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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
      • Braces For Adults
      • Braces for Senior Adults
      • Braces Care
      • Color My Braces
    • Invisalign
      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
      • Invisalign For Adults
      • Invisalign for Senior Adults
      • SmileView Simulator
      • Invisalign Care
    • Other Treatments
      • Two-Phase Treatment
      • Dentofacial Orthopedics
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      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
      • Orthodontic Retention
  • Patient Resources
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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. 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

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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
Kim T.
Everyone here is amazing and so friendly. My daughter was so scared to get braces and they made the process so easy! We love Otto orthodontics!!!
Jacob M.
We have two kids in braces at Dr. Otto's practice in Wentzville. The staff is amazing and my kids always enjoy their visits.
Response from the owner:Thank you for your wonderful review, Jacob! We're thrilled to hear that your kids enjoy their visits. Our team is dedicated to providing a positive experience for all our patients. We appreciate your support!
Jessica L.
Everyone was so nice!!! I really felt like they took time to answer any questions and explain everything. It was not near as expensive as what I thought and the payment plan was great! They got a good laugh at my son wanting braces because he said he will "look cute." I would recommend solely based on how nice the staff was. He will get his braces on in a few weeks and will update again!
Response from the owner:Thank you for your wonderful review, Jessica! We're thrilled to hear that our team made you and your son feel comfortable and well-informed. We look forward to supporting you both during the braces journey!
Samantha M. K.
I sometimes am a little pessimistic of overwhelmingly 5-star reviews, because some practices incentivize them without disclosure, but I have to say - this place and the folks here are pretty great and I have no incentive to say so.

No one tried to sell anything to me or push me to make a decision, which is frankly why I left my other provider. The space also doesn’t have the gloomy, archaic setting that dental practices sometimes suffer from, if that matters to you and your kiddos.
Response from the owner:Thank you for your thoughtful review! We're delighted to hear you had a positive experience with our team and enjoyed our welcoming environment. Your comfort and satisfaction are our top priorities. We look forward to seeing you again!
Morgan B.
My daughter has been in braces for 5 months now, and every appointment and communication we’ve had has been amazing at OTTO. We are so thankful for them!
Response from the owner:Thank you, Morgan! We're thrilled to hear that you and your daughter have had such positive experiences with us. Your appreciation means a lot, and we look forward to continuing to support her orthodontic journey!
Kevin T.
Otto Orthodontics has been great with my daughter Ava. She looks forward to going to all her appointments to see the friendly staff
Response from the owner:Thank you for your wonderful review, Kevin! We're thrilled to hear that Ava enjoys her visits with our friendly team. We look forward to continuing to provide her with excellent care!
Adria A.
I brought my daughter in to get x-rays to see if she needed braces. The front desk office assistant was very welcoming, very professional and friendly. Kayla and Dr. Larkin were very informative on all of the things we needed to know. I would definitely refer them to anyone looking for an Orthodontist. 😊
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.
Nat M.
Always friendly service. I have liked all of the assistants that worked on my braces. Cassie was my last tech and she did an awesome job taking my braces off without causing pain.
Response from the owner:Thank you for your kind words, Nat! We're thrilled to hear that you had a positive experience with our team, especially with Cassie. Your comfort is our priority, and we appreciate your feedback!
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!
Margret Anne H.
Very knowledgeable and thorough! Just started Invisalign and am happy with my decision to go with Otto Orthodontics.
Response from the owner:Thank you for your wonderful review, Margret! We're thrilled to hear you're happy with your Invisalign journey at Otto Orthodontics. Your satisfaction is our priority, and we look forward to supporting you further!
Connie O.
Otto staff was friendly and quick. They made a kind of scary experience (new braces) for my daughter painless and fun. They even gave her a swag bag when she left to help keep her braces and teeth looking great.
Response from the owner:Thank you for your wonderful review, Connie! We're thrilled to hear that our staff made your daughter's experience with braces enjoyable and fun. The swag bag is just a little extra to keep smiles bright! Your kind words mean a lot to us!
Michael S.
Excellent service and professional care. I’m extremely pleased with my experience at Otto Orthodontics and highly recommend them!
Response from the owner:Thank you, Michael, for your kind words! We're thrilled to hear you had an excellent experience at Otto Orthodontics. Your recommendation means a lot to us. We look forward to seeing you again!
Laura Z.
They are by far the best orthodontist place in
STL area. I love the atmosphere and don’t dread coming to get my teeth scanned and looked at. All the staff are very welcoming and can tell they love their jobs. You might have to pay more for braces or Invisalign but it is totally worth it. You get all the necessities and then some with the Invisalign treatment. I highly recommend going here if you want your smile to be fixed correctly.
Response from the owner:Thank you so much for your wonderful review, Laura! We're thrilled to hear that you enjoy our atmosphere and feel welcomed by our team. It's great to know that you find value in our services and feel confident in your treatment. We look forward to continuing to support your smile journey!
Heather J.
Everyone was really sweet and explained how things were gonna go in laymen’s terms and the place is really nice.
Response from the owner:Thank you for your kind words, Heather! We're glad to hear that our team made you feel comfortable and provided clear explanations. Your satisfaction is our top priority, and we appreciate your feedback!
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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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