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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
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!
Samantha M. K.
I sometimes am a little pessimistic of overwhelmingly 5-star reviews, because some practices incentivize them without disclosure, but I have to say - this place and the folks here are pretty great and I have no incentive to say so.

No one tried to sell anything to me or push me to make a decision, which is frankly why I left my other provider. The space also doesn’t have the gloomy, archaic setting that dental practices sometimes suffer from, if that matters to you and your kiddos.
Response from the owner:Thank you for your thoughtful review! We're delighted to hear you had a positive experience with our team and enjoyed our welcoming environment. Your comfort and satisfaction are our top priorities. We look forward to seeing you again!
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!
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!
Janet B.
I had a wire that poked a little bit into my cheek. They were able to get me in and replaced the wire the same day. Kaitlyn was super nice and got me in and out really quick.
Response from the owner:Thank you, Janet! We're thrilled to hear that Kaitlyn provided you with quick and friendly service. Your comfort is our priority, and we're glad we could assist you the same day.
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!
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.
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!
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!
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!
Rae N.
Officially got my Invisalign today! Everyone at otto has been amazing! Making me feel as comfortable as possible through this whole experience both physically and mentally as far as explaining everything very well and making sure to answer any questions. All my nerves are calmed and I am very excited to continue this journey with them.
Response from the owner:Thank you, Rae! We’re thrilled to hear you had such a positive experience with our team. Your comfort and understanding during the Invisalign process are our top priorities. Excited to support you on this journey!
Jewel W.
I chose Otto due to their consistent 5 star ratings, and am so thankful I did. All of the staff has been phenomenal. They were clear about the process, answered any questions I had, and Ashley checks on me to see how I am doing through treatment. Absolutely amazing service. I have already recommended them to co-workers, friends, and family.
Kelly P.
They took suck good care with my son getting his braces on. They answered all of his questions and taught him how to take care of them.
Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that your son felt well cared for during his braces appointment. Our team is always here to support and educate our patients.
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!
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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