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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
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!
Maggie B.
Dr Karkow and team were excellent during my Invisalign journey!! They really made sure I was happy with my results and were all very friendly. Would highly recommend.
Kayla G.
This is a fantastic place. Very knowledgeable, personal and friendly staff. They are so patient with my daughter holds the candy bar hostage, and refuses to cooperate. They just stay calm in the midst of the chaos.
Kristen V.
We love Otto Orthodontics! The staff is so friendly and welcoming and we appreciate the incentives for the kiddos.
Kelsey L.
They gave me the mold of my teeth that they no longer needed…That was super cool, I’m going to show everyone at my Work!!! 🤣🤣🤣 I love it!!!
Marion H.
I highly recommend Otto Orthodontics because of their professional and friendly staff, convenient scheduling to fit my needs, quality of care and the beautiful smile they gave me. Thank you to the entire Saint Peter’s Otto Orthodontics staff, you guys are truly amazing.
David F.
Everyone is so nice and they are very efficient. Love Dr. Otto, she's terrific. I am so pleased with the progress they are making with the corrections to my teeth.
Jill M.
Our daughter just finished phase one of Orthodontic work and we’ve been extremely happy with the results. The staff have been wonderful too!
Tiffany K.
Everyone at Otto Orthodontics is incredibly friendly, welcoming, and professional. They took the time to explain everything thoroughly, making us feel comfortable and informed throughout the entire process. My kids actually look forward to going to their appointments, which says a lot! We highly recommend Otto Orthodontics to anyone looking for exceptional orthodontic care.
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!
Antonia D.
Otto Orthodontics is fantastic! They’re efficient, appointments are easy to book, and I’ve never had to wait long to get in. I also really appreciate their use of modern technology and their up-to-date approach to orthodontic care. Highly recommend!
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!
Tom H.
They are the friendliest and great customer service. I really appreciate being able to communicate with them via text.
Allison D.
Dr. Otto is an earth angel!!! I am grateful our paths crossed. We had an unfortunate experience where my 10 year old knocked out her front two teeth at a friend’s home. At this point, we were not a patient of hers and did not know her. She lived nearby, hopped in her car in her PJs (god love her), came over to reinsert the teeth. Dr Otto continued to check in while we were at Children’s hospital and days/weeks following. She researched and offered guidance on when to start braces. Today was an exciting day with brackets ❤️ Update 8/18/2026– She has had her braces on for 6 months and I am shocked with the progress!! Thankfully no ankylosis
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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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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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