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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.
Linda D.
Consultation and went with the plan. Staff and Dr were friendly and answered all my many questions!
Response from the owner:Thank you for the positive 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.
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 not 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 ❤️ Update 8/18/2026– She has had her braces on for 6 months and I am shocked with the progress!! Thankfully no ankylosis
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.
Rebekah W.
Amazing & professional customer service! I felt so at ease with each person I spoke to. Thanks for being so helpful and explaining things in detail.
Response from the owner:Thank you, Rebekah! We're thrilled to hear you had a positive experience with our team. Your comfort and understanding are our top priorities. We look forward to seeing you again soon!
Darryl F.
Charity and Dr. Karkow are amazing. I want to to personally thank them and the entire staff. They're very passionate about taking care of the patients and I'm thankful they were part of this journey. I would give 20 stars if I could. The entire staff is awesome ‼️‼️‼️❤️❤️❤️ I will miss you guys. ❤️
BL B.
Otto Orthodontics has been great since day one. The staff is courteous and professional. Dr. Roland has watched my daughter's permanent teeth come in and recommended treatments that have helped her teeth come in straighter. They never pushed for braces, taking a wait and see what happens as the teeth came in. Now that she has started braces, they are taking their time, letting her get used to them. It is very different than when I had braces in the 80s. I highly recommend Otto to anyone who needs orthodontics.
Response from the owner:Thank you so much for taking the time to share your five-star experience with us. We truly appreciate your kind words and support. Providing a welcoming and positive environment is always our highest priority.
Jen K.
I was treated in the Des Peres office for braces. Every part of the 24 month treatment plan has been smooth and efficient. Dr. Otto, Dr. Larkin and the entire staff are top notch and very caring. Everyone seems to enjoy their work life which leads to wonderful patient care. Also my teeth look great! 😁
Response from the owner:Jen, thank you for such a thoughtful review! Smooth, efficient visits from start to finish are exactly what we aim for, and Dr. Otto, Dr. Larkin, and the whole team will appreciate hearing this.
Judy N.
Fabulous Orthodonics, especially for a seven-year-old getting braces for the first time. Alivia was outstanding, kind, calm, gentle and talked to my granddaughter the entire time, telling her what was being done. I can't thank her enough for how she treated my Granddaugher! Awesome! Highly reccommend for all ages.
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. Your support is greatly valued!
Rachel S.
Great experience! Office staff was kind and helpful. The orthodontist explained everything in a way my daughter could understand.
Response from the owner:Rachel, thank you! Explaining things in a way that makes sense to everyone in the room is something we care a lot about, and it is great to hear our team was kind and helpful.
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.
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.
Jennifer D.
My daughter got her braces off today. Cant believe it has already been 2 years. Gonna miss all the staff. We love the results. Thank you all.
Response from the owner:Thank you for the kind words! We appreciate it!
Rachel D.
They are very detailed with explaining and super easy to get ahold of between calling and texts!
Response from the owner:Thank you, Rachel. Clear explanations and being easy to reach are things we work at, so this is great to hear.
Sarah T.
Absolutely amazing team! Everyone is welcoming, professional, and supportive throughout the process. They made my son feel comfortable right away & I cannot say enough about how great our experience has been!! 10/10 would recommend.
Response from the owner:Sarah, thank you! A welcoming, supportive team that helps everyone feel comfortable right away is exactly what we aim for. We appreciate you sharing this.
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.
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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
Otto Orthodontics logo featuring the brand name in gray and teal, with pink accents, relevant to orthodontic care and treatment services.
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  • Des Peres, MO
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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