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This is a fiendish-looking device that is actually used by dentists and oral surgeons to keep mouths open during examinations and surgeries. However, fetishists, medical instrument collectors and Bondage & Discipline fans often find it interesting for other reasons. This item was designed as medical/dental devices. It cannot be expected to function as a secure gag (although, depending on the size and shape of an individual's jaw and teeth, it might be effective in some cases). It is generally possible to push it out of the mouth with a bit of effort. However, adding some sort of strap around the back of the head to tie it in place (such as a leather thong, sold separately), it is possible to make it somewhat more secure. Many people will want to own one of these simply as a collector's pieces. However, others will want to make some actual use of it. Obviously, caution is necessary with this item. You could risk chipping teeth against the hard metal if some kind of impact occurs, and it is important not to strain the jaw muscles by opening the jaw too much or for too long. Use care and common sense, and proceed slowly. All stainless steel, matte finish.