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Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
  • Our Practice
    • Who We Are
    • What Sets Us Apart
    • Meet Our Doctors
    • Meet Our Team
    • Locations
    • Our Technology
    • Community Involvement
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  • Orthodontics
    • Braces
      • Types of Braces
      • Braces For Kids
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      • 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
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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. I also have specialized training in orthodontic care for patients with cleft lip and palate and special healthcare needs, and it’s some of the most meaningful work I do. 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
Sarah A.
Wonderful team and doctor. Great experience. Staff is super friendly. Highly recommend. Wouldn’t go anywhere else!
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
Jenn N.
We switched to Otto a year ago and are so happy we did. They had a great plan for son's orthodontic care. The staff and doctors are very kind, friendly, and professional.
Response from the owner:Thank you for your positive feedback! We are delighted to hear about your experience and appreciate your support. Our team is dedicated to providing exceptional care, and we look forward to serving you again.
Susan C.
What a great Orthodontic office. Everyone was professional and easy going. The group took care of my old retainer and put a new one in. I will be going back and highly recommend Otto Orthodontics to anyone looking for care.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled you had a positive experience with our team. Your recommendation means a lot to us. We look forward to seeing you again at Otto Orthodontics!
Kelly S.
My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!
Response from the owner:Thank you for the kind feedback! We love being able to make orthodontic visits a little easier and more pleasant for our patients and their families.
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
Maggie S.
Fantastic care from every member of the staff! Such a wonderful experience for me and my child.
Pam M.
I am a senior (not in school LOL!) and first time braces wearer. To say I was apprehensive is a down play. But Jana answered ALL of my questions and explained everything step by step. Then Dr Otto came in and answered even more of my questions. I was also able to set up an interest free payment plan which was perfect. When I returned to get my braces, everything went well. Such a good experience and no one made an issue of my age or my very crooked teeth. I look forward to a great smile in 1.5 years. Thank you Otto Orthodontics
Response from the owner:Thank you for your wonderful feedback, Pam. We're thrilled to hear that Jana and Dr. Otto made your experience comfortable and informative. Your journey towards a beautiful smile is truly inspiring!
HD V.
We had a great experience at Otto Ortho in Fenton! Dr. Karkow and staff (Katelynn) worked with us and were patient and knowledgeable. Very personable staff, would highly recommend to anyone!!
Response from the owner:Thank you for sharing your thoughts! Comments like this remind us why we love what we do — helping patients feel comfortable and confident throughout their journey with us.
Christen Z.
My whole family has been treated by Otto and we’ve been super happy with them! The staff is very friendly and they make you feel comfortable during the whole process. We highly recommend them!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's rewarding to know that our efforts resonate with the community.
Ashley G.
Walked in for a consult and left with braces for my 16 year old an hour and forty five minutes later. The most pleasant staff! Couldn’t imagine going anywhere else!
Response from the owner:Thank you for sharing your experience, Ashley! We're delighted to hear about your smooth consult and the positive atmosphere with our team. Your satisfaction means everything to us! Looking forward to seeing you again.
Katy G.
They are very willing, understanding and helpful to all needs. I have great experiences so far before my treatment and since my treatment for braces started in November. The orthodontist assts and Dr. Rowland are understanding and helpful, I have sensory issues with my mouth and teeth and they are always understanding and gives breaks too :) Always good experience!
Janice M.
Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.
Response from the owner:Thank you for your wonderful feedback, Janice! We're delighted that you and your son experienced our attentive service throughout the consultation process. We look forward to seeing you again soon!
Amanda W.
Highly recommend! My main office was the St. Peter’s location but I’ve also been to the Wentzville location. Both locations are clean, spacious and convenient. The staff was always positive and so sweet. They’re more affordable than other places in the area. They have a texting line which is super convenient. They also offer a retainer for life program where you can get a replacement retainer at no extra cost. I took two of my kids somewhere else for their braces and that place was great too but it was pretty pricey. This rating comes from my ortho treatment that I just finished up. When it comes time for our youngest to start his braces treatment, he will be coming here as well.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's wonderful to know that this resonates with our community.
Amy A.
We have had such a wonderful experience at Otto! Every appointment was on time and each treatment was explained so well. I highly recommend Otto!
Response from the owner:Thank you for your fantastic feedback, Amy! We're thrilled to hear that your experiences were punctual and informative. Your recommendation means a lot to us, and we look forward to welcoming you again soon!
Sabrina T.
I was recommended this location by my dentist and this has to be one of the best recs I’ve ever received. The staff are incredibly friendly and helpful, and Dr. Otto is adorable and equally as friendly. She’s knowledgable in her role and I’ve never questioned anything she’s done. I recommend her offices to anyone I can.
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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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Wednesday 8:30am – 5:00pm
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Related Pages:
  • Meet Dr. Genevieve Otto
  • Meet Dr. Andrea Quattlebaum
  • Meet Dr. Kirsten Karkow
  • Meet Dr. A.J. Otto