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Dr. Kirsten Karkow

otto-matic confidence in every smile

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. 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!

4 exam rooms with patients being seen
Rae N.
5 months in and couldn’t be more impressed with my progress. Every visit is so quick and easy and everyone is always so nice.
Response from the owner:Thank you, Rae! We’re thrilled to hear you had such a positive experience with our team. Your comfort and understanding during the Invisalign process are our top priorities. Excited to support you on this journey!
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.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized. Your support is greatly valued!
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!
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!
Pam M.
I am a senior (not in school LOL!) and first time braces wearer. To say I was apprehensive is a down play. But Jana answered ALL of my questions and explained everything step by step. Then Dr Otto came in and answered even more of my questions. I was also able to set up an interest free payment plan which was perfect. When I returned to get my braces, everything went well. Such a good experience and no one made an issue of my age or my very crooked teeth. I look forward to a great smile in 1.5 years. Thank you Otto Orthodontics
Response from the owner:Thank you for your wonderful feedback, Pam. We're thrilled to hear that Jana and Dr. Otto made your experience comfortable and informative. Your journey towards a beautiful smile is truly inspiring!
Mandy D.
The staff was super friendly and personable. They took time to explain everything to myself and my son. Upfront pricing with no hidden costs, love it!
Response from the owner:Thank you for your wonderful review, Amanda! We're thrilled to hear that you and your son had a positive experience with our team. Our goal is to provide clear communication and friendly service. We appreciate your support and hope to see you both again!
Ellen M.
Dr.Patterson and her team of assistants are delightfully professional, friendly, and proficient at their “jobs”. It’s a happy place to come!
Response from the owner:Ellen, thank you! Dr. Patterson and our assisting team will be so glad to hear this, and we love that it feels like a happy place to visit.
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!
Briana T.
I go here for my braces I love this place, affordable, kind and quick! I highly recommend this place !!!
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.
Jen N.
The office of Otto Orthodontics is great. My daughter has been going to their Fenton office for the last 2 years for treatment. Today she completed her braces regimen and we are so very happy with the results. The staff and doctors are friendly, knowledgeable, patient, and professional. I would definitely recommend their services.
Response from the owner:Thanks so much for the review Jen! It was so great meeting you and your daughter yesterday! Looking forward to seeing you guys again- thank you! :)
Chelsea F.
Our daughter got her braces on today, and we had a fantastic experience! The office personnel were professional and kind, and I love that I was able to sit alongside my daughter during this experience. Thank you, Otto Ortho!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to hear that this commitment shines through.
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.
Missy A.
I had my initial consult with them on Tuesday. Everyone was knowledgeable, kind, and efficient. I will be starting Invisalign with them and I’m so excited!
Response from the owner:Thank you for sharing this. Kind, knowledgeable and efficient is exactly what we aim for, and we are excited to get started.
Elizabeth Gambaro P.
My 9 year old twins are in phase one orthodontic treatment with this office and we could not be happier. The staff is so kind and accommodating, and my kids’ teeth are already looking so much straighter. Dr. Otto is so compassionate and even met me after Hours to fix a bracket on my son’s tooth that was loose before we were going on vacation.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's rewarding to know that our efforts resonate with the community.
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
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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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