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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
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    • Meet Our Doctors
    • Meet Our Team
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    • Community Involvement
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      • Types of Braces
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      • Color My Braces
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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.
Lauren M.
The staff were amazing and really made my daughter feel at ease! They were very informative and helped guide which path we need to take in regards to braces! Definitely would recommend!
Response from the owner:Thank you, Lauren. Helping families feel at ease and understand their options is exactly what we want every visit to be.
Tania P.
We had our 1st consultation, everyone was nice. We were able to get all the information (cost, timeframe, all the details and X-rays) we needed for my daughter to get braces. They were quick and very resourceful.
Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a respectful and professional environment, and it's wonderful to know that this is recognized.
Jessica G.
Great experience! My daughter isn't quite ready for braces yet, and I really appreciated how honest and upfront they were about that. Everyone was so friendly, professional, and made us feel welcome. I highly recommend them!
Jamie H.
My daughter got her braces put on today and she was very anxious and apprehensive! By the end she was smiling and happy.. everyone is very friendly and we felt very taken care of! Very happy with our choice with choosing Otto Orthodontics!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional environment, and it's rewarding to know that our efforts resonate with the community.
Michelle W.
We had a fantastic experience at Otto Orthodontics today for my daughter’s initial consultation with Dr. Larkin. He recommended a palate expander as part of her treatment plan to address her overcrowding during phase 1, which I really appreciated. What stood out most was the staff—they were incredibly kind, patient, and genuinely engaged with my daughter. They took the time to listen to her (even when she was being a little silly!) and made her feel completely comfortable instead of rushed. The entire visit felt welcoming and thorough from start to finish. My only regret is not choosing Otto Orthodontics for my own treatment last year. Highly recommend!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to hear about your positive experience with Dr. Larkin and our team. Making our patients feel comfortable and engaged is our top priority. We appreciate your recommendation!
Page B.
My son is a new patient at Otto. Their staff is always super friendly, clean office, and smooth visits.
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that your son's visits have been positive and that our team has made a great impression. We look forward to continuing to provide excellent care!
Alana G.
Warm and welcoming staff, I was very upfront that we came in for a second opinion about braces. They answered my questions and I didn’t feel pressured to make any decision on our first visit. Very impressive first impression.
Response from the owner:Alana, thank you! Straight answers and no pressure are how we think every conversation should go, and we are glad you felt that from our team.
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!
Ashley T.
My daughter has had exceptional care at Otto! We love all the people that work there. Everyone is friendly and explains everything well. Very pleased with our experience so far!
Response from the owner:Thank you, Ashley, for your kind words! It's wonderful to hear that your daughter is receiving such exceptional care. We appreciate your recognition of our friendly team and clear communication. Your satisfaction means a lot to us!
Johanaliz R.
I had a great experience at Otto Orthodontics! Everyone was very professional, friendly, and made me feel comfortable throughout the entire process. Getting my braces was much easier and more comfortable than I expected. I’m very happy with the care I received and would definitely recommend them!
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.
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!
Lindsay T.
Jeanna was the best, she explained everything so well, Dr. Otto is the goat & I am so excited to get started with my Invisalign!
Response from the owner:Thank you for sharing your feedback! The team is dedicated to providing a respectful and professional environment, and it's rewarding to know that this resonates with our community.
Natalie J.
Otto Orthodontics has been wonderful. The staff are wonderful and great with my 7 year old!
Response from the owner:Thank you for sharing your feedback! Our team is dedicated to providing a supportive and professional environment, and it’s rewarding to know that our efforts are recognized.
Donio P.
Our experience was great. Everyone was very friendly and it was easy to schedule appointments. We feel very comfortable with our treatment plan at Otto.
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 appreciated.
Jewel W.
I chose Otto due to their consistent 5 star ratings, and am so thankful I did. All of the staff has been phenomenal. They were clear about the process, answered any questions I had, and Ashley checks on me to see how I am doing through treatment. Absolutely amazing service. I have already recommended them to co-workers, friends, and family.
Response from the owner:Thank you, Jewel! It’s wonderful to hear that our team provided exceptional support throughout your treatment. We appreciate your referrals and look forward to continuing to help you and your loved ones achieve beautiful smiles!
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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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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