120 Picks per Pack. Portable dispensing case included. The World's best toothpick. Better than flossing. Noticeable oral health improvement in just two weeks. Improved with Plyalene for longer lasting bristles to brush away food debris safely. Will not harm dental and bridge work. Safely scrapes away plaque. Helps stimulate gums to promote periodontal health. Helps fight gingivitis. Directions-Insert brush and rotate/slide back and forth. Gently slide the pick back and forth, up and down.Use flexible brush tip to clean molars