Skip to content
  • Call / Text (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
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
          • Surgical Orthodontics
          • Teeth Whitening
          • TMJ/TMD Treatment
          • Common Appliances
          • Botox
          • Orthodontic Retention
  • Patient Resources
    • Your First Visit
    • Virtual Consult
    • Patient Forms
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
Complimentary Consult
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
      • Injectable Lip Filler
      • Surgical Orthodontics
      • Teeth Whitening
      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
      • Orthodontic Retention
  • Patient Resources
    • Your First Visit
    • Virtual Consult
    • Patient Forms
    • Patient Rewards
    • Financial Info
    • Care Instructions
    • Emergency Care
    • Products
  • Contact Us
    • Contact Info
    • Des Peres
    • Fenton
    • St. Peters
    • Wentzville
    • Creve Coeur
  • (314) 900-6886
  • (314) 900-6886
  • Patient Forms
  • Virtual Consult
  • Locations
Complimentary Consult
  • Facebook
  • Instagram
  • YouTube
  • List Item
  • REQUEST CONSULT
  • TEXT NOW

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

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
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!
Jaime E.
My daughter just started her journey here but wow! Such a friendly office!! Everyone goes out of their way to make you feel comfortable. Even after your appointment, they reach out to check in on you. Highly recommend coming to Otto!!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your daughter feels comfortable in our office. Our team is dedicated to providing exceptional care and support. We appreciate your recommendation!
Lisa H.
I am currently undergoing invisalign treatment with Otto orthodontics. I had a question/concern recently, they got me in and addressed it promptly. All was good! They put my mind at ease.
Response from the owner:Thank you for your wonderful review, Lisa! We're glad to hear that your concerns were addressed promptly and that you're feeling at ease during your Invisalign treatment. We appreciate your trust in us!
Dana A.
Every single person that works there is kind and caring! They are so welcoming! This is an incredibly special place!
Response from the owner:Thank you for your wonderful review, Dana! We’re thrilled to hear that our team made you feel welcomed and cared for. Your kind words inspire us to continue providing exceptional service.
James E.
I walked in, they got me checked in and they got my teeth scanned for new retainers. That same hour. Fast service 5 stars.
Response from the owner:Thank you, James! We're thrilled to hear you had a fast and efficient experience with us. Your satisfaction is our priority, and we look forward to helping you achieve your perfect smile!
Kyle S.
I’ve been trying to get Invisalign for a while. My regular dentist office has gave me the run around and the one ortho I met with prior gave lack luster service.

Saw an Otto Orthodontics ad online and figured I’ll give it a shot. I was able to get scheduled within 3 days of inquiring and within my first hour long consult I knew they would take care great of me.

Very easy process to begin and better payment options than the competitors. I look forward to beginning treatment in the next few weeks!

Thanks!
Response from the owner:Hi Kyle! It was great seeing you today.. we are so excited to exceed your expectations! Congratulations again on your upcoming transformation - we are thrilled to be apart of it!
Carla E.
My 2 daughters go here and they're amazing today our youngest one started her braces journey. They was so kind to her even though she cant sit till long. But she did great and so did the lady working on her she was very patient with our daughter.
Response from the owner:Thank you for your wonderful review, Steve! We're thrilled to hear that your daughters had a great experience with us, especially as your youngest begins her braces journey. Our team truly values patience and kindness, and it’s great to know they made such a positive impact. We appreciate your trust in us and look forward to continuing to support your family!
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!
Jonathan H.
Very friendly staff that’s always helpful and SMILING!!!! Great welcoming environment!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you enjoyed our friendly atmosphere and helpful staff. We look forward to welcoming you back to Otto Orthodontics soon!
Jeanne C.
The entire staff is wonderful! The information provided about options for orthodontics was thorough. The dentist took her time explaining information and allowing time for questions; she is very personable! The facility is clean and beautiful.
Samantha B.
Although we don't go here anymore (double insured we needed to find a place that took both our insurance's) we absolutely loved it when we did! This office is truly full of dedicated wonderful staff that go above and beyond to make what can be a scarey experience so calm and inviting! The environment they created is fun and vibrant while still having that comfy cozy feeling making it a more relaxing experience than you would think possible for an orthodontist office. My girlie's really enjoyed the artwork and neon pink signs but they really thought it was cool the staff had matching shoes!! The kiddos like to dress up the same so that was like coolest thing for them! The best thing overall though was the ease of communication between the staff, orthodontist, myself, and my daughter! They just really made an effort to make you feel heard when asking questions, answering questions, explaining, just all of it!!! 10/10 I wish every office I HAD to go to was this way, I'd never miss any appointments! 😆
Jessy H.
Dr. Karkow and staff were absolutely amazing with our little cleft cutie! Everyone was so awesome and accommodating for such a young ortho patient!
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that Dr. Karkow and our team made your experience so positive. We look forward to continuing to provide exceptional care for your little one!
Racquel F.
We had the best experience today at Otto Orthodontics! My son got his braces, and everything from start to finish was seamless. Dr. Otto is truly a professional...so knowledgeable, kind, and great with kids. Every single person on her team was amazing and made us feel so comfortable. We’re so grateful and highly recommend her to anyone looking for exceptional orthodontic care.
Response from the owner:Thank you for your wonderful review, Racquel! We're thrilled to hear that your son's experience was seamless and that our team made you feel comfortable. We appreciate your recommendation and look forward to seeing you again!
Gretchen S.
We had a great experience with the consultation today and excited to be apart of this office for Madi's braces. The staff is so friendly and knowledgeable.
Response from the owner:Thank you for your wonderful feedback, Gretchen! We're thrilled to hear about your positive consultation experience. Our team looks forward to supporting Madi on her journey to a beautiful 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!
Read More

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
Otto Ortho
Complimentary Consult
Quick Links
Main Menu
  • Our Practice
  • Orthodontics
  • Patient Resources
  • Contact Us
Contact Us
  • Des Peres, MO
  • Fenton, MO
  • St. Peters, MO
  • Wentzville, MO
  • Creve Coeur, MO
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
Follow Us
Call / Text
  • (314) 900-6886
  • (314) 900-6886

© Copyright 2026 Otto Orthodontics | Sitemap | Privacy Policy | Notice of Privacy Practices | Accessibility & Statement

Orthodontic Marketing & Web Design by HIP