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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
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    • Meet Our Doctors
    • Meet Our Team
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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, orthodontist at Otto Orthodontics, smiling in a white coat, showcasing expertise in creating healthy and beautiful smiles.

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. 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.

Dr. Larkin smiling in a white lab coat with "OTTO ORTHODONTICS" logo, representing expertise in orthodontic care at Otto Orthodontics.

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. Katelyn Roland, orthodontist at Otto Orthodontics, smiling in a white lab coat with logo, emphasizing her expertise in orthodontic care and patient transformation.

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 at Otto Orthodontics, smiling in a white coat, emphasizing her expertise in orthodontic care and personalized treatment.

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

Complimentary Consult
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.
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.
Response from the owner:Thank you, Kathryn. We are glad you felt comfortable and that everything was explained clearly.
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.
Stephanie K.
What a great experience! From the initial visit and them explaining the plan and then to my placement was amazing! Nichole was awesome she explained step by step what the process was and I was in and out within an hour on my lunch break!! Looking forward to the end results!!
Response from the owner:Thank you, Stephanie! We're thrilled to hear about your positive experience with Nichole and the efficient process. Your excitement for the results motivates us, and we look forward to seeing your smile soon!
Hope K.
The staff here is so incredibly patient and kind, I saw them interacting with nervous patients especially the kids that need more hand holding and they spent a lot of time making sure everyone felt comfortable and heard. They all have the best attitudes, are so positive and playful, and still incredibly professional. I have been recommending them to everyone, everywhere and will continue to do so!
Response from the owner:Hope, thank you for noticing that! Patience with nervous first timers is something our team takes real pride in, and it means a lot that it stood out to you.
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.
Marci M.
I barely convinced my son to go to his consultation and he fought potentially getting braces. I figured it was worth a shot. The staff at Otto immediately made the experience fun and carefree. By the end of the appointment he was excited about getting braces.
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to fostering a welcoming and professional environment, and it’s rewarding to know that our efforts resonate positively.
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.
Response from the owner:Thank you for doing your homework and for choosing us. This kind of review means a great deal to our team.
Dave B.
Dr. Otto is awesome! My daughter had a great experience here. Everyone was kind, patient, and made the whole process way less stressful than expected. Highly recommend
Response from the owner:Thank you, Dave! We're thrilled to hear your daughter had a positive experience at our office. Our team strives to create a welcoming environment, making visits enjoyable and stress-free for all our patients. Your recommendation means a lot!
Tyson Q.
Simply the best! Great staff, very kid friendly I can’t say enough good things about the whole experience. Get off social media and call her right now! You will not regret it. Because...................... It’s like winning the lotto when you get to see Dr. Otto!
Brittany S.
Otto Orthodontics has been so welcoming and great with my son. Looking forward to the results.
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!
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.
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.
Sophia A.
Amazing staff, they saved the day and helped me after I moved here and needed help completing treatment. Everyone is so friendly. Would highly recommend!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized.
Michael L.
I was told that going with Invisalign would be a better option and more cost effective. Upon receipt of the estimate, it was the same as a more complicated case of braces for another family about 14 months prior. I feel that the information was misleading. My original post did not reflect the true comparison of the cost between the two treatment plans. After further review I realized now that the cost of Invisalign is a more cost-effective option. Thanks, Otto, for helping me to understand the treatment options, cost, and for our family's current treatment.
Response from the owner:We truly appreciate you leaving this review! Our team strives every day to make our office a place where patients feel welcomed and well taken care of.
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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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  • Des Peres, MO
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Tuesday 8:30am – 5:00pm
Wednesday 8:30am – 5:00pm
Thursday 8:30am – 5:00pm
Friday 7:30am – 4:00pm
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Related Pages:
  • Meet Dr. Genevieve Otto
  • Meet Dr. Andrea Quattlebaum
  • Meet Dr. Kirsten Karkow
  • Dr. Andrew Larkin's Orthodontics
  • Meet Dr. A.J. Otto
  • Meet Dr. Katelyn Roland