A finger-controlled combination irrigation and suction device is provided. The device includes a handpiece. The handpiece includes: a shaft having a first end and a second end, and having a channel disposed from the first end of the shaft to the second end of the shaft for allowing suction through the shaft; a nozzle coupled to the first end of the shaft; an inlet disposed through an exterior surface of the shaft and in operable communication with the channel, the inlet being disposed to be manually covered and uncovered by one or more fingers of a single hand of a primary caregiver for control of suction through the shaft; and a conduit having a first end disposed to receive a volume of irrigation solution after one or more fingers of the single hand of the primary caregiver act upon an irrigation source proximate to the conduit.