Real Human Tooth in a Sterling Silver Ring with a hammered rivet. The teeth are all a little different but your ring will be similar to the one pictured, fully sterilized and safe. The band can be shiny and smooth or textured to fit your own preference and the rivet can be silver or gold. Email me at Sales@DeathIsntTheEnd.com for customizing and pricing...ring shown is textured and antiqued lightly. All sizes available. Please see "about me" section for information about materials used and my work.