Top definition
When two individuals engage in oral sex, and the individual using their oral cavity has less than the socially acceptable amount of teeth.
Hey Arod, your girlfriend is missing a bunch of teeth!

Yea I know, but she gives a real nice and gummy Appalachian handshake!
by Nappy Jr January 17, 2013
Get the mug
Get a Appalachian Handshake mug for your daughter-in-law Riley.