Symmetry · Modern Dentistry
Modern Dentistry · Little Rock · practicing since 2003

Symmetry.

We treat sleep, breathing, jaw pain, and facial growth — from the airway down. By Stephen Deal, DDS.

A note from Dr. Deal

The mouth is the front door to the airway. When we treat from the airway down, the symptoms patients arrived with — jaw pain, broken sleep, crowded teeth, a face that didn’t quite track — start behaving differently.

Stephen Deal, DDS — Symmetry, Little Rock, Arkansas
What we treat

Four rooms. One upstream cause.

The presentations look different. The diagnostic frame is the same. The evaluation visit is shared across all four — what comes out of it is specific to what we find.

  1. Sleep medicine

    Sleep & airway

    If sleep isn't restful, the airway is usually why.

    We evaluate snoring, witnessed apneas, morning headaches, dry mouth, bedwetting in kids, and adult fatigue that won't lift. The exam looks at nasal patency, posture, and bite — not just at whether you stop breathing.

    • Snoring (adults and children)
    • Obstructive sleep apnea
    • CPAP-intolerance — oral appliance therapy
    • Morning headaches
    • Bedwetting & restless sleep in kids
    Read more
  2. TMD

    TMD & craniofacial pain

    Jaw pain that splints alone won't settle.

    Jaw clicking and locking. Headaches that started at the temples. Ear pain a doctor said was fine. Pain that flares with stress, with sleep, with chewing on one side. We screen the airway driving the muscle pattern, then treat both.

    • Chronic jaw and joint pain
    • TMJ clicking, popping, locking
    • Tension and migraine-pattern headaches
    • Bruxism and night clenching
    • Ear-region pain without an ENT cause
    Read more
  3. ControlledArch

    Orthodontics — ControlledArch

    Expand the arch. Don't retract it.

    Crowded teeth, narrow palates, retrognathic chins, kids on the borderline of needing extractions. We expand the dental arch in three dimensions to support the airway and the face — not against them.

    • Pediatric growth-guidance (ages 5–12)
    • Adult ControlledArch expansion
    • Crowded teeth without extractions, where the case allows
    • Pre-restorative orthodontics
    • Phase I planning for growing patients
    Read more
  4. General

    General + restorative

    The everyday work, done properly.

    Cleanings, hygiene, fillings, crowns, conservative restorations, and the routine maintenance that keeps an airway-aware result holding. We see existing patients on a regular cadence and welcome new ones for an evaluation visit.

    • Hygiene & periodontal care
    • Restorative dentistry
    • Composite fillings & ceramic crowns
    • Ongoing maintenance
    • New-patient evaluations
    Read more
The doctor
Subject — Deal, Stephen · DDSBoards — DABCP · DABSBPracticing since 2003

Stephen Deal, DDS.
You see him directly.

Double board-certified in craniofacial pain (DABCP) and dental sleep medicine (DABSB). Developer of the ControlledArch orthodontic protocol. Senior Instructor for the International Association for Orthodontics.

No associates, no rotations, no chair-shopping between clinicians. Every evaluation is ninety minutes with Dr. Deal, same-visit findings, written plan before you leave.

Dr. Stephen Deal in an operatory at Symmetry Modern Dentistry
Plate II — Dr. Stephen DealSymmetry · Little Rock
2×
board-certified
90 min
every evaluation
2003
practicing since
DABCPDABSBFIAOFAOSFAGD
Your first visit

Ninety minutes. A real answer.

  1. Before

    Call or schedule online

    5 minutes

    Tell us briefly what you've noticed — for you or for a child. Office staff places you on the schedule and sends an intake form to fill out before the visit.

  2. The visit · one appointment

    Comprehensive evaluation

    90 minutes · with Dr. Deal

    Ninety minutes with Dr. Deal directly. Airway-aware exam — nasal patency, posture, tongue position, occlusion, photographs, CBCT imaging if indicated. Sleep questionnaire for adults; growth screen for kids.

  3. Findings and plan

    Same-visit findings

    Same visit, no second appointment for results. You leave with a written plan — what's driving what you've noticed, what we'd treat, what we wouldn't, and the timeline. No pressure to start that day.

  4. After

    Treatment, at your pace

    Begin within ~4 weeks

    Treatment is staged. Most adult sleep, TMD, and adult ortho cases begin within the next four weeks. Pediatric growth-guidance cases are scheduled to the child's growth window — sometimes immediately, sometimes after a watch period.

From the chair

Three patients. Three different problems.

Twelve years of jaw pain. Three splints from other offices that didn't touch it. Six months after starting at Symmetry, the splint is off and I'm sleeping through the night.
C.W.Adult TMD patient · Little Rock
I drove four hours each way for the evaluation. It was worth it. Dr. Deal explained more in ninety minutes than I'd learned from three previous sleep-medicine visits.
B.T.Adult sleep patient · regional

Initials and locations only · full names withheld for patient privacy

Before you book

Questions, answered.

How do I know if I should book?

If you or your child has snoring, restless sleep, morning headaches, dark circles, chronic jaw pain, crowded teeth, or a face that doesn't quite track — book the evaluation. Ninety minutes tells us whether the airway is driving the picture, and you leave with a plan either way.

What does the evaluation cost?

The comprehensive new-patient evaluation is a fee-for-service appointment. The office will give you the exact figure before booking. We provide detailed superbills for out-of-network reimbursement, and many sleep-related and TMD services have meaningful out-of-network coverage.

Do you take insurance?

Symmetry is fee-for-service and out-of-network with insurance carriers. We're upfront about this because in-network constraints get in the way of how we like to treat. The office walks you through expected reimbursement and superbills before you book.

I'm out of state — should I still come?

Yes, frequently. Patients travel from across the South for complex pediatric airway, TMD, and adult ControlledArch cases. We coordinate hotel and timing so the trip is one or two visits, not five. Or — for screening only — try the sleep-apnea quiz at idealsleepnow.com.

Is my child too young or too old?

From about age four through adult. Pediatric growth-guidance windows close roughly between ages seven and twelve, so earlier is better — but adult expansion and adult sleep/TMD work remain very much on the table. Rarely is it too late.

Schedule

We’ll save the chair. You bring the questions.

New-patient evaluations are scheduling four to six weeks out. You leave the visit with a written plan and a clear next step — no pressure to start that day.