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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 daughter. McKenna, and 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
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!
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!
Kiley L.
Had such a great experience every time we come in for our appointment! Anna saw me last time and was very cheerful and pleasant to work with! 😊
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear about your positive experience with Anna. Our team is dedicated to providing cheerful and professional service. We look forward to seeing you again!
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!
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.
Kym M.
Kind and friendly staff. I so appreciated not being the only adult getting treatment here!!
Response from the owner:Thank you, Kym! We're delighted to hear you had a positive experience with our team. We strive to create a welcoming environment for all our patients. Looking forward to seeing you again!
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!
Heather H.
The staff are so nice. The music is so good, and there is amazing art in the building. -CH, age 11
Response from the owner:Thank you for your wonderful review, Heather! We're thrilled to hear you enjoyed the music, art, and our friendly staff. We look forward to seeing you again at Otto Orthodontics!
Alma Giselle N.
We had such a wonderful experience today with Dr. Roland and the entire orthodontic team! From the moment we walked in, the staff was incredibly friendly, patient, and willing to go above expectations to help me with my insurance plan. Their customer service is always superb — they truly treat every patient with kindness & respect.

Dr. Roland was thorough, kind, and made sure we understood everything before we left.

I can’t recommend this office enough. Every visit is a great experience, and I’m so thankful for a team that consistently goes above expectations to provide the best care possible. Five stars all the way! ⭐️⭐️⭐️⭐️⭐️
Response from the owner:Thank you, Alma, for your wonderful feedback! We're thrilled to hear about your positive experience with Dr. Roland and our team. Your recommendation means a lot to us. We look forward to seeing you again!
Samyra M.
They are awesome, it’s organized and many colors for braces. The place overall gives you good vibes and everyone is very nice.
Response from the owner:Thank you, Samyra, for your wonderful feedback! We’re thrilled to hear you enjoyed the vibrant atmosphere and our team's kindness. Your satisfaction is our top priority, and we look forward to seeing you again!
Maureen S.
started braces for my son today. Super friendly welcoming environment. The person working with him was careful to explain everything so He knew what they were doing.
Response from the owner:Thank you, Maureen! We’re delighted to hear you and your son had a positive experience. Our team is dedicated to ensuring every patient feels comfortable and informed throughout their orthodontic journey.
Jonathan H.
Very friendly staff that’s always helpful and SMILING!!!! Great welcoming environment!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you enjoyed our friendly atmosphere and helpful staff. We look forward to welcoming you back to Otto Orthodontics soon!
Lauren W.
We love Otto Orthodontics! All of the staff is so nice and knowledgeable. They stay on top of appointments and are always so helpful!
Response from the owner:Thank you, Lauren! We appreciate your kind words about our team. It's wonderful to hear that you find our staff knowledgeable and helpful. We look forward to continuing to serve you!
Kierstyn M.
I had such a wonderful experience at Otto Orthodontics! The staff was incredibly kind, welcoming, and professional from start to finish. They took their time explaining everything and made me feel completely comfortable. The office was spotless and very organized, and everyone had such positive energy. Highly recommend to anyone looking for orthodontic care!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you had a positive experience at Otto Orthodontics. Our team is dedicated to providing exceptional care and a welcoming environment. 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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