An implement useful in dental and medical procedures, particularly aspiration, but that can also be readily adapted for irrigation or retraction, is described. In a preferred embodiment, the invention features a hollow handle portion 2 having a source end 2a for connecting to a vacuum line or pump, and a second end 2b a hollow nozzle portion 1 having a contacting end 1a for engaging a patient surface to be suctioned and a second end 1b for functionally engaging, directly or indirectly, the second end of the handle 2b and a hollow joint at least partially defined by the second end of the handle and the second end of the nozzle. In some embodiments, the joint may comprise an adaptor 3.