Purchased in September 2024. The oral care sponges are individually wrapped, with 52 bags included. The outer box has been opened, so I'm listing it as having no noticeable scratches or stains. The toothbrush tissues are new and unopened. The oral care sponges are very easy to use. Both the caregiver and the person receiving care find them comfortable. The toothbrush tissues are also useful when it's difficult to rinse the mouth. It's also reassuring to have them stored for emergencies, such as during a disaster.