Four rooms. One upstream cause.

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

Dr. Deal is double-board-certified in dental sleep medicine. We work with sleep-medicine physicians for diagnosis and treat the upper airway with custom oral appliances, postural retraining, and — when ortho is the right tool — controlled arch expansion.

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

Board-certified in craniofacial pain. Diagnostic exam, splint therapy where appropriate, and airway co-treatment when the joint is paying the bill for something upstream. Most patients see meaningful relief in the first eight weeks.

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

ControlledArch is Dr. Deal's signature protocol — taught nationally through Real Deal Seminars. The arch decides the airway, and the airway decides the sleep. Treatment is staged to the patient's growth, not the clock.

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

Same exam philosophy as the other services — we look at the airway first, then at the chief complaint. Most patients combine ongoing general care with airway-aware ortho or sleep work over time.

Early orthodontic intervention

Crowding shows up at eight. The cause showed up years earlier.

An overwhelming number of children pick up habits — thumb sucking, tongue thrusting, mouth breathing, irregular swallowing — that pull programmed facial growth off track. That's why severe crowding arrives with the permanent teeth. We identify the disturbance, educate the family, and actively guide growth back before it hardens into an extraction case.

• Crowding arriving with the permanent teeth
• Thumb-sucking, tongue-thrust, and swallowing habits
• Mouth breathing in growing kids
• Grinding and other growth-disturbing patterns
• Development that has drifted past the prime window

The prime developmental years run roughly ages six to nine — get growth back on track then, and some children avoid braces altogether. Past the window, we can still guide growth toward a proper face and smile; the correction simply takes more deliberate staging.

Growth guidance

Eighty percent of us have an underdeveloped upper jaw.

Studies put an underdeveloped maxilla in 80–85% of the population. Growth guidance removes the environmental forces — the epigenetics — that held growth back, so a patient can express their full genetic potential. The lower jaw follows on its own: a better smile and facial form, more room in the airway, and fewer TMJ and sleep problems downstream.

• Underdeveloped upper jaw (maxilla)
• Narrow palate crowding the tongue and airway
• Low tongue posture and lip strain
• Facial growth drifting off its program
• Adults whose growth never finished — not just kids

Myofunctional therapy retrains the tongue and lips while simple orthodontic appliances take the braking forces off growth. It's central enough to how we practice that it runs through nearly every pediatric plan — and, to be clear, adults benefit from the same principles.

Cosmetic dentistry

The smile is the surface. We treat the structure under it.

We don't do whitening-and-veneers cosmetics. Symmetry's cosmetic work is orthodontic — guiding facial growth in children, correcting alignment and jaw position in adults — so the improvement you see in the mirror is carried by structure, airway, and function underneath.

• Misaligned or crowded teeth
• Smiles narrowed by an underdeveloped arch
• Jaw position affecting facial balance
• Aesthetic concerns tied to bite or breathing
• Relapse after surface-level fixes

Comprehensive rather than cosmetic-only: teeth, jaw position, and airway function get planned together, because alignment that ignores its root cause doesn't hold. The result reads as cosmetic — it behaves like health, and it lasts.

Adult cosmetic orthodontics

Sometimes you just want straighter teeth. That has a home here too.

Some adult patients aren't chasing a diagnosis — they want the smile they've been putting off. Several orthodontic and cosmetic routes can get there, and the evaluation sorts out which one fits your mouth, your timeline, and your goals.

• Crooked or shifted adult teeth
• Relapse after earlier orthodontics
• Spacing and alignment concerns
• Smile aesthetics ahead of a milestone
• Alignment ahead of restorative work

Even a purely cosmetic case gets Symmetry's structural read: Dr. Deal plans alignment with the joints and airway in view, so the smile you choose doesn't cost you stability later. A consultation is a conversation about options, not a commitment.

Botox & Dysport

For the muscles that won't let go.

Dr. Deal treats facial pain, not just teeth. Dysport and Botox injections serve as adjunctive therapy for the headaches and muscle pain that ride along with TMD — quieting the overworked muscle while the underlying treatment addresses why it's overworked.

• Tension-pattern headaches with a muscular driver
• Masseter and temporalis muscle soreness
• Clenching-related facial pain
• Muscle guarding alongside splint therapy
• TMD symptom flare-ups during treatment

Injections are an adjunct, never the whole plan. They're placed therapeutically — for pain, inside a TMD diagnosis and a treatment sequence — not as a standalone cosmetic service.