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Designed specifically for a child's hand. The unique Y design where the index finger cradles onto a comfortable surface, allows the hand not to have to grip the pencil and actually encourages the fingers into the correct tripod grasp. This reduces tension and stress throughout the fingers, hand and wrist. Now write longer with greater ease. Great for anyone who has to write a lot or tends to squeeze the pencil too tightly. Mechanical pencil with thick #2 lead that never needs sharpening. Erasers on side of pencil. 3 ½" long.Refill the PenAgain Twist N Write Ergonomic Pencils! This package of 5 pencil leads has been specially designed for the PenAgain Twist 'N Write Pencils. Instructions are included for easy replacement of the pencil leads. The Refills are sold separately.