I prepared these items when my family member entered a care facility, but they ended up not being used. I purchased three boxes, and I wrote my name on one of the boxes. I have erased the name with a marker. I only opened the box with the name on it, and it contains 50 pieces. I will also include the 13 pieces I used previously, which are not in a box. 3 boxes x 50 pieces each, plus the remaining 13 pieces, for a total of 163 pieces. I would like to take the contents out of the boxes in the photos and repack them in a different cardboard box or container for shipping. With just one of these, you can thoroughly clean the surface of teeth, gums, and tongue! Rub back and forth and rotate to effectively remove dirt from the oral cavity (tooth surface, gums, upper palate, and tongue). ● The sponge shape (wave-shaped grooves) won't miss any dirt. ● The sponge is yellow, making it easy to see any bleeding. ● Disposable, so it's hygienic. ● The long handle allows you to remove dirt from the back of the mouth.