Cheekpiece: The American Gag uses a distinctive H-shaped shank frame to combine mouth-corner and poll pressure in a fixed-leverage gag design — functioning similarly to other gags in helping rebalance strong or leaning horses, though its particular mechanism (upward-sliding mouthpiece vs. downward poll pressure) has drawn some criticism for sending the horse mixed signals, so it's worth understanding this nuance when choosing between gag styles.
Mouthpiece: A double-jointed polymer mouthpiece with a copper roller combines a soft, warm, palatable material with an evenly-distributing double joint and a salivation-encouraging copper roller — making it one of the gentler, more comfort-focused mouthpiece options available, well suited to sensitive, apprehensive, tense, or fidgety horses that benefit from extra encouragement to relax and accept the bit, regardless of which cheek/ring style it's paired with.