The Side Biter™ Chewing and Swallowing Therapy System gradually and safely supports improved oral motor function, food acceptance, and swallowing abilities for those who have physical, neurological, oral motor, sensory food aversions, feeding, or swallowing impairments. The three-level system allows for gradual increase in the amount of food the client can receive, stimulating sensory-muscular skills and exercising the lips, tongue, jaw, and swallowing. Level 1 cylinder has no holes, Level 2 has 5 holes, and Level 3 has 10 holes. For patients over two years old. Individual Levels are also available (sold separately). System contains 3 cylinders (one of each level), 3 plungers, cleaning brush, and instruction booklet.Dishwasher-safe"The Side Biter tools are a game changer for patients with significant oral dysphagia and swallowing disorders across the lifespan. I recommend them in my courses." —Diane Bahr, MS, CCC-SLP, CIMI, Feeding, Motor Speech, and Mouth Development Specialist