I found this to be good, but not THAT good. From the title, I thought it was going to show a Ragecomic. I would have preferred if it did. It is nice to see all the detail you put into the mouth. I know enough about anatomy to understand this. The mouth really looks like a spine when you think about it.
Is that supposed to be Tom? I guess I just assume all realistic people drawn here are supposed to be him. I like the little vein in his neck. The background isn't bad. While not great, decent.