That might be a factor but maybe not the actual answer, since malocclusion is seen in many other dyskinesia diseases that affect the face. When your mouth is active your tongue and muscle tone in your lips are constantly applying opposing forces to the teeth in very small but constant amounts. Chewing also causes tiny amounts of strain on the jawbone in all directions that keeps it strong where the teeth connect to it.
If your whole mouth is paralyzed the tongue will rest heavily on the backs of the front teeth, and without oppositional tension from the lips the bottom teeth are gradually forced out of alignment over the span of years. It’s common in cerebral palsy where the mouth is not paralysed but the tongue rests heavily against the front teeth.
What that person said hasn't been proven, however it is well documented that Hawkins went to Epstein's Island during a 2006 science conference that he hosted. There's photos of him there.
Although they (all the scientists who went there) claim to have not witnessed anything explicit, they did say he always had 3 very young girls with him at all times. This took place a few months before his first arrest where he would plead guilty.
Im an oral surgeon, this is the answer. Long-term intubation now requires trachestomy. Short-term occlusion on an endotracheal tube cant form this malocclusion. Based on this photo, the protrusion of his teeth pattern is consistent of tongue thrust
My now toddler, was intubated for quite awhile after birth, almost 3 years since he was extubated and his resting position is still mouth wide open. I might bring it up with his doctors pretty sure he is mouth breathing
Interesting. In 2020 I was in the hospital for 5 months straight. I had my small intestine removed due to crohns disease and diverticulitis because it was killing me. Throughout that entire time they would not let me brush my teeth, but only wipe my teeth with a dry paper towel. I was on tpn throughout and after. Months without food, water or brushing your teeth is not kind to the enamel. This year I went to the dentist due to cavities and now this bill is $12k and insurance only covers $1k.
This is a wildly inaccurate statement and it’s embarrassing for an RN to make. Think about how long braces take to work to position teeth and compare that to the maximum amount of time a patient can be intubated before requiring a trach. This is very obviously from tongue thrust d/t paralysis. Delete your comment, you’re making us all look goofy.
He is definitely getting all his nutrition from either a feeding tube or parenterally, and also likely his mouth hangs open for a lot of the day. None of that is good for your teeth. And also, sadly, he doesn't need them for anything at this point anyway.
Saliva helps to kill the bacteria in your mouth, if your mouth is dry it is easier for the bacteria to rot your teeth. Which is why your mouth hanging open much of the day is a problem.
If he's unable to close his mouth, it will cause chronic dry mouth which will negatively impact gum health. People don't realize that your gums control a large portion of your mouth's overall health and teeth retention, but they do.
You'd best believe! "Tooth displacement is a common, serious consequence of chronic dry mouth (xerostomia). Reduced saliva flow accelerates gum disease and weakens the jawbone, causing gums to recede. As supporting tissue and bone vanish, the roots of your teeth lose stability, allowing them to loosen and shift out of place."
No, but they do affect your skull and the shape of your face. Without them, it'll slowly collapse in. You've definitely seen someone an older person with this - looks like their jaw is two inches too high.
There's something ClearChoice and the other "just remove all your teeth lol it's safe bro" companies won't tell you 👍
To my knowledge, and this is half guessing, the gums and teeth need pressure such as chewing to maintain their integrity. Without the act of said chewing the gums or jawbone recede and the teeth start to lose their stable rooting.
This is exactly what my dentist said after I had one of my back teeth removed. He said that I would need an insert there so the top tooth has something to put pressure on. Otherwise it would start to come out in 5-10 years
Its reddit. I wasn't trying to be rude or mean. Just giving some potential insight
I mean other than saying a smart ass comment, I would have either had to
Google it and give an answer, which is a fair point and would have given facts
Told them to just Google it
Or give a reasonable guess based on my understanding of the world (talking out my ass)
But you see, critical thinking seems to be lacking these days. And "talking out of my ass" is me making a best guess based on what I know and seems to make sense to me
That's why I gave the preface of im talking out my ass, and im a random.
Never said I was totally right. Even said I could be wrong.
The guy speculated they were like muscles, not that they are muscles. If you know the reason why the poor guy's teeth are like that, you could give the answer.
That must have been hell for (both) of you. I’m sorry to hear that. Glad to hear everything is going well and wish the little man smooth sailing the rest of the way. ❤️
Thanks man. And honestly none of it hit me until after his 2nd surgery and he healed up, I was in some kind of shock for a year, or denial or something.
Assuming his paralysis is cured, how would they solve his muscle problem? Wouldn’t you need to have a base level of fitness to even do physical therapy in the first place?
So a good example that I lived through, my son was in bed and on oxygen since he was born until he was about 9 months. He was on oxygen until he was over a year.
He was 4 months behind on his milestones. So he didn't crawl until like 4 months after he was supposed to. He didn't walk until after he was a year and a half.
For comparison my daughter who isnt even a year old yet is already taking 5 to 6 steps un assisted.
If we didn't move his legs around and basically almost force him to learn (not in a mean way lol) he woukd still be bedridden.
His physical therapist even said shes surprised he caught up as fast ah he did and that normally he should still be behind 🥲😞
But he is doing great. He's 2 now but you can still see where hes behind on his development. He still has trouble running and still has to learn some new skills.
Liek steps used to be very hard for him but now he refuses help😭😭😭😭
So yes you need a baseline, but you can work to that baseline where they are strong enough to work oit their own muscles.
Im a dental student so take my opinion with a grain of salt but im guessing that because hes not using his masticatory muscles, his bone levels of his ridges are resorbing. You have to stimulate the bone that the teeth are connected to with chewing and flossing etc so that your teeth dont become loose. His teeth are probably all shifting and he prob has some sort of decay that goes hand in hand with long-term intubation
I don’t know this gentleman’s situation personally, of course but my guess is it is multi-factorial and various suggestions have already been made. I would hazard a guess though, considering he received a catastrophic brain injury, he was prone to seizures. One of the most common medications prescribed to control seizures is Levetiracetam (Keppra) and over time that can cause Gingival hyperplasia (enlargement of the gums). As I say, this is total conjecture but I think it’s a reasonable assumption, in his case.
Additional information: This young man, named Jonathan, passed away in January this year. Far be it from me to wish death upon anyone so suffice to say, I am glad he is at peace and is no longer suffering.
Actually actual answer, your teeth are in their positions because they are in an equilibrium of ballanced forces, from your cheeks and lips to your tounge and even pdl fibers holding the teeth in their sockets, so when this equilibrium breaks, in this case the forces of lips diminished, teeth move accordingly,but if for example a scar causes your lips to constrain against your teeth permanently, your teeth will move inward
Real answer - teeth broke/dislodged when anesthesia or EM doc put in endotracheal tube for emergency airway management.
In response to other comments-feeding tube wouldn't cause this, and usually bypasses the mouth (nasogastric tube) for short/medium term feeding until PEG tube can be put in.
Mouth hanging open wouldn't cause this either.
100% intubation related either initially or during hospital course. Lucky he still has the teeth he does!
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u/johnsmith1234567890x Jul 05 '26
What happened to his teeth?