As a saw all these close-up photos of child mouths with pulled teeth I immediately thought of the fully stocked dentist chair found at Epstein's FL mansion:

https://www.dailymail.co.uk/news/article-3688656/A-fully-equipped-dentist-s-chair-close-photos-young-girls-backsides-eerie-images-videotaped-walk-billionaire-pedophile-Jeffrey-Epstein-s-Florida-mansion.html

Also reported he had a 550 lbs dental chair shipped to his Island:

http://adam.curry.com/art/1568319615_kP2YYCGC.html

Pulling teeth without novocaine and with horrific theater is one of the ways I believe they adrenalize their blood. Enabling them to reuse the same child more than once.