40 pieces, individually wrapped Oral Sponges For Nursing Care, Tongue Cleaning, Oral Care, and Tooth Brushing! 【Importance of Oral Care】 This oral care sponge is designed especially for use in medical settings. It gently removes dirt to maintain oral hygiene. 【Ease of Use】 The design is easy to hold and simple to use. The sponge part is soft, allowing for care without damaging the oral cavity. 【Hygienic Packaging】 Individually wrapped for hygiene. You can take out and use only what you need, making it convenient. Made by Kawamoto Corporation, for peace of mind and reliability. Only 2 pieces are from a different manufacturer. No box. Shipping included.