I've been called worse...
But take a closer look, shall we...?
The two top front teeth protrude and show significant wear and discoloration. They have a gap and and uneven bottom line. Every cartoonist in the World is going to show those two babies with a piece of hay sticking out from between them. How could they not?
The adjacent tooth on his left (our right) shows yet another color, and is an obvious poorly matched cap. All the money this man has, and he can't afford competent dental work? I've seen temporary crowns that match better than that!
Two one hour sessions with a reasonably competent cosmetic dentist will eliminate all of these problems, for under $2500. Why would he not have this work done?
I am not a dentist, and not a tooth fetishist (if such a thing exists). But how could anyone not notice these choppers?