The Twist 'N Write Pencil is specially designed to fit smaller hands and make writing easier. Kids get excited about the Twist 'N Write because it puts the fun back into writing. The pen's wishbone shaped body naturally shapes the fingers into the school-taught "tripod" finger grasp. Whether your kids are doodling or practicing longhand, the soft rubber body and curvy shape are built for comfort and helps them focus on their content without worrying about their pencil grip or their writing speed. The thick 2mm pencil lead never needs sharpening. Just twist the tip to expose more lead. When the lead runs out, simply pop in a fresh one and this pencil will just keep on giving. Each PenAgain Twist 'N Write Pencil refill pack contains 5 spare pencil leads so your kids can keep on writing. Helpful for Arthritis and Ehlers Danlos Syndrome patients. Each pack includes 5 refills.