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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 smiling in a white coat

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 smiling in a white coat

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 smiling in a white coat

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. Katelyn Roland smiling in a white lab coat

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 smiling in a white coat

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!

Orthodontic office interior with multiple treatment stations and staff attending to visitors
Nevermore
Otto Orthodontics have made a long time dream come true. I can't thank them enough for all the hard work they out into making my smile the best it could possibly be. 3 years worth, my bite was terrible and I never smiled until now. To all the staff at the St. Peters location thank you for being kind, patient and just generally awesome.
Response from the owner:Thank you for this. Hearing that you feel great about your smile is the best thing we could read today.
Baleigh W.
Awesome staff, very helpful and professional! Provided all the details we needed to get treatment set up. Continued care through entire treatment process and guided each step of the way.
Response from the owner:Thank you for your wonderful feedback, Baleigh! We're thrilled to hear that our team was able to assist you and provide the information you needed. We look forward to seeing you again soon!
Brenda Z.
I was a little intimidated coming in for my first session with Invisalign. Alyssa’s calming and very attentive personality gave me much comfort. My daughter had completed Invisalign treatment and was very successful as her first 2 orthopedic agencies were not successful. I will recommend Otto Orthodontics to others for sure! I look forward to this journey with Otto!
Response from the owner:Thank you for sharing your experience! It's wonderful to hear how Alyssa's supportive nature helped ease your initial concerns. We're excited to be part of your Invisalign journey and appreciate your recommendations!
Jessica J.
We visited Otto Orthodontics for a second opinion for my daughter’s need for braces. Not only were the staff warm and welcoming, they were able to significantly beat pricing from another office where our first consult was held. We look forward to working with them in the near future for our daughter’s orthodontic needs.
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 are recognized.
Angel W.
They where very patient with us and answered all my kids questions with out hesitation and didn’t rush out. They explained prices and how everything was going to work and made me feel confident that my kids teeth are going to be taken care of not just their teeth taken of but they was going to be taken care of too by people that care
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. We are glad to hear our efforts make a positive difference.
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!
Mary P.
We have had an excellent experience with this orthodontic office. Two of my sons have received treatment here - one with Invisalign and the other with a more complex, multi-step treatment plan. We have been extremely pleased with both experiences. The doctors and staff are knowledgeable, patient, friendly, and wonderful about explaining each step of the process. We have always felt confident that our boys were receiving skilled and individualized care. I would highly recommend this office to any family looking for an orthodontic team.
Response from the owner:Mary, thank you for such a thoughtful review! Our doctors and staff take pride in explaining each step clearly, and we are so glad you have felt confident with us. We truly appreciate your trust.
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.
Missy A.
I had my initial consult with them on Tuesday. Everyone was knowledgeable, kind, and efficient. I will be starting Invisalign with them and I’m so excited!
Response from the owner:Thank you for sharing this. Kind, knowledgeable and efficient is exactly what we aim for, and we are excited to get started.
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!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
tbs993
Otto Orthodontics and its staff have been great. Dr. Carly is the best. I really had no issues the entire time that my daughter had her braces on. Thank you all so much.
Response from the owner:Thank you so much for the kind words! Dr. Carly and the whole Otto Orthodontics team will be happy to hear it has been such a smooth experience.
Sarah K.
Initial placement of both my daughter's upper braces went quick and uneventful this morning! My girls were at ease and the assistants explained everything as they went along. The orthodontist was very kind and personable to me and my daughter's. We were in and out within an hour for both!
Response from the owner:Thank you for sharing your experience! We’re delighted to hear that your daughters felt at ease during their appointment and that our team provided thorough explanations. We look forward to seeing you all again!
Betsy G.
Dr. Larkin is wonderful. He is great with the kids and the parents. And all of the staff is super friendly and make the process as easy as they can. It's a fun environment for something that is just naturally not fun at all.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a supportive and professional atmosphere, and it's rewarding to know that our efforts are recognized.
Michelle
I had a good experience, the staff was very friendly and the consult was pretty informative. The place was clean and inviting.
Lauren J.
We had our first appointment with Otto yesterday and it was honestly the quickest, most efficient appointment ever. They were so friendly and gave us all the information we needed! Highly recommend!
Response from the owner:Lauren, thank you! Quick, efficient visits with a friendly team are what we work hard for, so it is great to hear that is how your first appointment went.
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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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