It's nice to have an observant dentist among us.

I once said to an on-air individual from my local TV station that “I would trade 20 of you so-called Philadelphia celebrities for one normal person“.

The risks are enormous when you treat these people . If you doubt me, Google: Paul Anka Dental problem onstage.

... so I'm thinking he might have lost a cap or an implant? Usually they can be replaced quickly, if the dentist has a matching replacement tooth handy.

I know what you mean about dementia patients and their difficulty for dental work. My sister has recently passed away but she suffered from dementia for the last 30 years of her life. She reached a point where she could no longer receive any dental care at all, and eventually she lost most of her teeth.

I don't believe Chump has reached the point of being unable to receive dental care though. In his 50s and 60s he was a TV personality, and he must have been given a full-mouth workover. I believe Chump still understands how important his "TV looks" are, otherwise he wouldn't be so vain about his hair and makeup, etc.

It may be a fractured pontic(dummy tooth) on the prosthesis. There seems to be a lot going on here.

She became very agitated about her teeth. Going to the dentist, which had never bothered her before, became an emotional ordeal. She would become very upset.

As her illness progressed she stopped caring for her teeth. Even in assisted living she was mostly unwilling to let people help her.

She'd always been very careful about dental hygiene and her teeth just kind of fell apart.

And I have had multiple experiences where in I have warned the caring individual that his or her dependent may reject the removable prosthesis, then being told that it will be all right, and then getting a phone call that the elderly person flushed the prosthesis down the toilet.

And then, of course, I am asked to remake the prosthesis at little or no cost to the patient which really is a hoot. And the bad part with all this is that when you make a partial or full denture, that which you’ve created to make it is destroyed in the process, so you can’t just remake it easily unless it was a scan, which is only coming into Vogue now. Even then, the laboratory fees are significant. It’s all a big mess.

Lots of things could be happening. It's interesting how Americans tend to scrutinize and obsess over other parts of the body, but many neglect their teeth or overlook the health issues associated with teeth.

which is not trivial by any means, the “oral cavity” and associated teeth are important for eating, expression of emotion, verbal expression, vertical facial height, breathing, and other functionalities.

Difficulties associated with the structures can severely limit the individual’s abilities to project the self to others. They can be life-changing.

Your patient lived into his late 90's. Let's not hope this is the case with this ugly monster.

This guy is deteriorating at an increased pace.

Why he would be in detention. Dammit.