I am missing a lateral incisor, therefore my midline is off quite a bit, is it possible to have this corrected? (photo)

If you were my patient I would offer the most cosmetic approach as follows:I would possibly extract 1 tooth on the bottom, then place you in Invisalign care for several months.  I would then place a series of veneers and crowns on your top teeth to give the appearance that your midline is perfect.  This may be rather expensive, but would fix the problem, immediately and permanently.  Good luck to you and I hope this helps. "Follow" me on Real Self to ask more questions.Sarah Thompson, DMD St. Louis, MO

If you have lived with 1 less tooth and no spaces then it should not be a big issue.If you wanted symmetry then either the LHS teeth have to be moved backwards to create space for the buried ( plus fixed orth)or missing tooth ( plus implant).If you wanted the best way then I would suggest accepting that you have only 3 upper incisors and use Invisalign to straighten the teeth.BTW the UL3 canine could be reshaped slightly to make it look like a lateral incisor.

yes, this can be fixed, but records and a proper diagnosis is needed to determine your options.  Is the permanent tooth actually present but unerupted?  Can't tell.  In either case, it's not a particlarly easy case, not uncommon either, but you need some direction so it doesn't get messed up.  See an Orthodontist in your area.