My Two Front Teeth Are Not in the Middle and I Dont Have a Canine Tooth, Can I Do Anything

Although you have many choices, I feel veneers are the best choice.  You could have that canine made to look like a lateral incisor and the bicuspid made into a canine.

I have an easy answer for you.  In looking at your smile, I don't see that the 2 front teeth are in the wrong place. In fact, when a patient loses a primary cuspid, and doesn't have the permanent one, the orthodontist evaluates the space available, and moves the teeth to close the space.1. Just from looking, it appears to be a very nice orthodontic result.2. HOWEVER, I do see the problem that you do not like.  The problem is that the right and left sides of the smile do not match. In the cuspid area, you have a natural left cuspid, which has a special shape.  On the right, the bicuspid was moved into the space, and is a smaller tooth.  That's why the shapes do not match. There is not symmetry in the front 6 teeth.3. Good news....when there is only a shape problem, 1 beautiful veneer can be placed over the right bicuspid, changing its shape to match the other cuspid!  This can also be done in bonding....but only by a very skilled cosmetic dentist, who can create a shape match and color match to your other teeth. I hope I led you in a new direction to rethink what it is you do not like. In my office, I would perform a test with temporary bonding, shaped on the right bicuspid . Chair side, we would discuss, and take photos, to confirm my hunch that would vastly improve your smile line, and create something you liked very much. 

Anytime a patient loses any one of the front six teeth it really complicates treatment.  It loos like your orthodontist did a nice job, almost closing the space where the cuspid once was.  To get your upper midline to match your lower midline, the resulting space would end up being larger.  That in itself would certainly be more objectionable to you I'm sure.Do you know the actor Tom Cruise?  Did you notice how much his midline was off?  About 4mm whereas yours is only off about 1mm.  Or did you know that the actor Cary Grant only had one upper incisor and his midline was way off as well.  The reason that the midline is not very important is that as long as the teeth are straight up and down, upper compared to lower teeth, it is rarely noticeable to others.  My suggestion is that it is not a critical thing that would be worth going through more orthodontics, moving the teeth around again, then needing a implant or a dental bridge.Saying all that, in my professional opinion the best way to solve the resulting issues you're having would be with going to a cosmetic dentist and getting porcelain veneers, probably a minimum of eight upper veneers to make things look the best they can.