ALERT: Orangina's dentition: Part Cuatro

[PCIntern]

Ok folks, we have some breaking news: first take a look at the first photo. That’s his upper dental reconstruction, very nicely contoured and carved. Note the embrasures, or the triangles of gum between the teeth. Good anatomy and proportioned properly. As an aside, he looks like he had first premolar extractions for orthodontics and it appears , though I could be mistaken that he is also missing his second premolar and second molar, since there is what looks like a Pontic or dummy tooth in front of the first molar so there is a bridge or a continuation of his splint between his canine and his first molar on his left side. All within bounds. Losing back teeth, particularly second molars by his age is typical



Now look at this photo taken within the past week. The teeth are very bulky, you don’t see that embrasure between the teeth and they’re not the same color as the first photo. These are almost certainly temporaries which we call provisionals. The teeth are deliberately left bulky in between to prevent fracture of the material, whether acrylic, composite, or other material. The shade appears to be a bleaching shade which is now made for temporaries for people who have bleached their teeth or demand ultra white teeth.



He is definitely in the middle of significant dental work and this stuff is no joke. We have no idea exactly why both of his arches are being worked on but there must have been significant circumstances. We shall see.

[hlthe2b]

1. Wow. This is very interesting... Where did you find the photos you posted on your earlier OP that showed

very degenerating natural teeth? Those were quite telling...

[PCIntern]

2. There are a million photos of him angry

And that’s when you see stuff.

[hlthe2b]

9. Well, given his widely reported fecal incontinence, I would hope and assume no one treating his teeth is

using or considering using clindamycin as prophylactic care if his gums are or become quite inflamed. The last thing anyone around him needs is for him to be infected with and potentially spreading C. diff (Clostridium difficile) which that and a few other antibiotics can predispose (and are no longer recommended as appropriate choice where antibiotic prophy is indicated). I'm sure you and those periodontal surgeons you work with know better, but it has been an issue recently in Colorado. Not good.

[PCIntern]

11. Has been since the beginning but underreported

When I first started prescribing it, rather than erythromycin or ERYC all those years ago, I had a woman hospitalized from it. I always asked if anyone had any bowel disturbances before I Rx’d it and to cease immediately if anything got weird. Now if there’s an amox allergy, they’re suggesting Zithromax. I hope it’s effective…

[Attilatheblond]

19. I recall his teeth looking really bad when he ran the first time

Even commented somewhere that a really wealthy man could afford better teeth. Guess he finally stole enough to get them fixed.

[mcar]

3. Thanks for this. nt

[The Wizard]

4. Could it be a sign

of circling the drain?

[PCIntern]

6. Well, not necessarily.

Reconstructions tend to fail catastrophically on their own but it could be other issues. We may see….

[Hugin]

12. I doubt that the lower slobovian ground slug has ever had much in the way of...

A dental hygiene routine. Certainly not daily brushing and flossing. Relying instead on a parade of veneers and caps when his used car salesman/con artist/televangelist crocodile smile didn’t *look* the part.

Is it possible that the dental deterioration is a secondary effect of one of his other maladaptive self medicating behaviors like his long use of too much aspirin making his gums recede and bones turn to pith for instance?

[PCIntern]

13. Weirdly,

Some of these lunatics are teeth obsessed…I’ve had strange combinations over the years.

[canetoad]

5. I don't know.....

With the image greatly enlarged, it looks like someone has done some extremely clumsy editing to whiten the teeth. However, I defer to your professional experience.

[PCIntern]

7. I get what you're saying but I don't think so in this case

[Ms. Toad]

8. It's so pixelated it's hard to tell anything from the second photo. n/t

[PCIntern]

10. It's not the same crowns.

I understand. The contours are entirely different as is the arch form.

[pat_k]

14. As a 65 year-old woman who ended up...

Last edited Tue Jun 2, 2026, 10:47 PM - Edit history (1)

... having my four lower incisors and canines replaced with six teeth on two implants, I can attest to how extensive the work can be. For me it spanned a couple years with bone grafting and other procedures.

The thing is I have been incredibly ashamed at the need for replacement. When it became clear that is where I was heading, I was mortified.

I had had unexplained internal resorption in otherwise healthy teeth that ultimately led to successive root canals and ultimately extraction.

When things started to go down hill, I went from being conscientious about brushing, flossing, and cleanings to being obsessive.

Every dentist, periodontist, and later prosthodontist assured me that despite excellent habits, I had an isolated area of massive bone loss, that, along with the "idiopathic" internal resorption had brought me to a place I would have only associated with people who did a lousy job of taking care of their teeth.

I was a kid who came of age when a thing called "serial extraction" was the "treatment" for a narrow palate. Years of orthodontics apparently had unanticipated effects much later in life. Had I been born later, the treatment would have been palette expansion. Both my nieces had this and never even needed braces.

Anyway, of all the horrors associated with his psychopathy and malignant narcissism, the issues with his teeth are interesting, and probably contribute to his decompensation (yeah, you are not perfect guy) but if there is any intention to imply that the problems are necessarily indicative of his infinite number of character flaws, I reject that notion.

[PCIntern]

15. I agree with you...

And I just had a resorption case the other day. It is both fascinating and unfortunate.

Anecdotally I might mention that most of the cases I see are in post-orthodontic cases and more often in women than men. There are several patterns of resorption-all upsetting to see.

[pat_k]

16. The first tooth was noted as an oddity...

When the the second lower canine and then an incisor, showed the same "shadows" speculation was autoimmune. I have rheumatoid arthritis, but have been treated and have been effectively in remission for twenty years.

I am terrified of losing other teeth. Two root canals to address internal resorption on an upper canine and bicuspid have held for more than 15 years, but I have no confidence anymore. Clearly, what was originally an oddball isolated thing is not isolated at all for me.

And yes, the connection to orthodontia -- particularly the amount of movement associated with serial extraction the 1970's is pretty clearly a factor.

[PCIntern]

17. I'm so sorry....

There was a lot of unintentional iatrogenic dentistry done. Actually there still is but I’m not certain it’s entirely unintentional.

[pat_k]

18. As far as I know, palette expansion was not a "thing" in the 70's.

[PCIntern]

20. It was for young people...my entire education/career

Now it’s being done for adults for sleep apnea

[ms.pamela]

27. Thanks for the information

As a child I had 8 teeth surgical removed for orthodontics. Now I understand why I have had bone loss and thus tooth loss as a result of it. I have 3 implants but 2 of my missing teeth had too much bone loss even with bone transplants to have tooth implants. The loss was not due to poor dental care, but unfortunately one dentist told me I was born with thin enamel.

[pat_k]

29. I have little doubt that any issues you have suffered relate to orthodontia.

Oddly, dentists always commented on what "great teeth" I had. Never had a cavity. Sort of the opposite of thin enamel I guess -- until they started disintegrating from the inside with "internal resorption."

When the first extraction was recommended due to bone loss about 15 years ago, I was under care at the University of Washington Graduate Periodontics clinic. The supervising doctor overruled, basically saying I had "great teeth" and the tooth could be, and should be, saved by attaching a wire connecting it to its neighbors.

That worked out well for over 5 years. Then the "shadow" appeared in xrays on an upper canine. Then on the lower canine connected to my "bad incisor." Then it was a lot of back and forth between the School of Dentistry student I had been assigned to for basic care and the Graduate Endodontics clinic that ended up performing four root canals, two of which failed a few years later.

The bone loss -- particularly the extreme bone loss around my "bad incisor" was a thing that the periodontics people never had much of an explanation for. (Why the hell in one area? The answer was always something like "one of those things." )

Anyway, I feel incredibly lucky to have gotten myself into the UW system. Every move was reviewed by an entire team. I imagine my case was an interesting one that is still presented to students. I have no doubt that the care I got from general dentistry clinic, and the graduate endodontics, periodontics, and prosthodontics clinics was top notch. It took a long time with weird temporary appliances, but now that it has been more than a year since the six lower teeth on two implants was installed, I'm used to it and realize the "fake" teeth look totally natural and are straighter than the canines/incisors they replaced.

[PCIntern]

30. The osteoclasts which resorb bone to allow teeth to move

can also cause resorption of teeth via a somewhat complex physiology. It is not uncommon to see a whole dental arch of truncated roots in some communities wherein an orthodontist is moving teeth too quickly.

[ChicagoTeamster]

21. So did he fall and bust his teeth? Or get hit in the mouth with a golf ball?

[Farmer-Rick]

25. Maybe someone punched him in the face

All those years he has been abusing children, I'm sure some of his child victims had angry parents that couldn't be scared off or paid off.

[calimary]

22. Sure is good to have actual practitioners here!

I appreciate the sharing of expertise!

Expertise is a good thing. Especially these days, when the only “expertise” we’re currently being led by is not even ready for first grade.

[swong19104]

23. Could it be just for vanity's sake

as opposed to actual medical necessity?

[PCIntern]

31. He's missing too many teeth for one thing

to have nothing to do with the other. He had a very esthetic smile for many years. It is not without issues.

[dave99]

24. Is it dead yet ?

[AverageOldGuy]

26. Diet Coke was introduced in 1982

This is what 44 years of Diet Coke will do to your teeth.

[ms.pamela]

28. Diet Coke

Diet Coke does not help your kidneys either, causes kidney stones.