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Otto Ortho
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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 daughters, McKenna and Isabelle, and their 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
Megan F.
We have had an awesome experience here so far! The orthodontist was so informative and helped explain the plan so clearly for my son’s treatment. Everyone was awesome to work with!
Response from the owner:Thank you, Megan! We're thrilled to hear about your positive experience. Our team is dedicated to providing clear communication and exceptional care. We look forward to continuing your son's treatment journey!
Lauren
Very friendly & courteous. Weren't pushy about anything & were very informative. My first impression of Otto Orthodontics is great 👍 And they have rewards?! So cool
Response from the owner:Thank you for your wonderful feedback, Lauren! We're thrilled to hear you had a great experience with our team. We look forward to helping you achieve your perfect smile!
Aida T.
I had my Invisalign appointment with Dr. Otto and had a great experience from start to finish. Dr. Otto was very knowledgeable she took the time to explain the entire Invisalign process, and answered all of my questions . The staff was incredibly friendly, welcoming, and informative!
Response from the owner:Thank you for your wonderful feedback, Aida! We're thrilled to hear that Dr. Otto provided a comprehensive Invisalign experience and that our staff made you feel welcomed. We appreciate your support!
Kaitlin T.
such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
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.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
Jennifer M.
Friendly personable staff very attentive to my needs definitely give them a five star
Response from the owner:Thank you, Jennifer! We're thrilled to hear that our team made such a positive impact on your experience. Your kind words motivate us to continue providing exceptional care. We look forward to seeing you again!
Paige D.
So clean! And everyone was so friendly!! They definitely made the beginning of this new adventure a great experience!
Response from the owner:Thank you, Paige! We're thrilled to hear you had a positive experience with our team. Your kind words about our cleanliness and friendliness mean a lot. We look forward to supporting you on your orthodontic journey!
Rachel B.
Very friendly and informative about procedures and upfront pricing. Ease and availability of scheduling appointments.
Response from the owner:Thank you, Rachel, for your kind words! We're delighted to hear you found our team friendly and informative. We strive to make scheduling easy and transparent for all our patients. Looking forward to seeing you again!
Kelly H.
Today my son received his top set of braces and our experience from the consultation to today with Otto Orthodontics has been amazing. All of the ladies made my son comfortable and they were so informative and we left today knowing exactly how to take care of his new braces. Even though we’ve only been going for a short time, I highly recommend them. They are just lovely 🥰
Michael A.
We had an amazing experience at Otto Orthodontics- Wentzville. Their team was professional, knowledgeable and understood our concerns. They are very family friendly and made efforts to ensure my 9 y/o daughter was comfortable. The office was very clean and organized. Extra shoutout to Ashley our treatment coordinator who explained everything extremely well and answered all of our questions. We never felt rushed and we left the office feeling like we had an excellent plan in place. Thank you to the entire team at Otto Orthodontics.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you had such a positive experience at our office. It's great that Ashley made your daughter feel comfortable. We appreciate your trust in our team!
Gina S.
Dr. Larkin is the best! His attention to detail is unmatched. He focuses on dental health and beauty. The staff is also so nice and fun!
Response from the owner:Thank you for your wonderful review, Gina! We're thrilled you found Dr. Larkin's attention to detail and our team's friendliness exceptional. Your smile is our priority, and we appreciate your kind words!
Brian Dawson R.
The staff is amazing and welcoming! Our daughter has had a great experience on braces with Otto.
Response from the owner:Thank you for your wonderful review, Brian! We're thrilled to hear that your daughter had a great experience with our team. We look forward to continuing to provide excellent care!
Andrea S.
First appointment out of many for two of my kids today. I was super impressed by Nichole she was amazing with my 8 year old who was very nervous about getting his expander and does not do well with the unknown. Thank you Nichole!
Response from the owner:Thank you for your wonderful feedback, Andrea! We're thrilled to hear that Nichole made your child's first appointment a positive experience. We look forward to seeing you and your kids again soon!
Jooli K.
Love this place. Getting appointments is never a hassle. My kid usually has a short wait time. Everyone is professional; I have no doubt my child is getting the best most updated care. And honestly, I love the pink theme of the office and staff!
Response from the owner:Thank you for your wonderful review, Jooli! We're thrilled to hear that you and your child enjoy our office and the care we provide. We appreciate your support and look forward to seeing you again!
Jessica M.
Dr. Otto is the best! She is so knowledgeable and really takes time to walk you through all of the options and answer any questions! The staff’s genuine friendliness and warmth helps to make the entire experience a pleasant one! We have been so pleased with Otto Ortho!
Response from the owner:Thank you Jessica!
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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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