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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
    • 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
      • Injectable Lip Filler
      • Surgical Orthodontics
      • Teeth Whitening
      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
      • Orthodontic Retention
      • Cleft Care
      • Special Healthcare Needs
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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

Complimentary Consult
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.
Kaitlin T.
such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
SALLY S.
Can’t say enough great things about Otto! Everything is done to the highest quality.
Response from the owner:Thank you, Sally! Your kind words about the quality of our work truly motivate our team. We're committed to providing excellent service, and we're thrilled to hear you had a great experience with us!
Chasitie P.
Everyone is so helpful and answered every question we had in regards to my daughter’s treatment. They are very pleasant and make it fun and comfortable for the girls. We are happy we chose Otto Orthodontics for both of my daughters’ care.
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.
Halle J.
I just got my Invisalign off today and this whole process with Otto has been so incredibly painless and absolutely wonderful! Every Dr and assistant I had could not have been nicer and really made me feel welcomed and heard. I would Reccomend Otto time and time again! 🩷
Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that your Invisalign experience with Otto was smooth and enjoyable. Our team is dedicated to making every visit welcoming and supportive. We appreciate your recommendation!
Kingdom R.
Had a very pleasant experience getting my braces for the first time! I love my teeth!! They're so friendly and welcoming & customer service is always top tier!!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Marissa P.
After the first consultation my daughter loved the staff and very comfortable with the place! This is what made us go with Otto orthodontics! Ever since they have been very communicative and friendly! Love the point system they offer as well. Highly recommend them.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again 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.
Lynda B.
Absolutely wonderful staff. The dental assistants were great and patience with our son. Walked him through everything they would be going. The doctor was a peach. No complaints!
Response from the owner:Thank you for your wonderful feedback! We're delighted to hear that our team made your son's visit so positive. Your kind words about our staff and the care provided mean a lot to us!
Michael L.
I was told that going with Invisalign would be a better option and more cost effective. Upon receipt of the estimate, it was the same as a more complicated case of braces for another family about 14 months prior. I feel that the information was misleading. My original post did not reflect the true comparison of the cost between the two treatment plans. After further review I realized now that the cost of Invisalign is a more cost-effective option. Thanks, Otto, for helping me to understand the treatment options, cost, and for our family's current treatment.
Response from the owner:We truly appreciate you leaving this review! Our team strives every day to make our office a place where patients feel welcomed and well taken care of.
Sarah B.
Beautiful office! The staff was great at making my daughter feel comfortable and explaining the process. Wonderful experience.
Response from the owner:Thank you for your kind words, Sarah! We're thrilled to hear that our office and staff made your daughter feel at ease. Providing a wonderful experience is our top priority. We look forward to seeing you again!
April K.
This place never disappoints. They are so kind and gentle with you; you can’t help but feel comfortable here. I highly recommend them.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team's kindness and gentle approach made you feel comfortable. Your recommendation means a lot to us!
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
Ornir B.
For years I was struggling with my teeth endless dr appointments with so many different issues and finally I got to the point where I can move on to the cosmetic part to bring back a great smile i always wanted to have! From the moment I walked inside otto orthodontist I felt the care the sensitivity the warm welcome and the top technology that made feels that this is dr i wanted to treat me! Otto orthodontist team thank you very much!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
Linda D.
Consultation and went with the plan. Staff and Dr were friendly and answered all my many questions!
Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
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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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Friday 7:30am – 4:00pm
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