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MoHMA Mouthgag 4.5" long with hard wood handles, the handle curves up and is curved to fit a finger easily, the other end curves down in the opposite direction and bends back in a U with the end curved out to grasp the teeth. The ends can be kept open at a predetermined size with a thumbscrew. A second version with a thumbscrew only is also shown in the second image. https://www.mohma.org/instruments/category/ent/mouthgag/