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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 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
Racquel F.
We had the best experience today at Otto Orthodontics! My son got his braces, and everything from start to finish was seamless. Dr. Otto is truly a professional...so knowledgeable, kind, and great with kids. Every single person on her team was amazing and made us feel so comfortable. We’re so grateful and highly recommend her to anyone looking for exceptional orthodontic care.
Response from the owner:Thank you for your wonderful review, Racquel! We're thrilled to hear that your son's experience was seamless and that our team made you feel comfortable. We appreciate your recommendation and look forward to seeing you again!
Jaime E.
My daughter just started her journey here but wow! Such a friendly office!! Everyone goes out of their way to make you feel comfortable. Even after your appointment, they reach out to check in on you. Highly recommend coming to Otto!!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your daughter feels comfortable in our office. Our team is dedicated to providing exceptional care and support. We appreciate your recommendation!
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!
Liz H.
We love Otto! Friendly staff, modern office, flexible scheduling, and great incentive program for patients.
Response from the owner:Thank you, Liz! We're thrilled to hear you love our friendly staff and modern office. Your satisfaction is our priority, and we look forward to continuing to provide you with excellent care.
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.
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!
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!
Jessica M.
Dr. Otto is the best! She is so knowledgeable and really takes time to walk you through all of the options and answer any questions! The staff’s genuine friendliness and warmth helps to make the entire experience a pleasant one! We have been so pleased with Otto Ortho!
Response from the owner:Thank you Jessica!
Kim T.
Everyone here is amazing and so friendly. My daughter was so scared to get braces and they made the process so easy! We love Otto orthodontics!!!
Response from the owner:Thank you for your wonderful feedback, Kim! We're thrilled to hear that our team made the braces process easy for your daughter. We appreciate your support and look forward to seeing you both again!
Janet B.
This was my 1st experience with an orthodontist. As an older adult I wasn't sure how I would be treated; braces are for kids after all. I was pleasantly surprised by how welcoming everyone was! The staff is so friendly and extremely knowledgeable. I highly recommend Otto Orthodontics to anyone getting braces, including adults.
Response from the owner:Thank you for your wonderful review, Janet! We're thrilled to hear that you felt welcomed and well cared for during your visit. Your recommendation means a lot to us. We look forward to seeing you again!
Brooklyn H.
My son is starting his Braces journey with Otto. The staff has all been very kind and patient with him 😊
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your son is starting his braces journey with us. Our team's kindness and patience are essential in making this experience positive. We look forward to supporting you both!
Dana A.
Every single person that works there is kind and caring! They are so welcoming! This is an incredibly special place!
Response from the owner:Thank you for your wonderful review, Dana! We’re thrilled to hear that our team made you feel welcomed and cared for. Your kind words inspire us to continue providing exceptional service.
James E.
I walked in, they got me checked in and they got my teeth scanned for new retainers. That same hour. Fast service 5 stars.
Response from the owner:Thank you, James! We're thrilled to hear you had a fast and efficient experience with us. Your satisfaction is our priority, and we look forward to helping you achieve your perfect smile!
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 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 🥰
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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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