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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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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
Destinie E.
My daughter started going to OTTO this year and we are so happy with our experience. The staff were very welcoming and helpful with our questions and making sure she was comfortable. Highly recommend.
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that your daughter is enjoying her time with us. Our team is dedicated to providing a comfortable experience for all our patients. We appreciate your recommendation!
Megan M.
We love Otto Ortho and we’re so glad we chose them!! So kind, so patient, and so approachable. Everything about their office and staff feels relaxing and professional.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that you find our team kind and professional. Your comfort is our priority, and we look forward to continuing to serve you.
Kristi B.
My daughter had her expander put in today and it was a positive experience. The staff is so friendly, and great at making nervous kids feel comfortable.
Response from the owner:Thank you for your wonderful feedback, Kristi! We're thrilled to hear that your daughter had a positive experience with us. Our team is dedicated to making every visit comfortable and enjoyable for our young patients.
Lindsay R.
My daughter has her first appointment yesterday and has the most positive experience. The staff was incredibly friendly and gave us all of the information to make getting braces the smoothest process. We feel very informed and prepared should anything go wrong. Our family is very pleased.
Response from the owner:Thank you for your wonderful feedback, Lindsay! We're thrilled to hear that your daughter had a positive experience with our team. We look forward to supporting your family throughout the orthodontic journey!
Jessica F.
10/10 recommend! Everyone was so nice and informative about everything and the consultation appt went so smooth! Look forward to bringing my son here for his braces!
Response from the owner:Thank you, Jessica! We're thrilled to hear you had a positive experience during your consultation. We look forward to welcoming you and your son for his braces journey at Otto Orthodontics!
Christina G.
My daughters and step daughters go to Otto ortho for their ortho work! Such a pleaser to go into the office, my kids love it!! AJ helped me and was amazing regarding our account! I also work in a dental office and we ONLY refer to Otto orthodontics! Truly a one in a million experience!!! Everyone is always so nice and welcoming!
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that your daughters enjoy their visits and that AJ provided exceptional service. We appreciate your referrals and look forward to continuing to serve your family!
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!
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!
Madilyn S.
This place is amazing! First time getting braces and it was so fun! Everyone here is so nice and kind and I feel very welcome!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first experience with braces was enjoyable and that our team made you feel so welcome. We look forward to seeing you again!
Lauren K.
Very thorough in the explanation of each step of the service. They really made my 8yr old feel comfortable!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Terry H.
I found Otto Orthodontics just last week. Their website and the team that answers phone calls say that they want to get to know you and truly care about their patients. I was shocked to find out that this is NOT just a slogan at Otto. They really mean it! My partner had a situation that seemed to be impossible for him to get the treatment he needed. The team at Otto was able to find a solution and make his treatment possible! The technology they have is awesome, you don't even need to have impressions with the yucky stuff everyone chokes on, it is like a 5 second laser instead. Incredible. I just can't thank everyone at Otto enough for their genuine care for folks. They deserve more than 5 stars for sure!
Response from the owner:Thank you for your wonderful review, Terry! We're thrilled to hear about your positive experience and glad our team could provide the care and innovative solutions you needed. Your kind words inspire us to keep delivering exceptional service!
Alana H.
We love this office! Everyone is kind and professional. My daughter absolutely (10)loves going into the office. During the consultation, they explained the whole process to her which put her mind at ease.
Response from the owner:Thank you, Alana! We're thrilled to hear that you and your daughter enjoy our office. Our team is dedicated to making every visit comfortable and informative. We look forward to seeing you both again soon!
Kelly N.
Went in for a free consultation and left as happy, first time clients. Brittany, Jennifer and Dr Karkow were all amazing! So kind and helpful and answered all of our questions.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had a positive experience with Brittany, Jennifer, and Dr. Karkow. We look forward to helping you achieve your smile goals!
Tabitha R.
Dr. Otto and her team are amazing! As a single parent, her and her team have made it affordable for both of my kids to have braces. That alone shows such kindness, compassion, and selflessness. Every time we are at their office, it always feels so warm and welcoming. I would truly recommend them to anybody. There is a good energy in the office. It’s a real team! I love Dr. Otto and her group.
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you and your kids feel welcomed and supported at our office. Your recommendation means a lot to us. We look forward to seeing you again!
Summer F.
Everyone there was so friendly and never made me feel bad or uncomfortable about how bad my teeth are and went over lots of options for my treatment and were very understanding and accepting was just overall amazing definitely made me feel very comfortable
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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
Otto Ortho
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