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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
Chanda M.
We have had such a wonderful experience with Otto orthodontist office! My son only had his braces on for 13 months, and part of the reason we had to wait a little longer was simply because we were waiting for some of his teeth to come in. Throughout the entire process, the whole team has been amazing to work with. One thing that really stood out to us was how accommodating and flexible they were. Even when our regular office didn’t have an appointment available, they gave us options to visit one of their other locations. No matter which office we went to, we were always greeted by friendly, helpful, and professional staff who made us feel comfortable. Everyone has been so patient, kind, and knowledgeable throughout my son’s orthodontic journey. We truly appreciate the care they provided and how smoothly they made the entire process for both my son and our family. We are so happy with his results and would absolutely recommend this orthodontist to other families looking for great care and a team that genuinely cares about their patients!
Shelby D.
Starting the orthodontic process with our son felt a little overwhelming and the team at Otto was patient, transparent, and informative as we navigated it. Our son was comfortable the whole time and had all of his questions answered too. I’m glad this is where we chose to go!
Barry P.
Dr. Larkin and his team are awesome. What a great experience. I did not know what to expect. The team was very professional and so helpful.
Brennan L.
Otto Orthodontics has been nothing but amazing! They have such a warm and welcoming atmosphere. We recommend them to anyone!
Ashley W.
As an adult it is intimidating to get your teeth fixed. They have made me feel so comfortable and are always so kind to my kids when I have to bring them to appointments with me. ❤️ They are the best!
Susan T.
We had great experiences with our kids at Otto Orthodontics. They have the best staff! The boys loved the reward system and actually looked forward to their appointments.
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.
Heather
Otto is amazing. The personal care I got today was incredible. I did not expect how above and beyond the staff would go to accommodate a wrong time that I wrote down. But they worked their magic to make it happen for me to be seen today. I did not feel like just another patient today. Oyyo really cares about the patient rather than what is convenient. Thank you so much OTTO.
Tom H.
They are the friendliest and great customer service. I really appreciate being able to communicate with them via text.
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!
Ruth S.
Dr. Otto & her staff are excellent. Friendly, courteous, knowledgeable & professional.
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.
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!
Emmy K.
Dr. Otto was able to have our son come in outside of office hours to repair his appliance that came undone. We appreciate the quick and attentive response to his needs!!
Christine S.
Michelle has taken such good care of our son. We have had a great experience and know we are in great hands!
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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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Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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