I had to purchase this while in hygiene school, I probably used it 2-3 times overall. Has not been used since 2017, pretty much in perfect condition. Personally I prefer Cavitron, so I am selling this. Comes with 3 twist-on tips and all cords (power, water, pedal,hand-piece cord). All instructions (not pictured) are included. Case for portability, and different power converters as well as tools (not pictured, max 8 pics on this website!).