An adjustable tongue-positioning device for an oral gag device has a shaft portion with a vertical shaft adapted for slideably engaging with an oral gag device, an engagement bead attached to a support, the support attached to the vertical shaft, an engagement ring attached to the vertical shaft. The tongue positioning device also has an adjustable tongue portion with at least one tongue depressor portion having a slot adapted for engaging with the engagement bead of the shaft portion, and a flexible ratchet adapted for engaging with the engagement ring of the shaft portion. In operation the adjustable tongue portion is engaged with the engagement ring and bead of the shaft portion, and the shaft portion with an adjustment mechanism of an oral gag.