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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
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      • Braces for Senior Adults
      • 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.
Lauren K.
Very thorough in the explanation of each step of the service. They really made my 8yr old feel comfortable!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Brooke T.
Nothing but amazing things, the staff is absolutely amazing! We love our visits in for my son. Highly recommend.
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Katie W.
Going back to Otto for my second daughters ortho needs! Otto is the best and I highly recommend them!
Response from the owner:Thank you for your fantastic review, Katie! We're thrilled to hear that you had such a positive experience with our team. Your recommendation means a lot to us, and we look forward to continuing to meet your orthodontic needs!
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!
Jessica M.
Every time we walk in we feel welcome! The girls and Dr. Larkin are great. Not only are they knowledgeable and do a great job, but they are fun and inviting. You can tell they enjoy their job!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to know you feel welcomed and enjoy the atmosphere we create. Our team truly loves what they do and appreciates your recognition of their efforts!
Brittany S.
Otto Orthodontics has been so welcoming and great with my son. Looking forward to the results.
Andrea S.
First appointment out of many for two of my kids today. I was super impressed by Nichole she was amazing with my 8 year old who was very nervous about getting his expander and does not do well with the unknown. Thank you Nichole!
Response from the owner:Thank you for your wonderful feedback, Andrea! We're thrilled to hear that Nichole made your child's first appointment a positive experience. We look forward to seeing you and your kids again soon!
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!
Kelly H.
Today my son received his top set of braces and our experience from the consultation to today with Otto Orthodontics has been amazing. All of the ladies made my son comfortable and they were so informative and we left today knowing exactly how to take care of his new braces. Even though we’ve only been going for a short time, I highly recommend them. They are just lovely 🥰
Nicholas R.
Always a great experience! Friendly staff and they are able to get you in and out for your appointment pretty quick.
Response from the owner:Thank you, Nicholas! We’re thrilled to hear you had a wonderful experience with our team. Quick appointments and friendly service are our top priorities. We look forward to seeing you again soon!
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!
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!
Kimber E.
Took me a long time to pick a place for my daughter's orthodontist work. And Im so glad I picked this place. They are so nice and so easy to deal with making appts and changing appts. And they are efficient and I love that the appts dont take forever.
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you found our team friendly and accommodating. Efficiency is important to us, and we're glad your experience reflected that. We appreciate your trust!
Isabella M.
Love coming to ortho in Fenton!! The friendliest staff and attentive staff members!! Always a great experience!!
Response from the owner:Thank you for your kind words! We’re thrilled to hear you enjoy visiting our team in Fenton. Our staff always strives to provide a welcoming and attentive experience. We look forward to seeing you again soon!
N C.
We had a great experience at Otto Orthodontics! The whole staff is so friendly and bubbly! Highly recommend!!
Response from the owner:Thank you for your wonderful feedback, N! We're thrilled to hear you enjoyed your experience with our friendly team. Your recommendation means a lot to us. We look forward to welcoming you back!
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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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Wednesday 8:30am – 5:00pm
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Friday 7:30am – 4:00pm
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