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Otto Ortho
  • Our Practice
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    • 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
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      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
      • Invisalign For Adults
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      • 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
Jessy H.
Dr. Karkow and staff were absolutely amazing with our little cleft cutie! Everyone was so awesome and accommodating for such a young ortho patient!
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that Dr. Karkow and our team made your experience so positive. We look forward to continuing to provide exceptional care for your little one!
Kelly G.
I love Otto! All my kids have gone here and we’ve all had an amazing experience. The staff is friendly and caring.
Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your kids have had such positive experiences at Otto Orthodontics. Our team is dedicated to providing friendly and caring service. We appreciate your support!
Carla F.
This is our 5th and last child to receive orthodontic treatment with Dr. Otto’s office. They are professional, friendly, accommodating. The office is fun and friendly for the middle school and teen set. Super pleased with our experience and excited to see this child come out with a bright and straight smile!
Response from the owner:Thank you for your wonderful review, Carla! We're thrilled to have been part of your family's orthodontic journey. It's great to hear that you enjoyed our friendly atmosphere and professional care. We appreciate your trust!
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.
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!
Rachel B.
Very friendly and informative about procedures and upfront pricing. Ease and availability of scheduling appointments.
Response from the owner:Thank you, Rachel, for your kind words! We're delighted to hear you found our team friendly and informative. We strive to make scheduling easy and transparent for all our patients. Looking forward to seeing you again!
Tony F.
Jeanna P was AMAZING, so thoughtful on how things were explained and pretty sure we all laughed most of the time :) My daughter was actually kind of excited as we left, nice to know we are in good hands!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that Jeanna made your experience enjoyable and informative. It's our goal to ensure every visit is positive and engaging for our patients.
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!
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!
Ryan G.
Always a top notch experience! All staff are welcoming, helpful and very knowledgeable. Thank you for always taking great care of me Otto ortho!
Response from the owner:Thank you for your 5-star review!
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!
Michael A.
We had an amazing experience at Otto Orthodontics- Wentzville. Their team was professional, knowledgeable and understood our concerns. They are very family friendly and made efforts to ensure my 9 y/o daughter was comfortable. The office was very clean and organized. Extra shoutout to Ashley our treatment coordinator who explained everything extremely well and answered all of our questions. We never felt rushed and we left the office feeling like we had an excellent plan in place. Thank you to the entire team at Otto Orthodontics.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you had such a positive experience at our office. It's great that Ashley made your daughter feel comfortable. We appreciate your trust in our team!
Reese B.
Amazing didn’t hurt at all and made sure I was all good. Wouldn’t want to go to any other place!
Response from the owner:Thank you for your wonderful review, Reese! We're thrilled to hear about your positive experience and that you felt comfortable throughout your visit. Your trust means a lot to us, and we look forward to seeing you again!
Ramona S.
I just love the staff here and Dr.Otto is very warm and knowledgeable. My invisiligns were placed fast and the instructions were easy to understand. I would refer anyone looking to get braces etc to them❤️
Response from the owner:Thank you, Ramona! We're delighted to hear you enjoyed our family-friendly and clean environment. Your satisfaction is our priority, and we look forward to welcoming you back soon!
Tyler S.
I’ve never been to an orthodontist before and my experience with Otto Orthodontics was amazing. They far exceeded my expectations. The staff is so friendly starting with the front desk. The place was so vibrant and fun. My consultation with Ashley went better than I would have imagined. She was the perfect mix of professionalism and personable. I felt really comfortable going over the plan and I felt like I could talk with her forever. Dr. Roland was so nice and made me feel really comfortable and optimistic about my future smile. She gave me options to weigh as well as informed me on what she thinks would be the best route. Getting mouth work done can be stressful but this place is amazing and I’m so glad I pulled the trigger to check them out and can’t wait for to have the smile that I’ve always dreamed of. Thank you Otto Orthodonics!
Response from the owner:Thank you for your wonderful review, Tyler! We're thrilled to hear that your experience exceeded expectations. Our team is dedicated to making every visit enjoyable and informative. We look forward to helping you achieve your dream smile!
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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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