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Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
  • Our Practice
    • Who We Are
    • What Sets Us Apart
    • Meet Our Doctors
    • Meet Our Team
    • Locations
    • Our Technology
    • Community Involvement
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  • Orthodontics
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      • Types of Braces
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      • Braces Care
      • Color My Braces
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      • Two-Phase Treatment
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Dr. Kirsten Karkow

otto-matic confidence in every smile

Dr. Karkow, orthodontist at Otto Orthodontics, smiling in a white coat with the practice logo, representing expertise and care in orthodontic treatments.

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. I also have specialized training in orthodontic care for patients with cleft lip and palate and special healthcare needs, and it’s some of the most meaningful work I do. 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.

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!

Orthodontic clinic interior with dental professionals assisting patients, featuring modern equipment and vibrant artwork.
Amy F.
Absolutely a wonderful experience! I wish I could have done it years before but since I could not, I’m thrilled to have do it at at 55!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a positive and professional atmosphere for everyone. We are glad to hear that effort is noticed.
Olivia M.
I just finished my treatment after almost 2 years! Every visit has always been great, from walking in the door to leaving every single person I encountered was absolutely AMAZING! I will always recommend Otto to EVERYONE! Thanks for being so fabulous ladies💕
Response from the owner:Thank you, Olivia! We’re thrilled your daughter started her orthodontic journey with us. It’s great to hear she enjoyed the process and felt supported! We look forward to seeing her smile grow!
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!
Alicia J.
Dr Roland and all of the girls were so sweet, personable, professional, knowledgeable, and experienced! I will definitely be back for all of my ortho needs.
Response from the owner:Alicia, thank you for your wonderful feedback! We're thrilled to hear that you felt welcomed and cared for by our team. We look forward to assisting you with your orthodontic needs in the future!
Alicia B.
Wait wasn’t super long. Everyone was super nice and easy to talk to. They all took the time to listen to all of my concerns. Ashley was very informational making sure I understood everything and that I was satisfied before I left. 10/10 would recommend and will be back!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate with the community.
Tania P.
We had our 1st consultation, everyone was nice. We were able to get all the information (cost, timeframe, all the details and X-rays) we needed for my daughter to get braces. They were quick and very resourceful.
Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized.
Sarah K.
Initial placement of both my daughter's upper braces went quick and uneventful this morning! My girls were at ease and the assistants explained everything as they went along. The orthodontist was very kind and personable to me and my daughter's. We were in and out within an hour for both!
Response from the owner:Thank you for sharing your experience! We’re delighted to hear that your daughters felt at ease during their appointment and that our team provided thorough explanations. We look forward to seeing you all again!
Evan G.
Amazing orthodontic place I always would recommend this orthodontic for anything Jana is the best person there she gives you all the information and is super helpful
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you find our practice amazing and that Jana provided you with exceptional service. We appreciate your recommendations and look forward to seeing you again!
Brie K.
They did such a great job fixing my teeth. They were always so friendly and made the whole process so easy. I would 100% recommend them for braces!
Response from the owner:Thank you for sharing your thoughts! Comments like this remind us why we love what we do — helping patients feel comfortable and confident throughout their journey with us.
Darryl F.
Charity and Dr. Karkow are amazing. I want to to personally thank them and the entire staff. They're very passionate about taking care of the patients and I'm thankful they were part of this journey. I would give 20 stars if I could. The entire staff is awesome ‼️‼️‼️❤️❤️❤️ I will miss you guys. ❤️
BL B.
Otto Orthodontics has been great since day one. The staff is courteous and professional. Dr. Roland has watched my daughter's permanent teeth come in and recommended treatments that have helped her teeth come in straighter. They never pushed for braces, taking a wait and see what happens as the teeth came in. Now that she has started braces, they are taking their time, letting her get used to them. It is very different than when I had braces in the 80s. I highly recommend Otto to anyone who needs orthodontics.
Response from the owner:Thank you so much for taking the time to share your five-star experience with us. We truly appreciate your kind words and support. Providing a welcoming and positive environment is always our highest priority.
Tom
Dr. Otto is very attentive and professional, makes young patients feel at ease. Her staff is well-trained, friendly and the practice is very efficient at dealing with numerous patients. We have been very happy with Dr. Otto and recommend her to anyone seeking orthodontic treatment.
Jennifer W.
Otto Orthodontists is great. They took the time to answer all my questions and explain the Invisalign process in detail. They were all very nice and eased my daughter nerves.
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.
Response from the owner:Thank you, Jewel! It’s wonderful to hear that our team provided exceptional support throughout your treatment. We appreciate your referrals and look forward to continuing to help you and your loved ones achieve beautiful smiles!
Barry P.
Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
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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
Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
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