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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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  • Patient Resources
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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.
Angel W.
They where very patient with us and answered all my kids questions with out hesitation and didn’t rush out. They explained prices and how everything was going to work and made me feel confident that my kids teeth are going to be taken care of not just their teeth taken of but they was going to be taken care of too by people that care
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. We are glad to hear our efforts make a positive difference.
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!
Lauren J.
We had our first appointment with Otto yesterday and it was honestly the quickest, most efficient appointment ever. They were so friendly and gave us all the information we needed! Highly recommend!
Response from the owner:Lauren, thank you! Quick, efficient visits with a friendly team are what we work hard for, so it is great to hear that is how your first appointment went.
Page B.
My son is a new patient at Otto. Their staff is always super friendly, clean office, and smooth visits.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your son's visits have been positive and that our team has made a great impression. We look forward to continuing to provide excellent care!
Kathryn F.
The assistant, Macy did a great job!!! She made me feel comfortable about the work that was doing and explained everything in great detail.
Jen K.
I was treated in the Des Peres office for braces. Every part of the 24 month treatment plan has been smooth and efficient. Dr. Otto, Dr. Larkin and the entire staff are top notch and very caring. Everyone seems to enjoy their work life which leads to wonderful patient care. Also my teeth look great! 😁
Response from the owner:Jen, thank you for such a thoughtful review! Smooth, efficient visits from start to finish are exactly what we aim for, and Dr. Otto, Dr. Larkin, and the whole team will appreciate hearing this.
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.
Jessica G.
Great experience! My daughter isn't quite ready for braces yet, and I really appreciated how honest and upfront they were about that. Everyone was so friendly, professional, and made us feel welcome. I highly recommend them!
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
Tim S.
Just committed to second round of teeth straightening for our daughter Sophia. Otto orthodontics was amazing start to finish with her first round. Looking forward to her completed process! Don’t look further for an amazing orthodontist experience for your kiddos!
Response from the owner:Thanks for leaving us a review Tim- your comment about our professionalism is much appreciated. We are so grateful for your business and kind words!
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!
Chelsey M.
Otto orthodontics was fantastic. From the consultation to getting braces off. Dr. Roland is amazing and so sweet. The staff at Wentzville is always smiling and nice! Highly recommend!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to creating a welcoming atmosphere for everyone, and it's wonderful to know that our efforts resonate with the community.
Camme S.
phenomenal. EVERYONE on staff is so informative, polite, and courteous. They take time to explain things thoroughly and are helpful every step of the way ; they also offer flex payment plans. The software and advanced equipment is next level. The office is also so unique- fun and beautiful. I cannot stress enough how well my care AND aftercare has been. I would highly recommend
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that our team made such a positive impact on your experience. Your recommendations mean a lot, and we look forward to continuing to provide exceptional care!
Kasey F.
We love Otto! Nicole has been working with my son Leo and she has been exceptional. Dr. Larkin is amazing, as well. Nicole lets my daughter, Rowan, be her little assistant and now she wants to be an Orthodontist when she grows up because of her. My kids always have a good time 😊
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a supportive and professional environment, and it’s rewarding to know that our efforts resonate with the community.
D. D.
Today I went in to start my aligner treatment and the entire staff was great. Starting with the receptionist, to the dental assistant, and Dr. Otto. Everyone was super nice and had great energy! I feel like I made the right decision choosing them for my orthodontic treatment. I’m looking forward to see my results!
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.
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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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Related Pages:
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