was very nice and professional. I was able to ask many questions and didn't feel like I was being rushed.

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.

Luwanika M.

Very comfortable environment with super friendly staff. Clear explanation of procedures and what to expect. Highly recommend!

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