A saliva ejector device comprises a handle having a passageway in fluid communication between a vacuum device and a saliva ejector. The saliva ejector device comprises an automatic switching mechanism comprising a button that is switchable between open and closed positions to allow or restrict restricts airflow. The button can be automatically actuatable, via a compliant device in the handle, when an individual places the handle in the cradle or removes the handle from the cradle. The compliant device can be a tube that allows or restricts airflow about the passageway, or a spring in the passageway that actuates the button. A saliva ejector device comprises a handle having an upper housing rotatably coupled to a lower housing to selectively switch the handle between open and closed positions to allow or restrict airflow about the handle. A handle adapter has a spherical body for an individual to cup or hold to improve ergonomics. Associated systems and methods are provided.