This is Kawamoto's Mouthpure. You will receive a box of 50 pieces (new, unpacked for confirmation) and an additional 8 pieces. There are 58 pieces in total. Due to shipping costs, the items will be sent without the box. Product Description: Oral care sponge born from the medical field, S size, 50 pieces for efficient oral care. - Product Name: Oral Care Sponge - Quantity: 50 pieces - Size: S - Length: 150mm - Sponge Size: 15mm x 20mm - Material: Paper handle Thank you for looking.