Update. In FF109, after installation, VDH is available via the context menu, and the icon appears under the "extensions" icon in the FF toolbar, but it's not shown on the "customize toolbar" page where you can drag icons onto and off of the toolbar. So, I can't put it directly on the toolbar. I normally hide all excess icons, like "pocket", and also "extensions," so that's why I was seeing no way to access it.
So, can someone confirm this on FF109 + Windows 10? That you have to click the extensions icon to see the VDH icon? If so, I'll file a bug against FF to revert that change. Who needs an extra click on their lives? I don't.