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Otto Ortho
  • Our Practice
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    • Locations
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    • Community Involvement
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  • Orthodontics
    • Braces
      • Types of Braces
      • Braces For Kids
      • Braces For Teens
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      • Braces for Senior Adults
      • Braces Care
      • Color My Braces
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      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
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      • Invisalign Care
    • Other Treatments
      • Two-Phase Treatment
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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
Jamie H.
Dr Otto has been phenomenal throughout our journey. Very honest, educated and aligned with our goals. Highly recommend.
Response from the owner:Thank you for your wonderful review, Jamie! We're thrilled to hear that Dr. Otto has made such a positive impact on your journey. Your recommendation means a lot to us, and we look forward to continuing to support your goals.
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
Kelly H.
Today my son received his top set of braces and our experience from the consultation to today with Otto Orthodontics has been amazing. All of the ladies made my son comfortable and they were so informative and we left today knowing exactly how to take care of his new braces. Even though we’ve only been going for a short time, I highly recommend them. They are just lovely 🥰
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!
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!
Susan T.
We had great experiences with our kids at Otto Orthodontics. They have the best staff! The boys loved the reward system and actually looked forward to their appointments.
Response from the owner:Thank you, Susan! We're thrilled to hear that your boys enjoyed their visits and the reward system. Our team is dedicated to making every appointment a positive experience. We look forward to seeing you all again!
Lashae W.
Very Pleasant Place and Staff ! Clean and beautiful facility. In and out. My son and I was very welcome. My son was so comfortable and respected! Guided us through the whole process
Response from the owner:Thank you, Lashae! We're thrilled to hear you and your son felt welcomed and enjoyed our clean facility. Your kind words motivate us to continue providing excellent service. We look forward to seeing you again!
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!
Carla E.
My 2 daughters go here and they're amazing today our youngest one started her braces journey. They was so kind to her even though she cant sit till long. But she did great and so did the lady working on her she was very patient with our daughter.
Response from the owner:Thank you for your wonderful review, Steve! We're thrilled to hear that your daughters had a great experience with us, especially as your youngest begins her braces journey. Our team truly values patience and kindness, and it’s great to know they made such a positive impact. We appreciate your trust in us and look forward to continuing to support your family!
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.
nancy R.
Absolutely wonderful experience. I have some questions and am looking forward to speaking with them soon. They are so enthusiastic about what they offer they go all out to please their patients in every way.
Response from the owner:Thank you for your wonderful feedback! We're thrilled you had a positive experience. Your questions are important to us, and we look forward to discussing them with you soon. Thank you for choosing us!
KERRI F.
Third child to get braces with Dr. Otto & as always, she and her team are just tremendous!! Cannot recommend them enough🙌🏼!
Response from the owner:Thank you for your wonderful review, Kerri! We're thrilled to hear that you and your family have had such positive experiences with Dr. Otto and our team. Your recommendation means a lot to us!
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!
Sara S.
Great first experience! Every staff member we encountered was phenomenal from scheduling our consultation to the orthodontist and everyone in between. The office is clean, decorated great for teens, and upbeat. ALL staff was smiling and seemed to enjoy being there. They have state of the art technology and the best pricing I have seen in the area. Our consult was quick (but not rushed, they answered all my questions). They just really had everything put together well and streamlined. Dr. Larkin was super friendly and didn’t push any appliances or upgrades we didn’t need. We were able to have my daughter’s braces placed that day! Dr. Larkin was able to remove a pesky loose tooth that had been holding on for months without numbing medicine for my child without tears. The staff knows how to talk to kids/teens to keep them engaged and make them feel at ease. They have a pretty sweet rewards program to keep kids on track and an even sweeter looking “Braces Off Bar”. I have seen Otto Orthodontics baskets donated at a few fundraisers I have been to and they also have the cutest booths at many community functions around town. It’s great that they give back to their community and stay involved throughout the year! No wonder they were voted #1 Orthodontist!
Response from the owner:Thank you so much for your wonderful review, Sara! We are thrilled to hear that you had such a great first experience with us and that our team made a positive impression. It's great to know that our efforts to create a welcoming and supportive environment for both clients and their families are appreciated. We look forward to continuing to serve you and your daughter as she progresses with her braces!
Arshley W.
First appointment went great!! I had a wonderful experience at this dental office. The staff was welcoming and supportive, making me feel comfortable throughout my first appointment.They took the time to guide me through the steps while answering all my questions and thoroughly explaining my dental issues. I truly appreciate their professionalism and kindness. Looking forward to my journey!!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your first appointment was a positive experience. Our team looks forward to supporting you on your orthodontic journey. See you soon!
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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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