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  • Our Practice
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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.
SALLY S.
Can’t say enough great things about Otto! Everything is done to the highest quality.
Response from the owner:Thank you, Sally! Your kind words about the quality of our work truly motivate our team. We're committed to providing excellent service, and we're thrilled to hear you had a great experience with us!
Jenn N.
We switched to Otto a year ago and are so happy we did. They had a great plan for son's orthodontic care. The staff and doctors are very kind, friendly, and professional.
Response from the owner:Thank you for your positive feedback! We are delighted to hear about your experience and appreciate your support. Our team is dedicated to providing exceptional care, and we look forward to serving you again.
Jona B.
Second child just started treatment this morning and we couldn’t be happier!! Highly recommend! Sanela was amazing as well :)
Response from the owner:Thank you for sharing your wonderful experience! We’re thrilled to hear that your second child’s treatment has started off so positively. Sanela is indeed a gem! Your recommendation means a lot to us.
Erin
The young lady was very friendly and polite. She took time to explain things very well.
Response from the owner:Thank you for your kind words, Erin! We're thrilled to hear about your positive experience with our team. Our commitment to providing thorough explanations and friendly service is our priority. We appreciate your feedback!
Mike L.
I absolutely love this office. As an adult I feared getting braces, but they made it easy for me. Constant professionals. Big shout out to Courtney. She goes above and be beyond to make sure her clients are satisfied. She really bends over for them. 10 out 10 would recommend.
Allison D.
Dr. Otto is an earth angel!!! I am grateful our paths crossed. We had an unfortunate experience where my 10 year old knocked out her front two teeth at a friend’s home. At this point, we were not a patient of hers and did know her. She lived nearby, hopped in her car in her PJs (god love her), came over to reinsert the teeth. Dr Otto continued to check in while we were at Children’s hospital and days/weeks following. She researched and offered guidance on when to start braces. Today was an exciting day with brackets ❤️
Response from the owner:Thank you for your kind words, Allison! It's heartwarming to hear how we could help during such a challenging moment. We're thrilled to be part of your daughter's journey toward a beautiful smile.
Stephanie S.
We love Otto Orthodontics! Dr. Larkin and staff are very knowledgeable and friendly. The front desk staff are welcoming and efficient. The office is very clean. My boys love the fun decor, especially all of the Nike shoe wall art. 100% recommend them for orthodontic treatment!
Response from the owner:Thank you for your wonderful review, Stephanie! We're thrilled to hear that you and your boys enjoy our office and decor. Your recommendation means a lot to us. We look forward to seeing you again!
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!
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!
Olivia M.
I just finished my treatment after almost 2 years! Every visit has always been great, from walking in the door to leaving every single person I encountered was absolutely AMAZING! I will always recommend Otto to EVERYONE! Thanks for being so fabulous ladies💕
Response from the owner:Thank you, Olivia! We’re thrilled your daughter started her orthodontic journey with us. It’s great to hear she enjoyed the process and felt supported! We look forward to seeing her smile grow!
Carla E.
My 2 daughters go here and they're amazing today our youngest one started her braces journey. They was so kind to her even though she cant sit till long. But she did great and so did the lady working on her she was very patient with our daughter.
Response from the owner:Thank you for your wonderful review, Steve! We're thrilled to hear that your daughters had a great experience with us, especially as your youngest begins her braces journey. Our team truly values patience and kindness, and it’s great to know they made such a positive impact. We appreciate your trust in us and look forward to continuing to support your family!
Nicole S.
Otto has a wonderful and caring staff that makes the long process of braces easy and enjoyable!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the community.
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!
Tonia W.
The staff and doctors at Otto Orthodontics really care about their patients. They are compassionate and knowledgeable. With so many orthodontists to choose from, I’m really happy with the choice we made to go with Otto for my kids.
Response from the owner:Thank you for your wonderful feedback! It's great to hear that our team's compassion and expertise made such a positive impact. We look forward to continuing to provide exceptional care for your kids!
Justin F.
Dr. Otto and her team was amazing. Special shout out to Jeanna for getting me in there!
Response from the owner:Thank you for your positive feedback! Our team is dedicated to fostering a welcoming and professional atmosphere, and it’s rewarding to know that our efforts resonate with the 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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Related Pages:
  • Meet Dr. Genevieve Otto
  • Meet Dr. Andrea Quattlebaum
  • Meet Dr. Kirsten Karkow
  • Dr. Andrew Larkin's Orthodontics
  • Meet Dr. A.J. Otto