A combination placement tool and light device (10, 50) is disclosed which allows the dentist or surgeon to hold a dental appliance with a vacuum supplied to a flexible skirt (18, 90), position the dental appliance, and then tack the dental appliance in place with a light source (28, 60, 62) using light activated adhesive. The device (10, 50) can also be used to provide a full cure. The device (10, 50) can also have a source of drying air to aid the procedure. The device (50) can be used with a disposable molded acrylic collimator (76).