“I have a crooked smile. Do I need surgery to correct this?”

If your smile is indeed crooked looking, there is a good possibility that your facial bones have grown in a crooked matter. This is known as facial asymmetry. You might try Googling "surgical correction of facial asymmetry" to determine whether having surgery is something you would want to consider.

You should start your evaluation with a competent orthodontist. What looks "crooked" may be a simple tooth alignment issue or could be a skeletal problem (that might need surgery AND orthodontics to correct). They could properly diagnose the issue and advise appropriately.

I think the best place to start is by scheduling a consultation with your general dentist or orthodontist so they can discuss your treatment options with you. In many cases surgery is not required to correct a crooked smile.

Some malocclusions or "crooked smiles" are skeletal in nature that is the bones for the face and jaws have either under or over developed leading to the teeth being crooked. A full orthodontic workup is warranted to evaluate the teeth and the facial bones as to the source of the malocclusion. If the malocclusion is simple (tooth related only) and can be corrected by braces that is often all that is needed. In severe cases where the jaws are not properly formed along with poor teeth positions, corrective jaw surgery may be indicated. In either event, the place to start first is the Orthodontist then possibly a consultation with an Oral and Maxillofacial Surgeon to evaluate the need for corrective jaw surgery for the crooked smile.