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Otto Ortho
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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
Kaitlin T.
such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
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!
Rebekah W.
Amazing & professional customer service! I felt so at ease with each person I spoke to. Thanks for being so helpful and explaining things in detail.
Response from the owner:Thank you, Rebekah! We're thrilled to hear you had a positive experience with our team. Your comfort and understanding are our top priorities. We look forward to seeing you again soon!
Kelly H.
Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.
Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!
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.
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!
Ashley F.
Staff were extremely friendly! The team knew what they were doing, open to answering any questions I had. Highly recommend!
Response from the owner:Thank you, Ashley! We're thrilled to hear you had a positive experience with our friendly team. Your recommendations mean a lot to us. We look forward to seeing you again soon!
Trista K.
Huge Shout out to our FABULOUS Dental Technician, Nichole!! She has this gentle, warm presence that is so friendly and comforting but she is also very knowledgeable!! We are proud clients of OTTO Orthodontics and have been absolutely amazed with the consistency throughout the entire experience. The front desk staff are always very warm and welcoming, and our wonderful dental technician Nichole is absolutely stellar! I am confident that OTTO Orthodontics is well aware how much of a huge asset Nichole is to their team! We have seen her a few times and every time she picks up right where we left off! She makes my 12-year-old daughter feel more than comfortable, and is professional, and also extremely thorough, explaining all steps and any important information that my daughter should know in effort to reach the best possible outcome - she is patient and also is FANTASTIC in providing wonderful suggestions based on my daughters likes! (Huge bonus that she also is actually “in the know” with what is trendy for her age group! 😜😬😍) She is personable and professional, but above all she is absolutely amazing at what she does! Everyone in this office has been WONDERFUL, but we are always hopeful that it is Nichole that we get to visit with again! Love everything about this place; the cleanliness, efficiency, professionalism not to mention the wonderful results we have seen in such a short amount of time! Dr. Larkin really took time to understand what we are trying to achieve and even though we were told that we weren’t ready to begin for a long period of time other places, Dr. Larkin listened, and understood… He did some digging to see how he could help us and came back with a master plan! A master plan that is absolutely proving itself to be effective which speaks to his high level of expertise and also ability to think outside the box. We are SO grateful that we found Otto Orthodontics- and will never go anywhere else! We highly recommend anyone with children especially to check them out because I guarantee you will see the same value, expertise and professionalism!

Thank you Nichole, Dr Larkin and all the other amazing staff! 😬
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Heather E.
Excellent consultation experience. Loved all the information, explanation of Treatment plan and transparent estimate. Super friendly staff and awesome atmosphere of office.
Response from the owner:Thank you, Heather! We're thrilled to hear you had an excellent consultation experience. Our team is dedicated to providing clear information and a welcoming atmosphere. We look forward to seeing you again!
Jacita M.
Tammy, the orthodontist and the lady that worked on my mouth were all super amazing 🔥❤️❤️❤️
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you had an amazing experience with Tammy and our team. Your satisfaction is our top priority, and we appreciate your kind words!
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!
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!
Gina S.
Dr. Larkin is the best! His attention to detail is unmatched. He focuses on dental health and beauty. The staff is also so nice and fun!
Response from the owner:Thank you for your wonderful review, Gina! We're thrilled you found Dr. Larkin's attention to detail and our team's friendliness exceptional. Your smile is our priority, and we appreciate your kind words!
Alicia Nicole W.
Love Otto Orthodontics! I was able to get started with my treatment back in May and have had nothing but great experiences at every single appointment since then! Both Dr do such a great job at really addressing your needs, answering all questions, and making sure your teeth stay on track! Just got my daughter started in treatment here a couple months ago and couldn’t imagine going anywhere else!
Response from the owner:We are so happy to hear it, Alicia! Thank you!
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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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