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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
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      • 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

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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.
Thomas J.
My daughter has a beautiful smile after just over a year, thanks to the amazing well trained professionals at Otto Orthodontics!
Catherine S.
Great experience and I would highly recommend them to anyone considering Invisalign treatment.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a welcoming and professional atmosphere for everyone. We are glad to hear our efforts make a positive difference.
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.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear about your positive experience with Dr. Otto and our team. Your satisfaction motivates us to continue providing exceptional care. We appreciate your trust in us!
Nicole S.
Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.
Sarah T.
Absolutely amazing team! Everyone is welcoming, professional, and supportive throughout the process. They made my son feel comfortable right away & I cannot say enough about how great our experience has been!! 10/10 would recommend.
Response from the owner:Sarah, thank you! A welcoming, supportive team that helps everyone feel comfortable right away is exactly what we aim for. We appreciate you sharing this.
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!
Response from the owner:Thank you, Shelby. Patient, transparent and informative is exactly how we want families to feel through the whole process.
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.
Kelly H.
Very thorough exam and explanation of benefits and care plan! We love the energy of OTTO. My children love it as do I.
Response from the owner:Thank you, Kelly! We're thrilled to hear that you and your children enjoyed the thorough exam and care plan. Our team is dedicated to creating a positive experience for all our patients. We appreciate your support!
Amanda C.
We went yesterday for our initial exam. They were unbelievably friendly. The kindness that every technician offered was a blessing. They explained everything and worked with us to walk through the whole process for braces and all the options. Even my son stated how kind and friendly everyone was. He was hesitant to get braces but now he's not. We will be continuing our journey with them and my son couldn't be happier.
Response from the owner:Amanda, what a kind thing to say, thank you! Friendliness and clear explanations from every member of our team are what we hope everyone feels, and we are glad that came through.
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!
Marissa P.
After the first consultation my daughter loved the staff and very comfortable with the place! This is what made us go with Otto orthodontics! Ever since they have been very communicative and friendly! Love the point system they offer as well. Highly recommend them.
Response from the owner:Thank you for your positive feedback! We're thrilled to hear you had a great experience with us. Your satisfaction is our priority, and we look forward to serving you again in the future.
Sara B.
The doctors and staff have all been wonderful here. My daughter has a complicated situation with missing teeth and the varied options were explained to us with thoughtfulness and care. Very pleased we and chose Dr. Otto as our orthodontist.
Response from the owner:Thank you for taking the time to share this. We are glad the options were explained clearly to you.
Jesse
Great experience all around. I visited many orthodontists and compared everything before making my decision, and Otto was easily the best choice: Great price for my treatment, best staff, best service. Can't say enough about them.
Kelly S.
My daughter (9) had her first appointment today, and she had such a great experience!! She was very nervous, but every staff member was so kind and reassuring. She can't wait to go back!!
Response from the owner:Thank you for the kind feedback! We love being able to make orthodontic visits a little easier and more pleasant for our patients and their families.
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
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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