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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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      • About Invisalign
      • Invisalign For Kids
      • Invisalign For Teens
      • Invisalign For Adults
      • Invisalign for Senior Adults
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      • Invisalign Care
    • Other Treatments
      • Two-Phase Treatment
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      • Injectable Lip Filler
      • Surgical Orthodontics
      • Teeth Whitening
      • TMJ/TMD Treatment
      • Common Appliances
      • Botox
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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.
Donielle W.
I had my top braces put on today and had a great experience from start to finish. My appointment was right on time, which I really appreciated. The team explained everything clearly and made sure I understood what to expect during and after the process. They also gave great advice on how to properly care for my braces moving forward. Overall, very professional, efficient, and informative—highly recommend!
Response from the owner:Thank you, Donielle! We’re thrilled to hear about your positive experience with our team during your appointment. Your satisfaction is our priority, and we appreciate your recommendation. Welcome to your orthodontic journey!
Chelsey M.
Otto orthodontics was fantastic. From the consultation to getting braces off. Dr. Roland is amazing and so sweet. The staff at Wentzville is always smiling and nice! Highly recommend!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to creating a welcoming atmosphere for everyone, and it's wonderful to know that our efforts resonate with the community.
Shaunda C.
Oh man! They are great! I had no baby sitter so I had to bring the 2 year old with me. She talked loud and ran around the whole office and worker joined in and played with while i received the services that I came for. I won’t bring here next time but if I had to I know it would not be a problem. The doctor that I saw was great! I couldn’t have asked for better service. Thank you
Lauren L.
Staff is so friendly and helpful. Happy to answer any and all questions. Great experience all the way around and my daughters teeth look amazing!
Response from the owner:Thank you for your wonderful feedback, Lauren! We're thrilled to hear that our team's friendliness made your experience enjoyable. It's fantastic to know your daughter's smile is looking amazing. We appreciate your kind words!
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.
Response from the owner:Thank you, Susan! We're thrilled to hear that your boys enjoyed their visits and the reward system. Our team is dedicated to making every appointment a positive experience. We look forward to seeing you all again!
D D.
Beautiful office, friendly staff and doctors, most up- to- date technology. We are excited to start treatment in a few weeks!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear you appreciate our office's environment and technology. We look forward to starting your treatment journey together soon at Otto Orthodontics!
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.
Jodi B.
The staff is very friendly and has been incredibly helpful assisting us in resolving an ongoing insurance issue. Their pricing and recommendation was the best among the 3 consultations we had with 3 different ortho providers.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming atmosphere, and it's rewarding to know that our efforts resonate with the community. Your support is greatly appreciated!
Tammy R.
I cannot recommend this practice enough! Every time I walk through the door, I am always welcomed with a smile from staff. Being an older patient, I always wished for a better smile. Without question, The Wentzville team made my Invisalign journey incredibly smooth. The team is professional, the office is efficient, and my teeth look absolutely perfect. Thank you! If you are thinking about getting orthodontic work, this is definitely the place to go!!
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!
Laura P.
Wow! Excellent experience for our first visit to get my daughter’s braces on! Already so appreciative of the highly professional and friendly staff!
Response from the owner:Thank you for sharing your positive experience, Laura! We’re thrilled that your daughter's first visit was so enjoyable. Our team is dedicated to providing exceptional care and a welcoming environment. We look forward to seeing you both again!
Lauren S.
Every visit is super quick and informative and they provide delicate hands and compassionate care.
Response from the owner:Thank you for your wonderful review, Lauren! We're thrilled to hear that you find our visits quick and informative, and we pride ourselves on providing compassionate care. Your kind words inspire us to keep improving our services!
Katie W.
Great experience!! The Mid Rivers location was always ready for us with little to no wait time. They were gentle with my child with braces and it was a smooth, quick, and efficient process at every visit.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
Holly P.
The staff and doctors are very friendly. They have made the process of getting braces very easy. We look forward to working with them for the next few years on our child's new smile!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment for everyone. It's wonderful to hear that this commitment is recognized.
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!
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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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