Thank you for viewing. I intended to use these for my mother during her hospitalization, but I hardly used them. Originally, there were 60 pieces, but there are 54 remaining. I will include 9 pieces from another manufacturer (see image 3). In addition, I will include oral care gel (see image 4) and 4 packets of thickening agent for food (see image 8). They come in a box, but due to shipping costs, I will send them without the box. Thank you. - Brand: Asahi Group Foods, Kawamoto - Model Name: Oral Care Sponge - Quantity: 54 pieces + 9 pieces - Size: M - Features: Oral care sponge used in medical settings - Purpose: Cleaning the oral cavity