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      • About Invisalign
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Dr. Kirsten Karkow

otto-matic confidence in every smile

Dr. Kirsten Karkow smiling in a white coat

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 office interior with multiple treatment stations and staff attending to visitors
Amber R.
Adilyn got her lower Braces today!!🤩😃 Just in time for school to start. Thank you Nichole for your super great work with Adilyn! 👏🏻 Ok, this is so old. I am just adding to this post as the newest update is Adilyn is doing great! Kylie is Amazing!! Smile is looking great! Thank you Kylie & Dr. Larkin!!! Thank you again!!! Amazing visit 🤩🤗 What’s up! I don’t know if this has actually posted in the past. But… Today 5/21/26 Adilyn is doing GREAT!! Thank you so much Kylie & Dr. Larkin!
Brennan L.
Otto Orthodontics has been nothing but amazing! They have such a warm and welcoming atmosphere. We recommend them to anyone!
John G.
Super friendly staff. Communication is top notch. Price is affordable! Very happy with Otto Orthodontics!
Casey B.
Absolutely love this place, They make it feel like you’re hanging out with friends. Would recommend them to anyone
Kate Tranquilli W.
I used OTTO for myself and my daughter, A+ customer experience and orthodontic excellence. Happy with our outcome and the experience throughout. This might seem small, but texting to schedule or reschedule was huge for our busy lifestyle. Thank you!
Sierra W.
Wonderful team and doctor. Great experience every time we come. Would highly recommend!
Tara
We had a great experience at Otto Orthodontics! Everyone was always so welcoming and friendly, and they did a great job explaining what was going on and what to expect throughout the process. My son always felt comfortable and well taken care of. We’re very happy with our experience and would definitely recommend them!
TK B.
Prompt, easy, courteous, professional, informative, and this is just day 1. Stay tuned…
Janice M.
Everyone in the office was so nice and attentive from the time I booked my son’s consultation to the time we left.
Anne M.
Our experience was excellent! She got her braces off today and has a beautiful smile!!
Ashley G.
Walked in for a consult and left with braces for my 16 year old an hour and forty five minutes later. The most pleasant staff! Couldn’t imagine going anywhere else!
Christen Z.
My whole family has been treated by Otto and we’ve been super happy with them! The staff is very friendly and they make you feel comfortable during the whole process. We highly recommend them!
Betsy G.
Dr. Larkin is wonderful. He is great with the kids and the parents. And all of the staff is super friendly and make the process as easy as they can. It's a fun environment for something that is just naturally not fun at all.
Meera R.
Holly and Dr. Otto were so kind and patient with my daughter and I! We are very thrilled!
Judy N.
Fabulous Orthodonics, especially for a seven-year-old getting braces for the first time. Alivia was outstanding, kind, calm, gentle and talked to my granddaughter the entire time, telling her what was being done. I can't thank her enough for how she treated my Granddaugher! Awesome! Highly reccommend for all ages.
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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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  • Des Peres, MO
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Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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