P gingivalis is attracted to saliva. It attaches to saliva and makes colonies in saliva glands.
The glands below his chin are all infested and inflamed. Probably the upper parotids too, hard to tell with that giant neck...
His amylase production and sugar metabolism has clearly been affected. Probably his arteries and prostate as well.
His uppers are crowded and pinching his infraorbital nerve too. He's messed up.