This set is similar to our Tran-Quill Pen™ Set (aluminum handle), but with pencils instead! Set includes: 5 pencils, 5 Bite-N-Chew Tips, 1 pencil sharpener, 1 pencil adapter, and 1 DnZ-Vibe. The pencil adapter screws into the DnZ-Vibe like every other tip, and the pencils fit nicely into the adapter. . Contains small parts, the therapist or caretaker must use caution as this may pose a choking hazard.