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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
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      • Invisalign for Senior Adults
      • SmileView Simulator
      • Invisalign Care
    • Other Treatments
      • Two-Phase Treatment
      • Dentofacial Orthopedics
      • Injectable Lip Filler
      • Surgical Orthodontics
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      • Common Appliances
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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!

4 exam rooms with patients being seen
Missy D.
We love Otto Orthodontist everyone is great to work with and always and helpful and full of smiles!! Thanks for being great!!
Response from the owner:Thank you for your kind words, Missy! We're thrilled to hear that you enjoy working with our team. Your positive feedback about our smiles and support means a lot to us. Looking forward to seeing you again!
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.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience with Dr. Larkin and our team. Your satisfaction is our priority, and we look forward to seeing you again!
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!
Tim S.
Just committed to second round of teeth straightening for our daughter Sophia. Otto orthodontics was amazing start to finish with her first round. Looking forward to her completed process! Don’t look further for an amazing orthodontist experience for your kiddos!
Response from the owner:Thanks for leaving us a review Tim- your comment about our professionalism is much appreciated. We are so grateful for your business and kind words!
Jeanne C.
The entire staff is wonderful! The information provided about options for orthodontics was thorough. The dentist took her time explaining information and allowing time for questions; she is very personable! The facility is clean and beautiful.
Response from the owner:Thank you, Jeanne! We're thrilled that our team made such a positive impact during your visit. It's our priority to provide comprehensive information and a welcoming environment. We look forward to seeing you again!
Susan C.
What a great Orthodontic office. Everyone was professional and easy going. The group took care of my old retainer and put a new one in. I will be going back and highly recommend Otto Orthodontics to anyone looking for care.
Response from the owner:Thank you for your wonderful feedback! We’re thrilled you had a positive experience with our team. Your recommendation means a lot to us. We look forward to seeing you again at Otto Orthodontics!
Kevin D.
My daughter goes there and it’s always been friendly, a short wait, I like the little things about the office that makes it their own. Not just another boring medical office.
Response from the owner:Thank you for your wonderful feedback! We're delighted that your daughter enjoys her visits and appreciates the unique touches we offer. Creating a friendly environment is our priority. We look forward to welcoming you both again soon!
Sandy L.
Great experience getting an Invisalign setup today! The whole process was easy, painless and very professional. Then entire staff is friendly and engaging, especially Dr. Otto!
Response from the owner:Thank you for sharing your positive experience! We're thrilled to hear that the Invisalign setup was seamless and that our team, especially Dr. Otto, made you feel comfortable. Your kind words motivate us!
Evan G.
Amazing orthodontic place I always would recommend this orthodontic for anything Jana is the best person there she gives you all the information and is super helpful
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you find our practice amazing and that Jana provided you with exceptional service. We appreciate your recommendations and look forward to seeing you again!
Susan S.
Highly recommend! Everyone was super friendly, my appointment started exactly on time, and the treatment plan was clearly outlined. Great experience!
Response from the owner:Thank you for your fantastic review, Susan! We're delighted to hear that our team provided a welcoming atmosphere and that your appointment was timely. Your great experience is our top priority!
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!
Amber R.
Adilyn got her lower Braces today!!🤩😃 Just in time for school to start. Thank you Nichole for your super great work with Adilyn! 👏🏻 Ok, this is so old. I am just adding to this post as the newest update is Adilyn is doing great! Kylie is Amazing!! Smile is looking great! Thank you Kylie & Dr. Larkin!!!
Thank you again!!! Amazing visit 🤩🤗
What’s up! I don’t know if this has actually posted in the past. But…
Today 5/21/26 Adilyn is doing GREAT!! Thank you so much Kylie & Dr. Larkin!
Response from the owner:Thanks Amber!
Alexa S.
Otto Orthodontics- Wentzville is great! From scheduling, checking in, x-rays and pictures, down to the consultation! Everyone in the office is so friendly! Courtney and Ashley were great with my daughter and she is super excited to get her braces now!
Samantha B.
Although we don't go here anymore (double insured we needed to find a place that took both our insurance's) we absolutely loved it when we did! This office is truly full of dedicated wonderful staff that go above and beyond to make what can be a scarey experience so calm and inviting! The environment they created is fun and vibrant while still having that comfy cozy feeling making it a more relaxing experience than you would think possible for an orthodontist office. My girlie's really enjoyed the artwork and neon pink signs but they really thought it was cool the staff had matching shoes!! The kiddos like to dress up the same so that was like coolest thing for them! The best thing overall though was the ease of communication between the staff, orthodontist, myself, and my daughter! They just really made an effort to make you feel heard when asking questions, answering questions, explaining, just all of it!!! 10/10 I wish every office I HAD to go to was this way, I'd never miss any appointments! 😆
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that you and your daughters enjoyed the vibrant atmosphere and dedicated service at our office. We appreciate your kind words and wish you all the best!
Mylea N.
Wonderful place! Front desk always on top of everything and the dental assistant are amazing.
Response from the owner:Thank you for your kind words, Mylea! We pride ourselves on our attentive front desk and dedicated dental assistants. Your positive feedback truly motivates our team to continue delivering exceptional service. We appreciate you!
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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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