Handmade with Love, this personalized Dental medical keychain with zipper pull lobster clasp features lead and nickel free Caduceus, dentist inspired toothbrush, toothpaste & floss charms and genuine Czech birthstone crystal of your choice. These make the perfect gift for the Dental professional in your life! **Enter your birthstone crystal at checkout (shown in 5th photo) September/Sapphire is pictured Use as a zipper pull or attach to your keyring to serve as a handy and beautiful keychain. MEASUREMENTS~ 4 3/4 inches (12cm) long from top of lanyard to bottom of caduceus and 1 inch (25mm) wide. This keychain will arrive in an organza gift bag ready for gifting or to treat yourself! FEATURES: Lead/Nickel free: Caduceus pendant Toothpaste pendant Toothbrush pendant Floss pendant Personalized Czech birthstone crystal Keychain split ring Sturdy zipper pull/Lobster clasp Thank you for visiting my shop! Design, Description & Photographs ©Abundant Earth Works