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Meet Our Doctors

otto-matic confidence in every smile

Our Doctors

Meet Your

Amazing orthodontists

Amazing
orthodontists

All of our patients are unique individuals with specific needs and goals, and Dr. Otto and her extraordinary team of orthodontists treat each patient with personalized service.

Dr. Genevieve Otto

Dr. Genevieve Otto

Orthodontist

Growing up, I always had a passion for science and medicine as well strong creative interests in design and aesthetics. Orthodontics is the perfect field for me because I not only create functional, healthy smiles but also beautiful smiles that help balance facial aesthetics. While I treat patients of all ages, I really love that I can be a positive influence on many adolescents during a very influential time in their lives. I cherish the opportunity to help people in my own community and enjoy getting to know them during their treatment. A career in orthodontics has given me the opportunity to increase self-confidence by designing smiles that everyone is proud to show off. Being able to affect others in such a way is truly a gift.

Education

  • Bachelor of Science, Biomedical Sciences — University of Missouri
  • Doctor of Dental Surgery — University of Southern California
  • Master of Science & Certificate in Orthodontics — St. Louis University

Personal

I grew up in St. Charles, MO with my parents and two sisters who I am lucky to have a very close relationship with. Fortunately, my entire family still lives in St. Louis and I enjoy spending my free time with my parents, sisters, brothers-in-law and many nieces and nephews. My husband A.J. and I have three wonderful daughters of our own- Scarlett, Sloane and Teddi. When my husband and I are not running the practice, we love to travel with our daughters, try out new restaurants and spend time with friends and family.

Dr. Kirsten Karkow

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.

Dr. Andrew Larkin

Dr. Andrew Larkin

Orthodontist

Since dental school, Dr. Larkin has always been very involved in the efforts of organized dentistry. He feels this involvement is necessary to protect the integrity of the profession to ensure positive patient outcomes. Dr. Larkin practices with this same fervor in helping his patients achieve a smile that portrays confidence and beauty throughout their lives.

Education

  • Bachelor of Arts, Biology & Spanish — University of Kansas (with a 7-month study at the University of Costa Rica)
  • Doctor of Dental Medicine & Master of Public Health — A.T. Still University, Arizona School of Dentistry & Oral Health
  • Master of Science in Orthodontics and Dentofacial Orthopedics — Arizona School of Dentistry & Oral Health

Personal

Born and raised in southwestern Kansas, the Midwest is home to Dr. Andy Larkin. Dr. Larkin and his wife, Kim, love spending time outdoors with their daughters, McKenna and Isabelle, and their Bernadoodle, Stanley. When he is not chairside, you may find him on the golf course, tennis court, or in a deer stand. He is an especially passionate college and professional sports fan, so catching Dr. Larkin at Allen Fieldhouse to cheer on the Jayhawks or the Enterprise Center to root for the Blues would be no surprise.

Dr. Roland

Dr. Katelyn Roland

Orthodontist

I truly believe that everything happens for a reason and my journey into the orthodontic profession is no different. I fell in love with the field after my first orthodontic visit at the age of 9 and found my passion for transforming smiles and making a positive impact on my patients’ lives. My attention to detail and drive for perfection is instilled in my core. These developed during childhood through my involvement in gymnastics. I continued as a collegiate gymnast and further gained an appreciation for teamwork. All of which help me to achieve the best orthodontic results for my patients.

Education

  • Bachelor of Science, Cellular and Molecular Biology — West Chester University of Pennsylvania
  • Doctor of Dental Medicine — Nova Southeastern University College of Dental Medicine
  • Master of Science & Certificate in Orthodontics — St. Louis University

Personal

On a personal note, my husband, Steven, and I moved to Saint Louis with our ridgeback pup, Zola, for my orthodontic residency. We fell in love with the area and decided to make it our home. The vibrant community, diverse range of activities, and amazing food have made this city a special place for us.

Dr. Sara Patterson

Orthodontist

It is a privilege to join the team at Otto Orthodontics and to continue serving the St. Louis community. I earned my Doctor of Dental Medicine degree from A.T. Still University in Missouri and went on to complete a comprehensive three-year orthodontic residency at the University of Pittsburgh. During my training, I had the opportunity to learn from leading experts in biomechanics and craniofacial growth and development—experiences that have profoundly shaped my clinical philosophy. I am committed to providing personalized, evidence-based treatment that transforms smiles and changes lives.

My daughter, Sage, and our Golden Cavapoo, Scout, are excited to be returning to The Hill. Outside the office, I enjoy staying active at CycleBar and cheering Sage on at the soccer field.

Whether you are exploring orthodontic treatment for your child, teen, or yourself, I look forward to partnering with you to achieve a smile that reflects your best self.

Education

  • Bachelor of Science, Biology and Biological Sciences — St. Louis University
  • Doctor of Dental Medicine — A.T. Still University
  • Master of Dental Science in Orthodontics and Dentofacial Orthopedics — University of Pittsburgh

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
Kaitlin T.
such a nice office! very modern boutique-style setup which made me feel super comfortable before my appointment. They also have really cute branding with their accent color being hot pink which I thought was so unique and fun. I came here to get Hawley retainers (my post-invisalign retainers are plastic and not working well for me) so I assumed I was going to have to do traditional mold impressions again 😣 but I ended up not having to! This office has an amazing scanner to digitally take impressions, so no gross putty or uncomfortable trays shoved in your mouth! 😭 🙌 it was such a pleasant surprise and made the appointment way less stressful. all of the staff I interacted with were friendly and helpful :) I’d definitely recommend Otto if you’re looking for an orthodontist! 🩷
Response from the owner:Thank you for your wonderful review! We're thrilled you enjoyed our modern office and the digital impression process. Our team is dedicated to making your experience comfortable and enjoyable. We appreciate your recommendation!
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!
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!
Response from the owner:Thank you for your wonderful feedback, Alexa! We’re thrilled to hear about your positive experience with our team. Looking forward to seeing your daughter’s new smile soon!
Lauren K.
Very thorough in the explanation of each step of the service. They really made my 8yr old feel comfortable!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Michelle
I had a good experience, the staff was very friendly and the consult was pretty informative. The place was clean and inviting.
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!
Brooke T.
Nothing but amazing things, the staff is absolutely amazing! We love our visits in for my son. Highly recommend.
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Denise G.
This office is the best. They are very professional the staff is very helpful and friendly. Nikki at the front desk is amazing. She is so helpful and friendly. I would highly recommend this office.
Response from the owner:Thank you for your kind words, Denise. We're thrilled to hear you had a positive experience with our team, especially Nikki. Your recommendation means a lot to us, and we look forward to serving you again!
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!
Fazila B.
We had our first appointment today for both my kids braces install. Everyone was great from start to finish. Friendly staff and very helpful. Definitely recommend!
Response from the owner:Thank you for your wonderful feedback, Fazila! We’re thrilled to hear that your kids had a positive experience with our friendly team during their braces installation. Your recommendation means a lot to 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!
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!
Kasey F.
We love Otto! Nicole has been working with my son Leo and she has been exceptional. Dr. Larkin is amazing, as well. Nicole lets my daughter, Rowan, be her little assistant and now she wants to be an Orthodontist when she grows up because of her. My kids always have a good time 😊
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a supportive and professional environment, and it’s rewarding to know that our efforts resonate with the community.
Christa S.
Dr. Otto and the staff are all very nice and attentive. The office is super cute and best of all, my teeth are so straight now! I look back at old pictures and am just amazed at how nice my teeth look now! Yay! Thank you Otto Orthodontics!
Response from the owner:We’re thrilled to hear that you had such a positive experience at our office! Your kind words about Dr. Otto and our staff mean a lot. Enjoy your beautiful smile and those amazing old photos!
Amanda W.
Highly recommend! My main office was the St. Peter’s location but I’ve also been to the Wentzville location. Both locations are clean, spacious and convenient. The staff was always positive and so sweet. They’re more affordable than other places in the area. They have a texting line which is super convenient. They also offer a retainer for life program where you can get a replacement retainer at no extra cost. I took two of my kids somewhere else for their braces and that place was great too but it was pretty pricey. This rating comes from my ortho treatment that I just finished up. When it comes time for our youngest to start his braces treatment, he will be coming here as well.
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's wonderful to know that this resonates with our community.
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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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Frequently Asked Questions
Are orthodontists also dentists?
Yes, orthodontists are specialized dentists who focus on diagnosing and treating dental and facial irregularities, primarily through braces and aligners. They complete additional training in orthodontics after dental school to provide expert care in this field.
Are braces done by an orthodontist?
Yes, braces are applied and managed by an orthodontist, a dental specialist trained in aligning teeth and jaws to improve oral health and aesthetics.
Are all orthodontists doctors?
Yes, all orthodontists are doctors. They complete dental school and then pursue additional specialized training in orthodontics, earning a master's degree and certification to provide expert care in aligning teeth and jaws.
Are orthodontists in demand?
Yes, orthodontists are in high demand due to the increasing awareness of dental aesthetics and the importance of oral health, leading to more patients seeking braces, Invisalign, and other orthodontic treatments.
Are orthodontists covered by insurance?
Yes, many dental insurance plans cover orthodontic treatments, including braces and Invisalign. Coverage varies, so it's essential to check your specific plan for details on benefits and limitations.
Do orthodontists specialize in TMJ disorders?
Yes, orthodontists can specialize in TMJ disorders, offering treatments that address jaw alignment and function, which may alleviate symptoms associated with temporomandibular joint dysfunction.
Can orthodontists treat sleep apnea?
Yes, orthodontists can treat sleep apnea by using oral appliances that help reposition the jaw and tongue, improving airflow during sleep. These devices are often custom-fitted to ensure comfort and effectiveness in alleviating symptoms.
Do orthodontists provide Invisalign treatments?
Yes, orthodontists provide Invisalign treatments, offering personalized care for patients of all ages, including kids, teens, and adults, to achieve straighter smiles using clear aligners.
Do orthodontists perform dental surgeries?
Orthodontists primarily focus on aligning teeth and jaws, but they do not perform dental surgeries. Surgical orthodontics, which may involve procedures like jaw surgery, is typically conducted by oral surgeons in collaboration with orthodontists for comprehensive treatment.
Is orthodontic care for all ages?
Yes, orthodontic care is suitable for all ages, including children, teens, adults, and seniors. Each age group has specific treatment options, such as braces or Invisalign, tailored to their unique dental needs and goals.
Are orthodontists experts in facial growth?
Yes, orthodontists are experts in facial growth, specializing in diagnosing and treating dental and facial irregularities to ensure proper alignment and function, which can significantly impact overall facial aesthetics and health.
Do orthodontists handle wisdom tooth issues?
Orthodontists primarily focus on aligning teeth and jaws, not directly managing wisdom tooth issues. However, they may collaborate with oral surgeons or dentists for comprehensive treatment plans involving wisdom teeth extraction if it impacts orthodontic care.
Can orthodontists correct bite misalignments?
Yes, orthodontists can correct bite misalignments using various treatments such as braces, Invisalign, and other appliances to realign teeth and improve overall dental function. This enhances both aesthetics and oral health.
Do orthodontists offer teeth whitening?
Yes, orthodontists often provide teeth whitening services as part of their treatment options, enhancing the overall aesthetic results after braces or aligners. This can be a great way to achieve a brighter smile post-orthodontic treatment.
Are retainers provided by orthodontists?
Yes, orthodontists provide retainers to help maintain teeth alignment after braces or Invisalign treatment, ensuring long-lasting results and preventing shifting. Retainers are essential for preserving your beautiful smile.
Do orthodontists fix jaw misalignments?
Yes, orthodontists specialize in fixing jaw misalignments through treatments like braces, Invisalign, and dentofacial orthopedics, ensuring proper alignment and function of teeth and jaws for improved oral health and aesthetics.
Can orthodontists treat cleft palates?
Yes, orthodontists can treat cleft palates as part of a multidisciplinary approach, often collaborating with oral surgeons and other specialists to ensure comprehensive care and optimal outcomes for patients with this condition.
Do orthodontists handle impacted teeth?
Yes, orthodontists are trained to handle impacted teeth, often using braces or other appliances to guide the teeth into proper alignment. They collaborate with oral surgeons if surgical intervention is necessary for optimal results.
Are orthodontists trained in dental implants?
Orthodontists primarily focus on aligning teeth and jaws, not dental implants. However, some may receive training in implantology, but it's not their main specialty. For implants, consult a qualified oral surgeon or periodontist.
Is orthodontic work purely cosmetic?
Orthodontic work is not purely cosmetic; it also addresses functional issues. Proper alignment improves bite, enhances oral health, and can alleviate jaw pain. A beautiful smile is a bonus, but the primary goal is overall dental function and health.
Are orthodontists responsible for oral health?
Orthodontists play a crucial role in oral health by aligning teeth and jaws, which can prevent issues like tooth decay and gum disease. Their expertise ensures proper bite function and enhances overall dental aesthetics, contributing to long-term oral well-being.
Do orthodontists create custom mouthguards?
Yes, orthodontists create custom mouthguards tailored to individual needs, ensuring optimal fit and protection for activities like sports or teeth grinding. These mouthguards help prevent dental injuries and maintain oral health during orthodontic treatment.
Can orthodontists correct overbites and underbites?
Yes, orthodontists can effectively correct overbites and underbites using various treatments such as braces, Invisalign, and dentofacial orthopedics, ensuring improved alignment and function of the teeth and jaw for a healthier smile.
Are orthodontists qualified to extract teeth?
Yes, orthodontists are qualified to extract teeth, particularly when necessary for orthodontic treatment. They receive extensive training in dental procedures, including tooth extractions, to ensure optimal patient care and treatment outcomes.
Do orthodontists manage periodontal issues?
Orthodontists primarily focus on aligning teeth and jaws, but they can identify and refer patients with periodontal issues to specialists. Proper orthodontic treatment can also improve oral hygiene, potentially benefiting periodontal health.
Are orthodontists involved in dental research?
Yes, orthodontists actively participate in dental research, contributing to advancements in treatment techniques, technology, and patient care. Their research often focuses on improving orthodontic methods, understanding craniofacial development, and enhancing patient outcomes.
Do orthodontists offer digital smile design?
Yes, orthodontists often provide digital smile design services, utilizing advanced technology to create personalized treatment plans and visualizations, enhancing patient understanding and satisfaction with their orthodontic journey.
Can orthodontists align crooked teeth?
Yes, orthodontists can effectively align crooked teeth using various treatments such as braces, Invisalign, and other orthodontic appliances tailored to individual needs. Their expertise ensures optimal results for a straighter, healthier smile.
Are orthodontists specialized in palate expansion?
Yes, orthodontists are specialized in palate expansion, utilizing techniques and appliances to widen the upper jaw, improving dental alignment and overall oral health. This treatment is often essential for correcting bite issues and creating space for teeth.
Do orthodontists use 3D imaging technology?
Yes, orthodontists utilize 3D imaging technology to enhance treatment planning, improve accuracy, and create customized appliances, ensuring optimal results for patients. This advanced technology aids in visualizing dental structures and facilitates better communication with patients.
Related Pages:
  • Meet Dr. Genevieve Otto
  • Meet Dr. Andrea Quattlebaum
  • Meet Dr. Kirsten Karkow
  • Meet Dr. A.J. Otto