This Ring is hand fabricated by me in size your size. It is 14K yellow gold but I can make this in White Gold or Sterling Silver. You must supply your own elk tooth at this price. If you do not have one I have some available at a small charge. I would be happy to quote on any other Elk's Tooth Jewelry. If you have seen a picture of a piece that you like some where else I will be happy to make something simular. Convo for price and style options.