I noticed the gums when it was showing him next to barron after trump said drill baby drill

You can see his gums are inflamed and bleeding a bit. It's hard to capture in a pic but you can see his gums are fucked in that clip

https://www.adelaidenow.com.au/news/world/barron-trump-shows-blank-stare-as-elon-musk-celebrates-trumps-inauguration/video/d4af97a8ffc990965b8a044481a20a28