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Otto Ortho
  • Our Practice
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  • Orthodontics
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      • Braces For Teens
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      • Color My Braces
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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
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!
Kati D.
Such a great staff. Wonderful environment. My kid felt at ease immediately. Every step was explained, as well as financial breakdowns. Kids questions and concerns were answered immediately
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your child felt comfortable and well-informed during their visit. Our team is dedicated to providing a supportive environment for all our patients.
KIMBERLY R.
Brought my twins here and they absolutely love this place!!! They explain everything so not only I understand but the kids do too!! Very welcoming and friendly
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear your twins enjoyed their visit and found our explanations helpful. Our team strives to create a friendly, welcoming environment for families. We look forward to seeing you again!
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!
Dominic B.
I had an excellent experience at Otto Orthodontics. As an adult starting orthodontic treatment, I wasn’t sure what to expect, but the entire team made the process smooth and comfortable. Dr. Otto is professional, detail oriented, highly knowledgeable, and genuinely cares about the process and end result of your smile. I highly recommend to anyone considering treatment at any age. - Augustus B.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had a smooth and comfortable experience with our team. Your recommendation means a lot to us. We look forward to seeing you again!
Jenny C.
Otto has been amazing and its only our second time in. We started our journey with them and can't wait to see the results! The staff are all amazing and very helpful!
Response from the owner:Thank you for your wonderful review, Jenny! We're thrilled to hear that you had a great experience with our team. We look forward to supporting you on your orthodontic journey!
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!
Liz H.
We love Otto! Friendly staff, modern office, flexible scheduling, and great incentive program for patients.
Response from the owner:Thank you, Liz! We're thrilled to hear you love our friendly staff and modern office. Your satisfaction is our priority, and we look forward to continuing to provide you with excellent care.
Laila
I went in for a consult & I had the pleasure of meeting Dr. Roland about treatment for Invisalign. I had such a wonderful experience! Everyone was so kind, welcoming, & super helpful!

I’m so excited to start my Invisalign journey with the *BEST* orthodontist office in the area! Also loved that everything is *PINK*
Response from the owner:Thank you for your wonderful review, Laila! We're thrilled to hear about your positive experience with Dr. Roland and our team. Excited to support you on your Invisalign journey!
Denis H.
Great orthodontist! Their skills and experience are the best we have worked with. They listen to your concerns and proactively response to any questions you may have!
Response from the owner:Thank you for your kind words, Denis! We're thrilled to hear that you had a positive experience with our team. Your satisfaction is our priority, and we look forward to continuing to support your orthodontic journey!
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
Anna W.
We love Otto! Our oldest daughter just got her braces off in August and our youngest got them on today. We have had a great experience!
Response from the owner:Thank you, Anna! We're thrilled to hear about your positive experiences with us. Congratulations to your daughter on her braces journey! We look forward to continuing to support your family’s orthodontic needs.
Laetitia G.
Carl and Olivia both had a great visit at Otto Orthodontics. Carl’s first time getting braces went very smoothly, and Olivia did great on her second visit as well. Thank you for taking such good care of them!
Janet B.
This was my 1st experience with an orthodontist. As an older adult I wasn't sure how I would be treated; braces are for kids after all. I was pleasantly surprised by how welcoming everyone was! The staff is so friendly and extremely knowledgeable. I highly recommend Otto Orthodontics to anyone getting braces, including adults.
Response from the owner:Thank you for your wonderful review, Janet! We're thrilled to hear that you felt welcomed and well cared for during your visit. Your recommendation means a lot to us. We look forward to seeing you again!
Lauren G.
Love this office! Everyone was very nice and friendly. They did an excellent job explaining everything to me. They also work with you with the cost and explain everything when it comes to that! They went through all the X-rays with me and explained that amazingly! The office is very welcoming and friendly! I would definitely recommend this office!!!
Response from the owner:Thank you for your wonderful feedback, Lauren! We're thrilled you found our team friendly and informative. It's our priority to make every visit welcoming and to explain everything clearly. We appreciate your recommendation!
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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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