This Cavitron was fully reconditioned in dental repair facility. This ultrasonic scaler is in excellent condition and will arrive exactly as pictured, please refer to the pictures for all details. There are NO ultrasonic inserts included with the scaler. We’ve been specializing in dental handpieces and scalers since 1996. This unit includes a brand new handpiece and cable (the item that has the most wear in this unit). If the item is are subject to state or FDA regulation, you may be forced to provide verification that you an authorized user of this type of device.