Discovery News features a "tiny gold combined toothpick and earwax spoon, believed to be more than 385 years old, [found] during the search for a shipwrecked Spanish galleon off the Florida Keys."
Don't laugh. If you were going halfway across the known world to a place with no gold earwax spoons that would also function as toothpicks, you’d find a place for this in your baggage too.
Ear pickers, though not all of silver, were used by all levels of society in medieval and post-medieval England. As was the fashion for many of these tools, this one is double-ended. The pointed end was used to clean teeth and nails, and the spoon-shaped end was used to remove earwax. The 17th-century English knew about plaque, which they called "scale" or "surf," and they were encouraged by their doctors to scrape their teeth frequently. They also knew that a buildup of earwax could cause deafness. As gross as that may seem to us today, the earwax was often saved and used for coating sewing thread to make it stronger and easier to use.
Here's an interesting item from the eighteenth century:
This horn piece was one of the most common horn implements made during the height of Horn Guild of 18th Century London. A thread puller or toothpick and an ear wax spoon. Pinned with copper this horn tool is hinged like a Swiss Army knife, one swing out tool is for pulling the precious threads out of old or discarded clothing and the little spoon tool is for collecting ear wax to wax the thread with. -- The Scarlet Scarab