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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 smiling in a white coat

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 smiling in a white coat

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 smiling in a white coat

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 smiling in a white lab coat

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 smiling in a white coat

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!

Orthodontic office interior with multiple treatment stations and staff attending to visitors
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!
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.
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!
Luke G.
10/10 would recommend. Started my Invisalign treatment today and the whole process was super easy, Courtney was great
Response from the owner:Thank you, Luke, for your positive rating! We appreciate your support and look forward to providing excellent service in the future. Your satisfaction is our priority.
Olivia R.
Otto Orthodontics was a great experience. The entire staff was very welcoming, knowledgeable and efficient. This office made getting my son braces seem like a breeze.
Response from the owner:Thank you for the positive feedback! Our team is dedicated to providing a welcoming and professional environment for everyone. It's wonderful to know that our efforts are making a difference.
Alyse K.
Efficient and extremely well organized practice. We are just starting the process, but we were super impressed with office management and communication.
Response from the owner:Thank you, Alyse. We are glad the organization and communication made a strong first impression, and we look forward to the road ahead.
Amanda C.
We went yesterday for our initial exam. They were unbelievably friendly. The kindness that every technician offered was a blessing. They explained everything and worked with us to walk through the whole process for braces and all the options. Even my son stated how kind and friendly everyone was. He was hesitant to get braces but now he's not. We will be continuing our journey with them and my son couldn't be happier.
Response from the owner:Amanda, what a kind thing to say, thank you! Friendliness and clear explanations from every member of our team are what we hope everyone feels, and we are glad that came through.
Sierra W.
Wonderful team and doctor. Great experience every time we come. Would highly recommend!
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.
Jessica M.
Every time we walk in we feel welcome! The girls and Dr. Larkin are great. Not only are they knowledgeable and do a great job, but they are fun and inviting. You can tell they enjoy their job!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to know you feel welcomed and enjoy the atmosphere we create. Our team truly loves what they do and appreciates your recognition of their efforts!
Ellen M.
Dr.Patterson and her team of assistants are delightfully professional, friendly, and proficient at their “jobs”. It’s a happy place to come!
Response from the owner:Ellen, thank you! Dr. Patterson and our assisting team will be so glad to hear this, and we love that it feels like a happy place to visit.
Sarah H.
Otto goes above and beyond for their patients. From the initial consult to each visit- the staff is welcoming and information is readily available. They’re never too busy to take the time to answer questions. Appointment times are valued and you’re in and out quickly. Love the ability to text or talk on the phone with the staff. Thank you, Otto.
Response from the owner:Thank you for the kind words about our staff and for noticing the information we share along the way. We appreciate you.
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.
Kayla R.
My son just got his braces removed and I swear for the last 2 years we have had the most positive experience every single time we’ve gone into the Otto Orthodontics Wentzville office. They go above and beyond in every way. Highly, highly recommend!
Response from the owner:Thank you for sharing your wonderful experience, Kayla. We're thrilled to hear that you and your son have enjoyed such positive visits. Your recommendation means a lot to us!
Mindy F.
I had a complicated case, Otto orthodontics took fantastic care of me and every single assistant was gentle each time. They addressed all of my concerns and explained what they were doing as they were doing it. I never felt like I was in the dark on what was going on. I often saw Christina during my appointments and she was so kind and took great care of me. I would 10/10 recommend going to Otto for adult orthodontics!
Response from the owner:Thank you, Mindy. Gentle hands and clear explanations along the way are what we want everyone to experience here.
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.
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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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