In Asia these are traditionally made from bamboo or precious metals such as silver or gold, but more commonly now, from stainless steel or plastic. Ancient European ear scoops were made for either bronze on precious metals such as silver.
Use of ear picks to remove wax is discouraged by some Western health professionals for fear of damaging the ear and causing its infections.
Other than the wide variety of materials used to make them, earpicks vary widely in their tips and embellishments. Disposable plastic ear picks with a cotton swab at one end are increasingly popular.
- Ladle: The traditional and most commonly seen type of tip for the ear pick. They consist of a tiny (2-5 mm) spoon or spatula that is used to scrape and scoop out ear wax.
- Loop(s): Tips made of single or multiple bent semi-nested loops of wire. The loops scrape and dislodge ear wax, which is then lodged in between the loops of wire. This tip does not function well in removing wet-type ear wax. A variation of this are wire loops twisted into a spiral, similar in shape to the tips of cotton swabs. The Jobson-Horne probe used in otolaryngology is in effect a loop-type ear-pick, where the ladle of the curette is fenestrated to effectively remove either dry or moist-type impacted earwax.
- Disks: Multiple circular disks, typically three, extend as hoops out from a thin cylindrical shaft.
- Down puff: A ball of goose down is located at the opposite end of the ear pick away from the tip. This is used to clean out tiny specks of flaky ear wax on the outer ear that may have broken off during the process of ear cleaning.
- Safety Stop: A means of preventing deep insertion into ear canal to prevent ear drum injury.
- Illumination: A light bulb or LED shines light through the clear plastic tip (usually a Ladle type) of the ear pick to illuminate the inside of the ear canal, which eases ear cleaning.
- Figurines: A plastic or wooden figure, such as a small Daruma or cartoon characters are placed at the opposite end of the tip. They exist mainly to enhance the aesthetics of the ear pick.
- Toothpick: Some earpicks end with a pointed tail, which is used as a toothpick. This design is common in some Chinese and old European earpicks.
It can be used individually or by another person. The person having his/her ears cleaned often lies or bends down with his/her head in the lap of the person doing the cleaning. The cleaning of ears is often performed by a parent on a child or, among adults, by one's partner. It may also be performed by professional (non-medical) ear cleaners on the streets of cities in countries such as China, Japan, and Korea.
Some individuals find ear-picking to be highly pleasurable, thus contributing to the popularity of this service being offered in Asian establishments such as massage parlors, spas, and salons. 
Ear-spoons and ear picks are found dating from the post-mediaval period of British history back into the Roman times.  Ear-spoons have also been found in Scandinavian archeological Viking-age dig sites. Ornate ear scoops have also been found in 9th century Anglo-saxon sites. 
The practice of ear picking may pose health hazards to the human ear. One potential danger is that of accidentally puncturing the ear drum and/or breaking the auditory ossicles while ear picking. Usage of unsterilized ear picks can also cause infection when they are shared among different individuals.
Ear cleaning in general may also be ineffective when used by one with little experience or guidance. When done incorrectly, significant amounts of ear wax may be pushed deeper into the ear canal rather than removed. The lining of the ear is delicate and can be easily damaged. The ear is also self-cleaning and earwax is needed to protect the ear from dirt, dust, and bacterial infections.
- Leong AC, Aldren C (August 2005). "A non-randomized comparison of earwax removal with a 'do-it-yourself' ear vacuum kit and a Jobson-Horne probe". Clinical Otolaryngology 30 (4): 320–3. doi:10.1111/j.1365-2273.2005.01020.x. PMID 16209672.
- Eve D'Ambra, Roman Women (Cambridge U Press, 2007), 116-17.
- Overfield, T. (1985). Biologic Variation in Health and Illness: Race, Age, and Sex Differences. Menlo Park, CA, USA: Addison-Wesley Publishing. ISBN 0-201-12810-1.
- Fumiko Keehn, Laura, "The Art of Ear Picking", SWINDLE Magazine (10)
- Krieger, Daniel (15 January, 2011), "Tokyo trend: Ear-cleaning parlors", CNN Travel (Cable News Network)
- "Silver EAR SCOOP", Portable Antiques Scheme (The British Museum)
- "Cast EAR SCOOP", Portable Antiques Scheme (The British Museum)
- Kirsten Wolf (2004). Daily life of the Vikings. Greenwood. p. 76. ISBN 0-313-32269-4.
- "Anglo-Saxon Art in the Round:Animal Art", The Fitzwilliam musuem (University of Cambridge)
- Hain, Timothy C. "Ear wax". American Hearing Research Foundation. Retrieved 7 February 2013.
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