This awesome Snow Skull was built way back in 2009 by Skull A Day’s Noah Scanlin and his pal Paul Overton of Dudecraft Dot Com. Read about its accidental genesis at This Link!
Update 10/21/19: Dudecraft Dot Com link above delivers a 404 Error that is not resolvable. Such is the way of the Internet.
I’m guessing the gold tooth is a Christmas ornament.
Thanks to Neatorama for the Image!