This is the beginning of the end for Ralph. It is going to be spectacular. He definitely lost those front teeth, and that's going to take a shitload of money to fix. If he doesn't fix it, the way he talks is going to completely change.
Any somewhat sane person who gets beat down that badly usually has the good sense to not broadcast pictures of it all over Twitter, but his ego won't let him. That's how fucking egotistical he is. He can't just go away for two weeks.
Ralph is so thin skinned that the public's reaction to this is going to be a breaking point for him. Maybe not the thing that causes him to totally lose his mind, but it's a huge step in that direction.